| Location: | New York |
|---|---|
| Posted: | Dec 18, 2024 |
| Due: | Jan 17, 2025 |
| Agency: | The City of New York |
| Type of Government: | State & Local |
| Category: |
|
| Publication URL: | To access bid details, please log in. |
PIN#2780 Due: 1/17/2025 5:00 PM
Medical necessity denials account for the greatest percentage of denied dollars at NYC Health + Hospitals. The Vendor will provide denial management services for NYC Health + Hospitals by appealing medical necessity denials and other case management-related denials. The Vendor shall also provide denial trends with recommendations to reduce medical necessity denials and liaise with Managed Care on payer-related concerns. The Vendor shall conduct all appeal work within the Epic system.

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