Medical and Dental Coding, Auditing, and Data Entry Services, Area-wide Phoenix Area IHS

Summary (Newest Update)

Background The Department of Health and Human Services (HHS), Indian Health Service (IHS) is seeking to establish a Blanket Purchase Agreement (BPA) for off-site medical and dental coding, auditing, and data entry services. This initiative aims to support compliance with CMS, Federal, State, and third-party payer requirements while improving data integrity and ensuring timely reimbursement. The services will be utilized by multiple Service Units within the Phoenix Area, which include various health centers across several states. Work Details The contractor(s) will provide comprehensive off-site medical and dental coding, auditing, and data entry services for outpatient and inpatient visits based on the needs of the Service Units. Key tasks include: - Medical and Dental Coding: Accurately capturing information from Electronic Health Records (EHR) for health data statistics and reimbursement purposes by assigning appropriate ICD diagnosis codes, CPT codes, HCPCS codes, E/M codes, Modifiers, and Trans-Codes. - Auditing: Conducting audits to ensure compliance with applicable federal and state laws, policies, and regulations. - Data Entry: Performing accurate data entry to maintain the integrity of patient records and billing processes. The contractor must be knowledgeable about all coding guidelines applicable to IHS patients. Period of Performance The anticipated period of performance for the BPA is up to five years from the date of award. Place of Performance Services will be performed remotely at the Contractor’s facility unless otherwise authorized in writing by the Government.