Management Advisory Memorandum: Notification of Concerns Resulting from Multiple Office of the Inspector General Reviews Related to the Federal Bureau of Prisons Strategy for its Medical Services Contracts
Create and implement guidance for a QASP or QASP equivalent to use as the basis to monitor performance under medical services contracts that contains: (1) measurable performance standards to ensure desirable contract requirement outcomes including those related to quality and timeliness of care; and (2) standards for maintaining documentation related to the ratings in the QASP.
Create and implement strategies to leverage inmate healthcare utilization data that the OIG recommended to collect in 2016, which would enable the BOP to determine the cost effectiveness of alternative medical services contract structures.
Create and implement a uniform or universal billing review and approval process to: (1) ensure medical claims are properly supported and (2) improve timeliness of processing medical invoices.
Create and implement a timeline for utilizing the medical claims adjudication vendor contract awarded in December 2019 to process and ensure healthcare claims are accurate and complete