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Medical Coding Government Bids & RFPs
Government bid alerts, regional filters, and fast access to documents
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USA | DC | DISTRICT OF COLUMBIA COUNTY | WASHINGTON
Benchmark Data for Medical Coding - The Department of Labor ( DOL), Office of Workers Compensation Programs ( OWCP) seeks to modernize its approach by acquiring benchmark- driven fee data to ensure fair, market- based reimbursement and improve claimant access to care. This includ
Benchmark data for medical coding Benchmark pricing data charge and allowed amounts for CPT, HCPCS, CDT codes, and other applicable codes.
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The contractor shall provide benchmark pricing data for CPT, HCPCS, and CDT codes, including charge and allowed amounts, for all states and nationwide. The period of performance is 12 months (**** to ****). The contract is anticipated to be a firm fixed price purchase order. The award will be based on the most advantageous quote considering technical capability (most important) and price. Questions must be submitted by August 25, 2026, at 4:00 pm EST.
Payment due date is to be calculated from the date the invoice is received in accordance with FAR **** and the instructions above. payment due date is to be calculated from the date the invoice is received in accordance with far ****
The award will be made to the responsible vendor whose quote conforming to the quotation is most advantageous to the government based on the best overall quotation that is determined to be the most beneficial to the government, with appropriate consideration given to the two evaluation factors: technical capability and price. an award will be made to the responsible vendor whose quote conforming to the quotation is most advantageous to the government based on the best overall quotation
Autonomous Coding/ Medical Billing Codes/ Claim Coding/ Medical Coding
Request for Solutions ( RFS): Autonomous Coding ( AC) and Automated Appeals & Denials Management ( ADM) - August 21, 2026: Responses to submitted questions are now available in the attached document, &# 39; ACADM Phase 1 QA **** 39;. This document also specifies which questions will receive responses at a later date. August 17,
Autonomous Coding and Automated Appeals & Denials Management Autonomous coding of clinical encounters; Automated generation of appeals and denial management for aged accounts receivable.
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The government seeks AI/ML solutions for two capabilities: Autonomous Coding (AC) to automatically assign medical billing codes from clinical documentation (targeting 143k encounters daily with 24-hour turnaround) and Automated Appeals & Denials Management (ADM) to automate appeals and reduce denials. Solutions must integrate with MHS Genesis. Success is defined by meeting quantitative milestones, including 95% code-level accuracy for AC and a 20% reduction in claim denials for ADM. The project is structured in phases with strict milestone gates.
Medical Billing, Revenue Cycle Consulting, and Full- Service Billing Operations Oakland Community Health Network ( OCHN), a Prepaid Inpatient Health Plan ( PIHP) under contract with the Michigan Department of Health and Human Services ( MDHHS), is seeking a qualified medical billing and revenue cycle consulting firm to provide three interrelated categories of support: Ongoing, outsourced billing operations support for OCHN&# 39; s direct services & mdash; including claims submission, denial management, paym
Medical billing and revenue cycle consulting services Ongoing outsourced billing operations support for OCHN' s direct services, including claims submission, denial management, payment posting, and accounts receivable follow- up across Medicaid, Medicare, and private commercial health plans. Technical assistance for reimbursement maximization. Development of a comprehensive billing operations manual and staff training curriculum.
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OCHN seeks a firm for outsourced billing operations, revenue cycle consulting, and technical assistance for its direct services across Medicaid, Medicare, and private commercial payers. Key deliverables include a current state assessment, billing optimization reports, a comprehensive billing operations manual, and staff training curriculum. The contract term is a base of 12 months, renewable. Proposals must be submitted electronically by September 2, 2026. All work must be conducted exclusively by resources located within the United States.
The award shall be made to the proposer representing the best value to the project and OCHN. OCHN reserves the right to award the contract to other than the lowest priced response.
Proposers must demonstrate experience billing both Medicaid, Medicare, and private commercial health plans for behavioral health or comparable direct services. demonstrated experience billing both medicaidmedicare and privatecommercial health plans for behavioral health or comparable direct services
Proposers failing to submit a proposal in accordance with instructions, including format and timing, may be disqualified. proposers failure to submit a proposal in accordance with these instructions, including without limitation those pertaining to format and timing, may result in disqualification of the proposal.
Request for Solutions ( RFS): Autonomous Coding ( AC) and Automated Appeals & Denials Management ( ADM) - August 17, 2026: Revision 2, RFS has been extended to 8/28/2026 to allow the government additional time to respond to questions. Question period has not been extended. August 5, 2025: Revision 1, to correct the SAM. gov solici
Autonomous Coding and Automated Appeals & Denials Management Solutions Autonomous Coding ( AC): AI/ML capability to automatically assign medical billing codes from clinical documentation without human intervention, processing roughly 143k encounters daily ( 35m monthly) with a 24- hour turnaround. Appeals and Denials Management ( ADM): AI/ML solution to automate appeal generation, reduce future claim denials, assess payer performance, and provide auditing for financial impacts on aged AR.
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The government seeks AI/ML solutions for two capabilities: Autonomous Coding (AC) to automatically assign medical billing codes from clinical documentation, and Automated Appeals & Denials Management (ADM) to automate appeals and reduce claim denials. The project is milestone-driven, with production entry gated by successful completion of preproduction testing and achieving an Authority to Operate (ATO). AC requires 95% code-level accuracy, while ADM aims for a 20% reduction in coding error denials. Vendors must ensure HIPAA compliance and integrate with MHS Genesis.
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Unaided survey with 1091 active users, conducted through 08/28/2026.
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