Utilization Patterns and Billing Integrity Analysis

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Summary from the notice

Notice of Intent to Award Sole Source The Department of Health and Human Services (HHS) plans to award a contract without competition to Interlace Intelligence, LLC. Title: Utilization Patterns and Billing Integrity Analysis Background The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services. HHS oversees federal health programs and the providers and facilities that bill them. Administrative claims data can characterize how a category of care is delivered and can surface billing patterns that merit investigation. The Contractor shall provide ongoing analytic support across two domains: (1) drug safety, patient safety, and program-integrity research and (2) a comprehensive retrospective safety evaluation with framework for ongoing surveillance and targeted prospective study. The Contractor will return written analyses stating what was found, how it was found, and what the analysis does and does not establish. HHS retains responsibility for any investigation, validation, determination, or action. Scope of Work is provided in the attached Draft SOW Estimated Contract Period: Base Period plus one twelve-month Option Period HHS believes only one company, Interlace Intelligence, LLC., can currently meet this need, under the authority of Federal Ac…

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