Workers Compensation Medical Bill Review Services

The State of Michigan's Department of Labor and Economic Opportunity is seeking a contractor to provide medical bill review services for workers' compensation claims. The contractor will be responsible for reviewing medical bills to ensure they are accurate and reasonable. The contract will be for a period of three years, with the option to renew for up to two additional one-year periods. The contractor must have experience in medical bill review and must be certified with the Workers' Disability Compensation Agency (WDCA) or meet WDCA's certification requirements. Some key points to consider for this opportunity include: • The contractor must provide a pricing schedule for the proposed contract activities. • The contractor must have a project plan in place within 30 calendar days of the effective date of the contract. • The contractor must provide monthly reports showing the number of bills reviewed, the provision of cost, and the total charges. • The contractor must meet certain service-level agreements, including timely deliveries and a 100% compliance rate.