Compliance Audit Services

The vendor is required to provide revenue cycle and coding-related audit services for compliance department.
- Complete initial probe audits within fourteen (14) business days of receipt.  
- A probe audit consists of forty (40) accounts for a department or system audit and ten (10) accounts for an individual provider audit.
- The audit, provide confirmation of receipt and understanding of each audit’s scope, required documentation, reporting format (i.e., excel workbook, pie chart graph, etc.) and/or other specific deliverables.  
- A collaborative teleconference may take place with contractor representatives if needed.
- Provide a complete audit packet, containing no less than three required documents: (1) audit worksheet, (2) final review result summary and (3) recommended corrective action plan.
- Additional documents or supporting information used during the audit process may be required as part of the complete audit packet, such as staff/provider educational materials.
- Place of service: inpatient and outpatient hospital and clinic technical and professional services.
- Provide equipment compatible to access district’s VPN (virtual private network), district may be able to provide equipment to a limited number of users; this will be confirmed prior to engagement.  
-  The estimated number of audits to be conducted could range from 1-10 resulting in approximately 40-900 accounts to be reviewed (inpatient and outpatient), inclusive of 50-500 as part of an expanded sample.  
- Audits requiring an expanded sample of fifty (50) additional accounts will be completed within fourteen (14) business days following completion of the probe sample.
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: June 19, 2025