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COMMERCE BUSINESS DAILY ISSUE OF JUNE 4,1998 PSA#2109DEPARTMENT OF DEFENSE (CMP), TRICARE MANAGEMENT ACTIVITY, 16401 E.
CENTRETECH PARKWAY, AURORA, CO 80011-9043 Q -- HEALTH CARE CLAIMS AUDIT SERVICES SOL MDA90698R0001 DUE 090498
POC Contact Contracting Officer, LAURA SELLS, 303 676 3420, Contract
Specialist, CINDY DAHLSTROM, 303 676 3516 TMA intends to issue a
solicitation for auditing services of Health Care contractor's to
process claims for quality control and negative and positive incentive
application. The audit process entails the evaluation of TRICARE
contractor payment determinations based on the claims, attendant
documentation and other source documents and files used in the health
care claim adjudication process and the evaluation of contractor
payment record coding based on the above documentation and the
contractor payment determinations. These evaluations are made by
comparing the contractor's processing and coding decisions with
regulatory guidance. One of the purposes of the TRICARE claims audit is
to determine the accuracy of institutional and professional claim
payments and institutional and professional payment record coding made
by TRICARE contractors. The proposed contract will be for a period of
12 months with four one-year option periods. The Government does not
intend to use FAR Part 12 for this acquisition. All responsible sources
may submit a proposal which will be considered for award. All requests
for solicitation MDA906 98-R-0001 must be in writing. The RFP will
only be sent to those firms which request it in writing and those
contractors who have previously submitted proposals. Telephone requests
will not be honored. Request for solicitations may be faxed to (303)
676-3554. This requirement is unrestricted. Please address all requests
for solicitation to: Ms. Cynthia Dahlstrom, TMA/CMP, 16401 East
Centretech Parkway, Aurora, CO 80011-9043. (0153) Loren Data Corp. http://www.ld.com (SYN# 0069 19980604\Q-0001.SOL)
Q - Medical Services Index Page
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