Medical Review and Consultative Services

The government authority located in Washington, DC needs a vendor to provide comprehensive medical review and consultative services offsite. The required scope includes medical record reviews and consultative services for Medicare Parts A, B, C, D, and Medicaid, as well as evaluations, inspections, and expert witness support for the Inspector General. The selected contractor must establish a system for intaking and storing medical data, perform completeness and post-payment reviews, document a step-by-step evaluation approach grounded in Medicare and Medicaid criteria, and define personnel qualifications. Only onshore vendors located within the United States are eligible to participate. The contract period will run for one year, and the agency is looking for proposals to set the budget.