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COMMERCE BUSINESS DAILY ISSUE OF NOVEMBER 14,1995 PSA#1472Defense Supply Service-Washington, 5200 Army Pentagon, Washington, D.C.
20310-5200 H -- QUALITY CONTROL, TESTING AND INSPECTION SERVICES POC POC: John
Dorsey, (703) 681-8647) The Defense Supply Service-Washington, on
behalf of the Office of Assistant Secretary of Defense-Health Affairs
(OASD/HA) intends to competitively procure the services of a peer
review organization to assist Health Affairs, the Services, and TRICARE
Lead Agents by providing the government with an independent, impartial
evaluation of the patient care managed by all managed care support
contractors, military treatment facilities, and other at-risk
contractors. Review responsibilities will include monitoring all sites
where care is delivered, including outpatient physician offices to
validate utilization management decisions made by at- risk contractors
to assure that appropriate care is authorized, monitoring the quality
of care provided to ensure that quality standards are met and health
care delivered to beneficiaries is not compromised by financial
incentives, and providing an independent appeals level of medical
necessary denials where that denial has been made by the managed care
support contractor, other at-risk contractors, and military treatment
facilities. Eligible offerors must meet requirements of the Social
Security Act, Part B - Peer Review of the Utilization and Quality of
Health Care Services and shall submit documentation to support
compliance. Organizations that are or have arrangements with a managed
care support contractor to perform utilization review is not eligible.
Solicitation No. DASWO1-96-R-0028 will be released on or about 08
January 1996. All request for a copy of the solicitation document shall
be in writing and received witin 30 days of publication of this notice
in the CBD. No telephone requests will be honored. The Government does
not intend to pay for any information received, nor for any
administrative costs incurred during its preparation. To obtain a copy
of this RFP, submit a letter of request to the above contracting
office. An electronic copy can be viewed and/or downloaded via
World-Wide Web. Receipt of responses will not be acknowledged. (0313) Loren Data Corp. http://www.ld.com (SYN# 0039 19951113\H-0002.SOL)
H - Quality Control, Testing and Inspection Services Index Page
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