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Medical and Medicare Management Consultant Services

Overview


Financial, Legal, HR & Staffing
San Diego, California, United States; Santee, California, United States; El Cajon, California, United StatesPosted: September 5, 2026Deadline: October 19, 2026

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SUMMARY


A California government authority is seeking a consultant to manage Medicare and Medi-Cal cost reporting, reimbursement review, billing compliance, and related appeals. The engagement is for one year, with questions due September 24, 2026.

KEY REQUIREMENTS


CONTRACT DURATION


60 months

TIMELINE


Pre-Proposal Conference: September 10th, 2026 at 2:00 p.m.

Questions due: September 24th, 2026 prior to 5:00 p.m.

Proposals due: October 19th, 2026 prior to 3:00 p.m.

QUESTION DEADLINE


September 24, 2026

CONTACTS


Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

Issuing Agency


County Of San Diego

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DESCRIPTION


The government authority in California is seeking a consultant to provide medical and Medicare management services for a one-year contract period. The selected contractor will prepare the annual Medicare and Medi-Cal cost reports and other required annual reports, including compiling general ledger trial balances with balance sheet and income statement accounts to support cost report preparation. The work will require obtaining supporting data and overhead cost allocation information from facility and financial staff.

The consultant will review, monitor, and evaluate reimbursement activities, including revenue budgeting, revenue recording, and accounts receivable matters. With approval from the Contracting Officer’s Representative, the contractor may conduct Medicare and Medi-Cal cost report appeals and assist with other Medicare billing issues, including compliance with medical necessity requirements.

The contractor will also attend conferences relevant to the services and provide feedback and recommendations regarding changes affecting reporting requirements, Noridian enrollments, and Medicare billing. The contractor must notify the County by telephone and provide written follow-up documentation detailing applicable changes. Questions must be submitted by September 24, 2026.

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Frequently asked questions


When is the submission deadline?
Submissions are due October 19, 2026. Questions must be submitted by September 24, 2026.
Who issued this RFP?
It was issued by County Of San Diego. The work is located in San Diego, California, United States; Santee, California, United States; El Cajon, California, United States.
Who is a good fit for this opportunity?
  • Healthcare reimbursement and Medicare/Medi-Cal consulting firm
  • Experience preparing Medicare and Medi-Cal cost reports and annual filings
  • Expertise in revenue cycle management, accounts receivable, and billing compliance
  • Demonstrated experience with cost report appeals and medical necessity requirements
  • Familiarity with Noridian enrollments and government healthcare reporting

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