Government Contract | Colorado
Recovery Audit Contractor-Medical Services

Bid Information

Bid Alert No: 00000406442

Bid Title: Recovery Audit Contractor-Medical Services

Agency Bid No. Title: RFP UHAA 2016000070

Received Date: 11/02/2015

Close Date: 12/02/2015

Purchase Type: Term:

Delivery Point: Not Stated, Colorado

Delivery Date: Not Stated

Special Notices: Bidder Preregistration


Specifications include, but are not limited to:The Colorado Department of Health Care Policy and Financing (Department) issoliciting competitive, responsive proposals from experienced and financially soundorganizations to serve as a Recovery Audit Contractor (RAC) for the Department.1.1.2. The Contractor will analyze and review Medicaid claims and Colorado Child HealthPlan Plus (CHP+) claims from all Provider types. This shall also include hospitalclaims utilizing Diagnosis-Related Group (DRG) methodology.1.1.3. The Contractor will provide post-payment review services to help the Departmentidentify overpayments caused by fraud, waste and abuse; incorrect billing or processingerrors and lack of medical necessity. The Contractor will reduce improper Medicaidpayments through the efficient detection and collection of overpayments, and theimplementation of actions, such as Provider education, that will help prevent futureImproper Payments.

Product Code: 94633

Agency Information

Issuing Agency: State of Colorado - Department of Health Care Policy and Financing

State: Colorado

Agency Type: State and Local

Contact: Contracts and Purchasing Section, 1570 Grant Street, Denver, Colorado, 80203



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