The State of Hawaii, Department of Health, is seeking a contractor to provide auditing services of pharmacy billings for medication services and drugs for HSH's patients. The contractor will be responsible for auditing pharmacy billings for a 96-month period, from April 2018 to March 2026. The estimated unit price is the audit price for one monthly pharmacy invoice. The contractor must include all applicable fees, charges, surcharges, shipping/handling, delivery, or any other charges associated with this solicitation in the price submitted.
• The contractor must have experience in pharmacy billing audits.
• The contractor must provide at least three references for whom they have performed pharmacy billing audits within the past 5 years.
• The contractor must be compliant with all applicable state and federal statutes.
• The contractor must register with Hawaii Compliance Express (HCE) or provide paper documentation of compliance.
• The contractor must submit an electronic response to the State of Hawaii through HIePRO.
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