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Notice Details

Title: Correction: RFP 2780- Medical Necessity Denial Services
Procurement
NYC Health + Hospitals (NYC H+H)
50 Water Street, New York, NY 10003
Daniel Romagnoli
phone: (646) 815-3703
email: romagnod@nychhc.org
Archived
Services (other than human services)
Request for Proposals
12/18/2024
Solicitation

PIN#2780 Due:

Attachments 7
Description

Medical necessity denials account for the greatest percentage of denied dollars at NYC Health + Hospitals. The Vendor will provide denial management services for NYC Health + Hospitals by appealing medical necessity denials and other case management-related denials. The Vendor shall also provide denial trends with recommendations to reduce medical necessity denials and liaise with Managed Care on payer-related concerns.  The Vendor shall conduct all appeal work within the Epic system.

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