Compliance Auditing and Quality Assurance

The contract titled Compliance Auditing and Quality Assurance requires the performance of compliance audits and coding queue reviews to ensure strict adherence to Indian Health Service policies and national coding standards. A key deliverable is the development of a comprehensive Quality Assurance Plan that outlines procedures, metrics, and corrective actions to maintain consistent quality and regulatory compliance across all coding activities. The work is focused on supporting accountability and operational integrity within the Billings Area Indian Health Service, with performance expected to occur primarily in Billings, Montana. This is a subcontract opportunity set aside exclusively for Indian Small Business Economic Enterprises under the ISBEE program, reserved for businesses owned by Native American tribes or individuals recognized under federal guidelines. The North American Industry Classification System code 541611 designates this as a management consulting services contract, emphasizing the advisory and quality control nature of the work. Interested parties must submit proposals by the deadline of July 17, 2026, with the opportunity posted on SAM.gov under the official solicitation. The award will be managed by the Department of Health and Human Services, specifically through its Billings Area Indian Health Service office.