Description
The Indian Health Service, Northern Navajo Medical Center (NNMC), is seeking a contractor to provide medical records reviews, including independent physician peer reviews, Initial Professional Practice Evaluations (IPPE), and Ongoing Professional Practice Evaluations (OPPE) for inpatient and outpatient medical records. The contractor must provide board-certified physician reviewers who are independent and free from conflicts of interest. The reviews must assess whether the provider's care and documentation meet the applicable specialty standard of care. The contractor must also comply with all applicable privacy and confidentiality requirements, including HIPAA Business Associate obligations.
Some key points about this opportunity include:
• The contractor must be capable of performing timely medical record reviews, including urgent reviews with completion generally required within twenty-one (21) days of receipt of records.
• The contractor shall facilitate direct communication between hospital leadership and designated physician reviewers.
• The contractor must maintain secure handling of protected health information and ensure proper disposition of records following completion of reviews.
• The period of performance is 12 months with two option years.
• The contractor shall provide IPPE, OPPE, and Peer Review Services, with 100% compliance with accepted Standards of Care and professionalism.