Workers' Compensation Bill Auditing Services

Overview

Healthcare Services, Wellness & Biotech

Honolulu, Hawaii, United StatesPosted about 1 month agoDeadline: April 15th, 2026

Fit Score

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SUMMARY

Hawaii seeks a qualified vendor to perform detailed auditing of workers' compensation medical bills, ensure compliance, and provide regular reporting for a government authority.

KEY REQUIREMENTS

BUDGET

Estimate

$722,500

CONTRACT DURATION

12 months

TIMELINE

Publication Date: March 27th, 2026

Deadline for Submission of Proposal: April 15th, 2026 at 2:00 p.m. (HST)

Proposal Evaluation Period: April 16th - 22nd, 2026

Discussions with one or more of the three highest-ranked OFFERORS: April 23rd - 27th, 2026

Selection and Notice of Award: April 30th, 2026

Negotiations: May 1st, 2026 (begin)

Contract Signing: May 18th, 2026

Effective Date: June 30th, 2026

Services Begin: June 30th, 2026

Issuing Agency

Department of Human Resources Development

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DESCRIPTION

The government authority located in Hawaii is seeking a vendor to provide comprehensive workers' compensation bill auditing services. The selected contractor will be responsible for receiving, reviewing, processing, and tracking medical bills to validate the appropriateness of charges and ensure medical documentation meets the standards set by the workers’ compensation medical fee schedule and Medicare guidelines.

Vendors must amend and adjust bills as needed following the audit process, utilizing Certified Professional Coders to perform all coding and audit functions in accordance with CPT, HAR, HRS, and other applicable laws. The contractor will conduct accurate data entry, procedural coding, and handle provider inquiries, including direct provider calls.

The vendor is also expected to print and provide client access to electronic audit reports, submit monthly billing reports detailing audit costs by claim, and prepare quarterly reports summarizing bill audit activities, outcomes, and any identified trends or patterns in billing practices.

Source attribution

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