Government Contract | Texas
Government Eligibility and Transfer DRG (tDRG) Underpayment Review

Bid Information


Bid Alert No: 00000415499

Bid Title: Government Eligibility and Transfer DRG (tDRG) Underpayment Review

Agency Bid No. Title: 16-030

Received Date: 11/12/2015

Close Date: 12/11/2015

Purchase Type: Not Stated

Delivery Point: Various Locations, Texas

Delivery Date: Not Stated

Special Notices: Pre-Bid Conference Optional 11/18/2015 09:00 AM, Questions Due By 11/24/2015 05:00 PM

Specifications

Specifications include, but are not limited to: The engagement objectives are:4.3.1 Increase overall reimbursement through identifying additional eligibility and decreaseuncompensated care.4.3.2 Utilize vendor staff and resources to assist UTMB in searching for and discovering eligibilityon underinsured and uninsured patients.4.3.3 Provide UTMB a safety net in finding eligibility against timely filing restrictions.4.3.4 Increase overall reimbursement from Medicare and Medicare Advantage through tDRGunderpayment retrospective review and ongoing monitoring.4.3.5 Utilize vendor staff and resources to assist UTMB in identifying underpayments for tDRGaccounts.4.3.6 Provide UTMB assistance in billing, re-billing, and appeal process through eligibility andunderpayment discovery.4.3.7 Provide financial trend reporting on performance.4.3.8 Conduct routine bi-weekly meetings to share findings and discuss strategy.

Product Codes: 94610, 94620

Agency Information


Issuing Agency: University of Texas Medical Branch at Galveston

State: Texas

Agency Type: State and Local

Contact: Denise L. Parrish, Central Purchasing UTMB Purchasing, 301 University Blvd., Galveston, Texas, 77555

Phone: 281-338-6894

Fax: 281-554-5368

Email: dlparris@utmb.edu

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