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Indian Health Service
Organization overview and procurement intelligence available on paid plans.
The organization seeks a vendor to provide an online medical coding solution to support accurate and efficient coding of medical diagnoses and procedures performed by clinic staff. The required system should offer an advanced medical encoder tool, ensuring coders in the Rosebud Service Unit (RSU) achieve optimal coding accuracy and facilitate appropriate reimbursement for healthcare services rendered.
Key features include tools to resolve prevalent coding and billing errors, an online real-time code look-up application designed for outpatient coding, and access to resources such as the Uniform Billing Editor e-book and comprehensive compliance checkers for both inpatient and outpatient hospital coding. Additionally, the solution should be a robust stand-alone platform, supporting coders, case managers, CDI specialists, consultants, and finance staff with functionalities for coding, abstracting, research, and payment validation. The encoder should integrate logic and book coding, leveraging proven knowledge- and logic-based approaches for accurate assignment of diagnosis and procedure codes.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.