The Vendor is required to provide fiscal and accounting consultation services for the department.
- Requirement:
• Provide fiscal and audit support, review and improve Medical and behavioral health claiming processes, address audit findings, provide recommendations, streamline processes, identify inefficiencies in internal controls to reduce audit risk.
• Chief of fiscal will meet to develop a full work plan.
• Activities will potentially include, but are not limited to:
o Attend virtual or in-person meetings related but not limited to cost report, Medical and behavioral health claims processes, and behavioral health services act (BHSA) implementation.
o Assist the fiscal team in addressing cost report matters, including but not limited to resolving audit findings and compiling necessary documentation.
o Prepare audit work papers and develop position statements in response to audit inquiries.
o Participate in audit discussions, meetings, and hearings as needed to represent and support the county’s fiscal position.
o Provide recommendations to strengthen internal controls and documentation processes to mitigate future audit risks.
o Review existing Medical administrative activities (MAA), administrative claim, quality assurance and quality review (QA/QR), and BHSA administrative claiming processes.
o Identify inefficiencies, duplications, and process gaps.
o Develop, recommend, improve, and streamline claiming processes to enhance accuracy, timeliness, and compliance with, department requirements.
o Provide written documentation and workflow guidance to support staff training and implementation.
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