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Response to RFP No. MED13002 State of West Virginia ... - DHHR

Response to RFP No. MED13002 State of West Virginia ... - DHHR

Request For Proposal #

Request For Proposal # MED13002 Recovery Audit Contract – Pharmacy West Virginia Health and Human Services Our reporting suite and expertise has enabled us to share decision making insights to our clients. Currently, we provide our clients with various methods of reporting which include paper‐based, electronic file, and Web‐based reporting access. We will work with BMS’ technical team to provide a solution that integrates with BMS’ requirements into our reporting capabilities. Following is a sample listing of the standard reports that will be prepared for BMS. 56

Request For Proposal # MED13002 Recovery Audit Contract – Pharmacy West Virginia Health and Human Services Reporting Dashboard In addition to the reports required by BMS, we have also developed an array of other reports that will provide further insight into the efficacy of the recovery audit program. Based on our audit tracking and traceability features, PRGX has developed a suite of Medicaid reporting templates that include: ♦ Claims Processing ♦ Audit Pipeline ♦ Discussion/Appeals Metrics ♦ Claims Status ♦ Payment Tracking ♦ Financial Report The following pages contain examples for some of the reports we have prepared for our clients. 57

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