MB-2984 - USA (Mississippi) - Workers Compensation Claims and Performance Audit Services - Deadline May 15,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2984

Government Authority located in Mississippi; USA based organization looking for expert vendor for workers compensation claims and performance audit services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide workers compensation claims and performance audit services to perform a comprehensive and objective audit of the claims processed by the trust third-party claims administrator to determine if the claims were adjudicated according to the contractual standards, audit must be based on a statistically valid random sample, should include open and closed indemnity claims and medical-only claims for which there has been activity during the 12-month audit period, and must include an audit and determination of the compliance with the contractual standards.
- Three-point contact
- Reserve calculations and updates
- Payment of medical bills and indemnity benefits
- Supervisory and managerial review
- Compliance with contract fee schedule for medical management services and other defined claims expenses
- Claims payment system
- Claims investigation and adjudication procedures
- Reserving procedures
- Bill payment and review
- Security and override procedures relating to approval of claims and access to records
- Evaluation of the disaster recovery plan
- Evaluation of the security of records and data
- For any claims and performance audit performed, the selected auditor will provide a comprehensive, detailed written report to include the methodology used by the consultant, the claims and performance audit findings, recommendations to the board regarding such findings, and may provide an oral presentation of the findings, if deemed necessary by the board.
(2) All question must be submitted no later than April 16, 2019.

[C] Eligibility:

- Onshore (USA Only)

[D] Work Performance:

Performance of the work will be offsite. Vendor needs to carry work in their office location.

Expiry Date : Wednesday, 15 May, 2019

Question Answer Deadline : Tuesday, 16 April, 2019

Category : Medical Billing and Coding

Country : USA

State : Mississippi

RFP Expired

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs