Hospital FQHC and RHC Cost Audits; Rate-Setting

The Colorado Department of Health Care Policy and Financing is seeking a contractor to perform cost audits of hospital, FQHC, and RHC cost reports, as well as rate-setting for these providers. The contractor will be responsible for reviewing cost reports, identifying areas for further review, and determining reimbursement rates. The contractor will also provide consulting services to the Department on an as-needed basis. The scope of work includes performing cost audits, determining reimbursement rates, and providing consulting services. The contractor will be required to meet mandatory qualifications, including being a certified public accountant firm, and having experience with Medicare and Medicaid reimbursement and cost audits. Key aspects of the job include: * Performing cost audits of hospital, FQHC, and RHC cost reports * Determining reimbursement rates for these providers * Providing consulting services to the Department on an as-needed basis * Meeting mandatory qualifications, including being a certified public accountant firm * Having experience with Medicare and Medicaid reimbursement and cost audits