Bid Alert No: 00000599780
Bid Title: Utilization & Quality Control Peer Review Services
Agency Bid No. Title: RFP-2017-OII-01-Utili
Received Date: 06/16/2016
Close Date: 07/15/2016
Purchase Type: July 1, 2016 or upon Governor and Executive Council, whichever is later through June 30, 2018.
Delivery Point: Not Stated, New Hampshire
Delivery Date: Not Stated
Special Notices: Questions Due By 06/29/2016
Specifications include, but are not limited to: solicit proposals for the provisionof utilization and quality control peer review services, that include full scoperetrospective reviews on selected fee for service paid claims submitted to NewHampshire Medicaid, for inpatient services performed in in-state acute care, instatespecialty hospitals, and those designated by New Hampshire Medicaid asborder hospitals. The Department is seeking a vendor to provide the following skills/tasks/services: Ability to conduct medical record and quality reviews of selected casesto ensure that the medical record contains the appropriate medicaldocumentation to accurately support the medical necessity for each dayof the inpatient stay, to justify the procedures and/or treatment rendered,and to describe the patients progress and response to medications andservices.
Product Codes: 91878, 94610, 94807, 95327, 94648
Issuing Agency: State of New Hampshire - Department of Health and Human Services
State: New Hampshire
Agency Type: State and Local
Contact: Denise Sherburne, Contracts & Procurement Unit Department of Administrative Services, 129 Pleasant Street, Concord, New Hampshire, 03301