NYC Health + Hospitals (“the System”) is seeking the services of a qualified vendor or vendors to conduct prospective and retrospective billing and coding auditing services for inpatient, outpatient, Federally Qualified Health Centers (FQHCs), home care and skilled nursing facility accounts. The selected vendor(s) will provide data analysis to identify areas of risk, conduct prioritized chart reviews as determined by the risk analyses, work with operating areas to develop and monitor corrective action plans if needed, conduct or coordinate training where deficiencies are noted, train staff on billing and coding auditing, and prepare ongoing reporting and analysis for management review. The selected vendor(s) will work with the Offices of Corporate Compliance and Revenue Cycle Services in performing the Scopes of Work for this project.
