Medical Record Review and Consultative Services (DRAFT)   3

***THIS IS A DRAFT SOLICITATION***

***ALL DATES POSTED ARE TENTATIVE WITH FINAL DATES TO BE PROVIDED BY COB 17 JULY 2020***

***WHITE PAPERS ARE NOT DUE ON 20 JULY 2020***

The Office of Inspector General (OIG) will be hosting an Industry Day to pursue the acquisition of medical review (MR) and consultative services to assist the OIG in conducting its' oversight responsibilities regarding the programs operated by the Department of Health and Human Services (HHS). The acquisition will primarily result in services that support the OIG's auditing function and the production of audit reports. The resulting contract will include professional services to determine whether selected medical services and claims pertaining to beneficiaries of Medicare (and occasionally Medicaid) complied with coverage, coding, payment, and billing requirements and to provide medical consultative services to the OIG with respect to such services and claims. The acquisition is primarily to assess services and claims for Medicare fee-for-service payments for Part A and Part B. Other analyses on an infrequent basis may include assessment of services and claims for Medicaid or the Medicare Prescription Drug Plan (Part D). While individual reviews may comprise 100-200 claims, annual volume is expected to be 2,000-3,000 claims. In order to participate in the Industry Day event for this notice, please follow the dirctions in the documents labeled Medical Review Solicitation Number OIG260145, and OIG260145-SOO Medical Review.