Posted Date : July 21,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : ACCT-11855
Government Authority located in Carson, Nevada; USA based organization looking for expert vendor for government accounting services and medicaid auditing services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide government accounting services and medicaid auditing services to the government authority located in Carson, NV.
- There are approximately 22 hospitals receiving agency payments.
- Timeline: audits will be completed to allow sufficient time for a draft report due to agency by September 30, with a final report issued to the Centers for Medicare & Medicaid Services (CMS) by December 31 of each year. Completed audit reports must be submitted to CMS no later than 90 days after completion.
- Vendor shall complete the following Verifications
A. Verification One: verify the state has permitted hospitals to retain payments.
B. Verification Two: verify state procedure performed ensure DSH payments do not exceed hospital specific limits.
C. Verification Three: verify state procedures performed ensures the uncompensated care cost is included in hospital specific limit.
D. Verification Four: verify all payments have been included in the hospital specific limits.
E. Verification Five: verify the state retains all documentation related to computations.
F. Verification Six: verify the state has detailed methodology in place covering payments.
- Vendor shall follow specific steps developed by the Vendor for each hospital, depending on level of risk.
- Vendor DSH Audit Procedures:
A. Timelines for audits are based on a facility’s fiscal year end (FYE). The selected vendor shall work with each hospital according to their FYE to coordinate audits.
B. Request from each hospital detailed uninsured patient data and Medicaid and Medicaid eligible patient data for the provider’s fiscal year.
C. Ensure hospital meets minimum requirements to participate in program.
D. Review the ratio of costs to charges (RCC) and per diems for reasonableness and investigate as necessary.
E. Obtain agency summary report from the state and compare to provider submitted data.
F. Perform detailed analysis of uninsured charges.
G. Verify payments from non-governmental/non-third-party payers.
H. Validate data from each hospital receiving payments to determine its hospital specific DSH limit, its total annual uncompensated care cost, and amount of payments received.
I. Prepare Provider Data Summary Schedule (PDSS).
- For hospitals with an outpatient pharmacy, access a statistically valid random sample of patient profiles for Medicare recipients.
- Cost Report Audits
- For more information describe in document.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 09,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : ACCT-11855
Government Authority located in Carson, Nevada; USA based organization looking for expert vendor for government accounting services and medicaid auditing services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide government accounting services and medicaid auditing services to the government authority located in Carson, NV.
- There are approximately 22 hospitals receiving agency payments.
- Timeline: audits will be completed to allow sufficient time for a draft report due to agency by September 30, with a final report issued to the Centers for Medicare & Medicaid Services (CMS) by December 31 of each year. Completed audit reports must be submitted to CMS no later than 90 days after completion.
- Vendor shall complete the following Verifications
A. Verification One: verify the state has permitted hospitals to retain payments.
B. Verification Two: verify state procedure performed ensure DSH payments do not exceed hospital specific limits.
C. Verification Three: verify state procedures performed ensures the uncompensated care cost is included in hospital specific limit.
D. Verification Four: verify all payments have been included in the hospital specific limits.
E. Verification Five: verify the state retains all documentation related to computations.
F. Verification Six: verify the state has detailed methodology in place covering payments.
- Vendor shall follow specific steps developed by the Vendor for each hospital, depending on level of risk.
- Vendor DSH Audit Procedures:
A. Timelines for audits are based on a facility’s fiscal year end (FYE). The selected vendor shall work with each hospital according to their FYE to coordinate audits.
B. Request from each hospital detailed uninsured patient data and Medicaid and Medicaid eligible patient data for the provider’s fiscal year.
C. Ensure hospital meets minimum requirements to participate in program.
D. Review the ratio of costs to charges (RCC) and per diems for reasonableness and investigate as necessary.
E. Obtain agency summary report from the state and compare to provider submitted data.
F. Perform detailed analysis of uninsured charges.
G. Verify payments from non-governmental/non-third-party payers.
H. Validate data from each hospital receiving payments to determine its hospital specific DSH limit, its total annual uncompensated care cost, and amount of payments received.
I. Prepare Provider Data Summary Schedule (PDSS).
- For hospitals with an outpatient pharmacy, access a statistically valid random sample of patient profiles for Medicare recipients.
- Cost Report Audits
- For more information describe in document.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 09,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$