RFP-OIG260145 Medical Record Review and Consultative Services (2nd Amendment)
Closed Solicitation Posted
- Solicitation number
- OIG260145
- Agency
-
Office of the General Counsel
Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- PSC
- R499 Support- Professional: Other
- Place of performance
- Washington, District of Columbia 20201, United States
Notice details come from SAM.gov. Updated .
Notice text
5 versions
Update #5 · Latest ·
The scope of the resulting contract(s) will include medical review and consultative services associated with the oversight activities of the OIG primarily involving Medicare fee-for-service payments. Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require medical review of approximately 100-200 claims and associated medical records per audit and approximately 2,000-3,000 claims and associated medical records per annum, but actual workload under the resulting contract(s) could fluctuate based on potential future changes in OIG’s budget, shifts in OIG’s priorities, and other factors.
The scope of the resulting contract(s) will not include determining OIG priorities; identifying auditees and subject matter of audits; claims sampling; and establishing audit objectives, scope and methodology; however, OIG may in its discretion ask for input on these matters as part of consultative services (see below). OIG will collect claims data, medical records and other supporting documents in accordance with each audit’s objectives. OIG will transmit those documents electronically through its secure file transfer system or occasionally in hard copy through the U.S. Postal Service or other parcel delivery service. The resulting contract(s) will not include responsibility for those functions.
Update #4 ·
**SUMMARY OF CHANGES**
- Phase 2 Questions and Answers posted.
- Each Offeror shall submit an electronic copy of their firms slides on or before, Monday, January 25, 2021.
- Chris.Winfield@oig.hhs.gov
** THE END OF CHANGES**
The scope of the resulting contract(s) will include medical review and consultative services associated with the oversight activities of the OIG primarily involving Medicare fee-for-service payments. Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require medical review of approximately 100-200 claims and associated medical records per audit and approximately 2,000-3,000 claims and associated medical records per annum, but actual workload under the resulting contract(s) could fluctuate based on potential future changes in OIG’s budget, shifts in OIG’s priorities, and other factors.
The scope of the resulting contract(s) will not include determining OIG priorities; identifying auditees and subject matter of audits; claims sampling; and establishing audit objectives, scope and methodology; however, OIG may in its discretion ask for input on these matters as part of consultative services (see below). OIG will collect claims data, medical records and other supporting documents in accordance with each audit’s objectives. OIG will transmit those documents electronically through its secure file transfer system or occasionally in hard copy through the U.S. Postal Service or other parcel delivery service. The resulting contract(s) will not include responsibility for those functions.
Update #3 ·
*AMENDMENT-2*
**SUMMARY OF CHANGES**
- An Advisory Notification to Offerors regarding their participation in Phase 2 was provided on Friday, December 11, 2020.
- Each Offeror shall submit an electronic copy of their firms slides on or before Thursday, January 21, 2021.
- Phase 2: Oral Presentations 01/26/2021 Thru 01/29/2021
- An Advisory Notification to Offerors regarding their participation in Phase 3 will be provided NLT Wednesday, February 10, 2021.
- Phase 3: PWS/QCP and Cost Proposal 02/24/2021
- Chris.Winfield@oig.hhs.gov
** THE END OF CHANGES**
The scope of the resulting contract(s) will include medical review and consultative services associated with the oversight activities of the OIG primarily involving Medicare fee-for-service payments. Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require medical review of approximately 100-200 claims and associated medical records per audit and approximately 2,000-3,000 claims and associated medical records per annum, but actual workload under the resulting contract(s) could fluctuate based on potential future changes in OIG’s budget, shifts in OIG’s priorities, and other factors.
The scope of the resulting contract(s) will not include determining OIG priorities; identifying auditees and subject matter of audits; claims sampling; and establishing audit objectives, scope and methodology; however, OIG may in its discretion ask for input on these matters as part of consultative services (see below). OIG will collect claims data, medical records and other supporting documents in accordance with each audit’s objectives. OIG will transmit those documents electronically through its secure file transfer system or occasionally in hard copy through the U.S. Postal Service or other parcel delivery service. The resulting contract(s) will not include responsibility for those functions.
Update #2 ·
*AMENDMENT*
**SUMMARY OF CHANGES**
- Each Offeror shall submit an electronic copy of their firm’s slides on or before 12:00 p.m. (noon) November 6, 2020.
- An Advisory Notification to Offerors regarding their participation in Phase 2 will be provided no later than (NLT) Monday, October 26, 2020
- An Advisory Notification to Offerors regarding their participation in Phase 3 will be provided NLT Monday, November 23, 2020.
- Phase 2: Oral Presentation 11/09/2020 Thru 11/10/2020 AND 11/12/2020
- Phase 3: PWS/QCP and Cost Proposal 12/04/2020
- Chris.Winfield@oig.hhs.gov
** THE END OF CHANGES**
The scope of the resulting contract(s) will include medical review and consultative services associated with the oversight activities of the OIG primarily involving Medicare fee-for-service payments. Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require medical review of approximately 100-200 claims and associated medical records per audit and approximately 2,000-3,000 claims and associated medical records per annum, but actual workload under the resulting contract(s) could fluctuate based on potential future changes in OIG’s budget, shifts in OIG’s priorities, and other factors.
The scope of the resulting contract(s) will not include determining OIG priorities; identifying auditees and subject matter of audits; claims sampling; and establishing audit objectives, scope and methodology; however, OIG may in its discretion ask for input on these matters as part of consultative services (see below). OIG will collect claims data, medical records and other supporting documents in accordance with each audit’s objectives. OIG will transmit those documents electronically through its secure file transfer system or occasionally in hard copy through the U.S. Postal Service or other parcel delivery service. The resulting contract(s) will not include responsibility for those functions.
Update #1 ·
The scope of the resulting contract(s) will include medical review and consultative services associated with the oversight activities of the OIG primarily involving Medicare fee-for-service payments. Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require medical review of approximately 100-200 claims and associated medical records per audit and approximately 2,000-3,000 claims and associated medical records per annum, but actual workload under the resulting contract(s) could fluctuate based on potential future changes in OIG’s budget, shifts in OIG’s priorities, and other factors.
The scope of the resulting contract(s) will not include determining OIG priorities; identifying auditees and subject matter of audits; claims sampling; and establishing audit objectives, scope and methodology; however, OIG may in its discretion ask for input on these matters as part of consultative services (see below). OIG will collect claims data, medical records and other supporting documents in accordance with each audit’s objectives. OIG will transmit those documents electronically through its secure file transfer system or occasionally in hard copy through the U.S. Postal Service or other parcel delivery service. The resulting contract(s) will not include responsibility for those functions.
Files
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Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Solicitation | |
| Medical Record Review and Consultative Services Sources Sought | Pre-Solicitation | |
| Medical Record Review and Consultative Services (DRAFT) | Pre-Solicitation |
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