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Medical and Dental Coding, Auditing, and Data Entry Services

Overview


Healthcare Services, Wellness & Biotech
Phoenix, Arizona, United States; Elko, Nevada, United States; Fort Duchesne, Utah, United States; Polacca, Arizona, United States; Whiteriver, Arizona, United States; Cibecue, Arizona, United States; Winterhaven, California, United States; Parker, Arizona, United States; Peach Springs, Arizona, United States; Moapa, Nevada, United States; Havasu Lake, California, United States; Sacaton, Arizona, United States; Wadsworth, Nevada, United StatesPosted about 1 month agoDeadline: April 9th, 2026

Fit Score


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SUMMARY


Seeking a qualified provider for five years of medical and dental coding, auditing, and data entry services to support service units’ regulatory compliance and maximize third-party reimbursements.

KEY REQUIREMENTS


BUDGET

Estimate

$7,000,000 – $12,000,000

CONTRACT DURATION


60 months

TIMELINE


Offers are due by April 9th, 2024, 1:00 PM PDT.

The anticipated BPA period of performance is from May 1st, 2026 to September 30th, 2031, for a 5-year BPA.

Priced quotations must be valid for a minimum of 90 calendar days.

Quotations must be submitted electronically via email to the Contracting Officer by the specified due date and time, local Phoenix, Arizona time.

QUESTION DEADLINE


April 9th, 2024

Issuing Agency


Department of Health and Human Services (HHS), Indian Health Service (IHS)

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


A contract opportunity is available for providing comprehensive medical and dental coding, auditing, and data entry services for various service units. These services will ensure compliance with all applicable federal and state laws, policies, and regulations, supporting outpatient and inpatient visits according to service unit needs.

The contractor is responsible for precise capture of all necessary information from Electronic Health and Dental Records (EHR/EDR), applying all required ICD diagnosis and procedure codes, ADT, CPT, HCPCS, E/M codes, Modifiers, and Trans-Codes to every patient encounter. Data entry will involve entering details from EHR, EDR Notes, or PCC paper forms into the RPMS PCC Package, guaranteeing all necessary data items per individual visit are recorded. Ongoing monitoring of incomplete visits will be required to ensure all missing information is addressed.

Contractors must adhere to the highest standards of integrity and compliance to secure full reimbursement for services provided to patients with third-party resources. This contract will span five years and is a Buy Indian Set-Aside pertaining to the Department of Health and Human Services, Indian Health Services.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.

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