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A government agency in Texas issued “Coding Review Services” (RFP). Solicitation TPA-0271 closed on October 21, 2025. Eligibility: Only for USA Organization.
The Vendor is required to provide perform charge master coding audit review for CDM (charge description master) containing approximately 23,000-line items
- Using Medicare and state Medicaid billing guidance, provide recommendations for any changes required to assure accurate reporting on claims.
- Interview CDM staff to identify current processes and procedures related to processing.
- Identify weaknesses in controls and make recommendations to strengthen structure around charge master maintenance and processing.
- Review current CDM pricing for all procedures and services to provide comparison to industry best practices and market benchmarks.
- Provide pricing strategy recommendations to help ensure pricing is competitive, compliant, and aligned with cost and reimbursement trends.
- Provide services pursuant to standards and regulations for both technical and professional service components, as well as special rules for commission federal and state filing.
- Must have experience in coding audit reviews of inpatient and outpatient services including: kidney acquisition, trauma, burn, nursing, radiology, laboratory, cardiology, surgical services, family planning, obstetrics, supplies, pharmacy, provider-based clinic visits.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: September 30, 2025
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Quick answers about deadlines, eligibility and submission for this solicitation.
No. This opportunity (TPA-0271) closed on October 21, 2025. See similar open RFPs below.
A government agency in Texas. The buyer's contact and submission details are in the solicitation documents.
Only for USA Organization.
Contract term: 1 year.
Questions and inquiries must be submitted by September 30, 2025.
Yes. After purchase, with a subscription or during a free trial, the RFPPlanet AI Assistant answers questions sourced from this RFP’s documents, such as requirements, evaluation criteria and key dates.
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