Medical Bill Review and Cost Containment Services

The City of Austin is seeking subcontractor services to perform independent review of workers’ compensation medical bills with a focus on accuracy, compliance with established fee schedules, and the identification of overpayments. This engagement encompasses both retrospective analysis of previously paid bills and prospective auditing of incoming claims to ensure timely detection of errors and cost efficiencies. The work is intended to support cost containment by systematically verifying that all charges adhere to regulatory standards and that payments reflect legitimate, permitted services. The contractor will be responsible for delivering detailed findings, actionable recommendations, and documentation to facilitate recovery of erroneous payments and improve future billing practices. The solicitation is classified as a subcontract under NAICS code 541611, with a response deadline of July 23, 2026. While no specific place of performance or point of contact is listed, the contract is administered by the City of Austin within the state of Texas. The scope emphasizes rigorous adherence to state and jurisdictional medical billing guidelines, requiring the subcontractor to maintain expertise in workers’ compensation reimbursement structures, coding compliance, and audit methodologies. The city aims to leverage this service to enhance financial accountability and reduce unnecessary expenditures in its workers’ compensation program.