MEDICARE/MEDICAID REIMBURSEMENT CONSULTING

Location: New York
Posted: Feb 13, 2025
Due: Mar 20, 2025
Agency: The City of New York
Type of Government: State & Local
Category:
  • D - Automatic Data Processing and Telecommunication Services
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Title: Medicare/Medicaid Reimbursement Consulting

Procurement
Section

NYC Health + Hospitals (NYC H+H)
Agency Name

Central Office of Procurement
Agency Division

50 Water Street, 5th Floor, New York, NY 10004
Request Address

Raffaella Glasser
phone: (646) 815-3747
email: RFP_contacts@nychhc.org
Contact Information

Current
Status

Human Services/Client Services
Category

Request for Proposals
Selection Method

2/13/2025
Publication Date

Solicitation
Notice Type

PIN#2785 Due: 3/20/2025 5:00 PM

PIN - Due Date
Attachments 6
Description

NYC Health + Hospitals is seeking consulting services to ensure compliance with Medicare and Medicaid regulations for the annual cost report filing process. Timely and accurate submissions are crucial to avoid penalties and secure proper reimbursements. NYC Health + Hospitals is a safety net system supported by complex state funding mechanisms and requires expert guidance to navigate these regulations, manage audits, and address potential appeals.

Consulting services will include:

  • Medicare Reimbursement and Reporting Consulting
    • General Medicare reimbursement analysis & cost reporting support
    • Medicare appeal support
    • Medicare DSH & uncompensated care reporting and policy
  • Medicaid Reimbursement & State Reporting Consulting
    • General NYS Medicaid reimbursement, rate analysis and appeals
    • Long Term Care reimbursement issues
    • Supplemental Medicaid funding & innovative policy/payments models
    • Consolidated fiscal reporting system submissions
  • Additional related ad hoc or special projects may be required.
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