Government Contract | Hawaii
PROVIDE AUDIT AND RATE, RECOVERY AUDIT CONTRACTORS PROGRAM, CASE MIX SERVICES, ELECTRONIC HEALTH RECORD (EHR) INCENTIVE PAYMENT PROGRAM AND AUDIT ACTIVITIES

Bid Information


Bid Alert No: 00000589153

Bid Title: PROVIDE AUDIT AND RATE, RECOVERY AUDIT CONTRACTORS PROGRAM, CASE MIX SERVICES, ELECTRONIC HEALTH RECORD (EHR) INCENTIVE PAYMENT PROGRAM AND AUDIT ACTIVITIES

Agency Bid No. Title: MQD-2017-001

Received Date: 06/02/2016

Close Date: 06/15/2016

Purchase Type: July 1, 2016-June 30, 2017

Delivery Point:

Delivery Date: Not Stated

Specifications

Specifications include, but are not limited to:Audit and rate reimbursement calculations of Medicaid providers, which include but are not limited to acute and long-term care facilities, federally qualified health centers (FQHC), including hospice. 2.Audits of Qualified Disproportionate Share Hospitals (DSH) and hospitals who receive uncompensated care payments (UCC) via the Medicaid Program. 3.Implement a Recovery Audit Contractors (RAC) Program to audit claims for services furnishedbyMedicai d p r o v i d e r s . T h e M e d i c a i d R A C s m u s t ( 1 ) i d e n t i f y o v e r p a y m e n t s ; (2) recoup overpayments; and (3) identify underpayments. 4. Implement a Case-Mix reimbursement system for long-term care under the Hawaii Medicaid Program. To achieve the transition from a Prospective Payment System (PPS) based generally upon medical diagnoses to an Acuity-Based System and Case-Mix Reimbursement. 5. Medicaid EHR Incentive Program Audit Activities in compliance with 42 CFR Part 495. Section 4201 of the American Recovery and Reinvestment Act of 2009 (ARRA) provides funding for incentive payments to eligible hospitals (EHs) and eligible professional (EPs) for adopting, implementing, upgrading (AIU) and the subsequent meaningful use (MU) of certified electronic health record technology (CEHRT). Develop, implement, and execute audit strategy and plan for the Medicaid EHR Incentive Program Audit EHs & EPs attesting to Adoption, Implementation, and Upgrade (AIU) and Meaningful Use (MU) Consulting and adhoc EHR Incentive Program audit services

Bid Related Documents

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Product Codes: 94610, 94625

Agency Information


Issuing Agency: State of Hawaii - Department of Human Services

State: Hawaii

Agency Type: State and Local

Contact: Leslie Tawata 601 Kamokila Boulevard, Suite 360, Kapolei, Hawaii, 96707

Phone: 808-692-8052

Email: ltawata@medicaid.dhs.state.hi.us

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