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Comprehensive Error Rate Testing Review Contractor Tender - 86564764

The HEALTH AND HUMAN SERVICES, DEPARTMENT OF has issued a Tender notice for the procurement of a Comprehensive Error Rate Testing Review Contractor in the USA. This Tender notice was published on 01 Aug 2023 and is scheduled to close on 21 Aug 2023, with an estimated Tender value of Refer Document. Interested bidders can access detailed Tender information, eligibility criteria, and complete bidding documents by referencing TOT Ref No. 86564764, while the tender notice number is CERTRC-240293 and Registering on the platform.

Expired Tender

Procurement Summary

Country: USA

Summary: Comprehensive Error Rate Testing Review Contractor

Deadline: 21 Aug 2023

Posting Date: 01 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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Tender 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

 Tender Notice

CERT-RC-SOW-for-SSN-Final.docx

CERT-RC-Sources-Sought-Notice.docx


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