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HEALTH AND HUMAN SERVICES, DEPARTMENT OF has floated a tender for Comprehensive Error Rate Testing Review Contractor. The project location is USA and the tender is closing on 21 Aug 2023. The tender notice number is CERTRC-240293, while the TOT Ref Number is 86564764. Bidders can have further information about the Tender and can request the complete Tender document by Registering on the site.
Procurement Summary
Country : USA
Summary : Comprehensive Error Rate Testing Review Contractor
Deadline : 21 Aug 2023
Other Information
Notice Type : Tender
TOT Ref.No.: 86564764
Document Ref. No. : CERTRC-240293
Competition : ICB
Financier : Self Financed
Purchaser Ownership : Public
Tender Value : Refer Document
Purchaser's Detail
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Login to see detailsTender Details
Description
Select a stratified random selection of claims from the Medicare FFS claims universe Request medical records from the billing and ordering providers to support the claims billed Receive and process medical records for purposes of conducting medical review (MR) Provide customer service support to the Medicare Administrative Contractors (MACs) and providers who have claims selected for review Conduct MR on claims selected for CERT and other accuracy reviews, as specified by CMS Communicate MR results to the MACs, providers, and other stakeholders Collect and transmit data to the CERT Statistical Contractor (CERT SC) for purposes of calculating improper payment rates Maintain various websites for internal and external stakeholders Establish mechanisms to manage, monitor and mitigate unexpected fluctuations in the Contractor-s workload Perform additional tasks to support the mandate of the CERT program, as directed by CMS and the Statement of Work (SOW)
Active Contract Opportunity
Notice ID : CERTRC-240293
Related Notice
Department/Ind. Agency : HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Sub-tier : CENTERS FOR MEDICARE AND MEDICAID SERVICES
Office : OFC OF ACQUISITION AND GRANTS MGMT
General Information
Contract Opportunity Type: Sources Sought (Original)
All Dates/Times are: (UTC-04:00) EASTERN STANDARD TIME, NEW YORK, USA
Original Published Date: Jul 31, 2023 08:57 am EDT
Original Response Date: Aug 21, 2023 11:00 am EDT
Inactive Policy: 15 days after response date
Original Inactive Date: Sep 05, 2023
Initiative: None
Classification
Original Set Aside:
Product Service Code: R408 - SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORT
NAICS Code: 541611 - Administrative Management and General Management Consulting Services
Place of Performance: USA
Documents
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