Health - Request for Proposal - Medical Consultant for Audit and…

Agency: Government of Canada
State: Federal
Type of Government: State & Local
NAICS Category:
  • 541611 - Administrative Management and General Management Consulting Services
  • 621111 - Offices of Physicians (except Mental Health Specialists)
Posted Date: Mar 25, 2025
Due Date: May 2, 2025
Solicitation No: AB-2025-02357
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Description

Description

The Audit and Compliance Assurance Unit (ACAU) assesses and reassesses physician submitted Fee for Service (FFS) claims for compliance, facilitates recovery of readjusted payments and promotes compliance with the Alberta Health Care Insurance Act (Act), the Alberta Health Care Insurance Plan (Plan), the Schedule of Medical Benefits (Schedule) and other pertinent legislation.

The ACAU seeks the expertise of a Medical Consultant to assist in operational activities and policy development. This consultant will provide specialized support for compliance reviews, expert opinions on health service code application and guidance on legislative and professional standards.
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Contract duration

The estimated contract period will be 24 month(s), with a proposed start date of 2025/06/01.

Trade agreements
  • Canada-European Union Comprehensive Economic and Trade Agreement (CETA)
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