Medical Billing RFP

RFP ID: MB-0028
We are Oklahoma; USA based organization looking for expert vendor for outpatient coding and data entry services.
[A] Notice Type: Combined Synopsis/Solicitation
[B] Budget: Looking for best proposals
[C] Scope of Service:
(1) Provide diagnostic and procedural coding services to comply with Centers for Medicare and Medicaid Services (CMS) Correct Coding Initiative Edits (CCI) and Local Coverage Determinations (LCD), Office of the Inspector General (OIG) Rules and Regulations, American Hospital Association (AHA) guidelines including our coding requirements and various payer requirements.
(2) Provide data entry and abstracting services to comply with our data and statistical requirements to ensure all necessary data is abstracted from the patient’s health information as necessary to promote continuity of patient care, ensure compliance with Government Performance and Results Act (GPRA) and other performance-based quality indicators, to meet data collection requirements of other RPMS packages such as but not limited to, patient education protocols, the Diabetes Management System Audit, the Adverse Reaction Tracking System, the Immunization package, asthma package, and other RPMS packages as indicated.
(3) Coding/data entry/abstracting services must be fully coordinated and integrated with the facility Health Information Management Department in respect to services provided, professional relationships, Quality Assurance requirements and maintenance of standards of patient care.  The requirements may be unique and may vary infrequently from facility to facility.
(4) Timeliness of Work Produced: Outpatient coding shall be completed at 125 visits per coder in an 8 hour work day. Total coding outsourced should be completed no later than September 30, 2010.
(5) Reporting: Service Provider shall provide a weekly productivity spreadsheet for total visits completed.
(6) Meetings/Conference Calls: Service Provider shall attend meetings or conference calls scheduled by the project officer to address areas of concern and exchange information to ensure consistent high levels of professional services.  The project officer shall be responsible for scheduling and coordinating all meetings and conference calls.
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their Office Premises within USA.
[E] Eligibility:
Onshore (USA Only)

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/880-usa-oklahoma-urgent-outpatient-coding-and-data-entry-services-deadline-july-30-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/880-usa-oklahoma-urgent-outpatient-coding-and-data-entry-services-deadline-july-30-2010.html

RFP ID: MB-0027
We are Florida; USA based organization looking for expert vendor for Alarm Billing Services.
[A] Notice Type: Request for Proposal (RFP)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Process new applications for alarm users
(2) Process renewal applications
(3) Maintain records of alarm users operating in the Town
(4) Extract records that indicate locations of false alarms
(5) Justify which false alarms are billable, the rate at which each alarm is billable, and total amount of fee to be levied for each location
(6) Issue bills, at least monthly, to alarm users along with documentation of the delinquent addresses and billable amounts for each address
(7) Collect fees from alarm users as an agent of the Town and report to the Town the amount of fees collected including documentation of each transaction
(8) Identify and provide notice to alarm users that are delinquent by 30 days
(9) Report to the Town those alarms users that are delinquent by 30 days
(10) Respond to citizen complaints about lack of service to an alarm address
(11) Respond to miscellaneous citizen complaints concerning the false alarm billing collection and related services
(12) Provide monthly payments to the Town, less administrative fees, of monies collected
(13) Provide an annual audit to the Town that demonstrates the complete accounting of funds received, funds retained by the proposer, and funds paid to the Town
(14) Other related responsibilities to ensure proper administration of the program in its entirety
(15) The proposer shall be the point of contact for all contacts with alarm users.
(16) The proposer shall conduct at their cost a promotional campaign at the beginning of the contractual period to educate the public regarding the service. The promotional campaign may include radio and television public service announcements, billboards, print advertisements, television interviews, newsprint articles and other vehicles for promoting the usefulness of the Town of Davie False Alarm Ordinance. The campaign shall include assertion that Police responses to false alarm are a costly waste of taxpayer money and major public safety concern because false alarms divert police officers from real emergencies and delay the response time for more critical calls.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/822-usa-florida-false-alarm-billing-services-deadline-july-29-2010.html

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/822-usa-florida-false-alarm-billing-services-deadline-july-29-2010.html

RFP ID: MB-0026
We are California; USA based organization looking for qualified and experienced service provider for Air Medical Billing Services.
[A] Notice Type: Request for Information (RFI)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Contractor needs to provide comprehensive medical billing for patients who are transported by Fire-Rescue Department helicopters.
(2) Provide information on best practices necessary to ensure billing capability to bill those persons who are transported by helicopters.
(3) Provide information on how to monitor performance to ensure contract compliance, safety and security of assets.
(4) Provide information on what type of qualifications and training is necessary for qualified personnel to efficiently and effectively maintain an aero medical billing service.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/808-usa-california-air-medical-billing-services-deadline-august-6-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/808-usa-california-air-medical-billing-services-deadline-august-6-2010.html

RFP ID: MB-0025
We are British Columbia; Canada based organization looking for expert vendor (From CANADA Only) for Collection and Reporting Services. Vendor needs to provide physician billing and statistical reporting services for over 180 physicians contracted with us. Contract will be of two (2) years and can be extended further for three (3) years.
[A] Notice Type: Request for Proposal (RFP)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Pick up physician billing and statistical data from the physician groups which are located throughout Vancouver Island. Service Provider will pick up documents from central locations in Victoria and Nanaimo or other locations as mutually agreed on a regular basis for processing.
(2) Follow up on missing billing and statistical data from physician contract groups.
(3) Entering data from service billing and encounter forms into database system. These forms will have an approximate of 13 data elements which are Physician Name, MSC-Billing Number, Date of Service, Patient Surname, Patient First Name, Date of Birth (DOB), Provincial Health Number (PHN), Fee Code, Diagnostic Code, Number of times seen/day, Referred to/by, Location Code (required for rural communities only) and Facility Code (required for specific fee codes only).
(4) Transmit Medical Services Plan (MSP) billings through Teleplan Electronic Medical Claims System
(5) Bill third party (WCB, ICBC, etc.) and follow up and collection of accounts receivables;
(6) Providing regular reporting on specified data including encounter record data, MSP billing data and third party billings, rejections and resubmission rates.
(7) Inform us of any long term third party bad debts which we then collect internally.
(8) Work with physician groups to improve billings as decided with Corporate Director, Medical Affairs or delegate, who is provided with adequate information to support appropriate revenue accruals and bad debt transactions at the end of each accounting period
(9) Service Provider will have to ensure:
a) Accurate and complete entry of data forms into the database system
b) All reasonable and appropriate efforts are taken to maximize revenues
c) All data is submitted in a timely manner to the Medical Services Plan (MSP) of British Columbia and meets Teleplan Specification for Transmission which can be found at http://www.health.gov.bc.ca/msp/infoprac/teleplanspecs/
d) Secure storage and confidential disposal of records per our appropriate policy.
e) a disaster recovery plan is in place
(10) Service Provider will maintain appropriate software and related updates to support the efficiency and effectiveness of systems and processes.
(11) Privacy and Security Requirements: Service Provider will maintain the confidentiality of the data.
(12) Quantity: Service Provider will be required to enter an estimated 269,000+ forms annually. Service Provider will commit to a reasonable volume of transaction entry daily, weekly and monthly recognizing that there will be fluctuations in workload.
[D] Eligibility:
Onshore (Canada Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within Canada.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/785-canada-british-columbia-collection-and-reporting-services.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/785-canada-british-columbia-collection-and-reporting-services.html

RFP ID: MB-0024
We are Texas; USA based organization looking for expert vendor for Medical and Collection for Air Ambulance.
[A] Notice Type: Request for Qualifications (RFQ)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Service Provider shall provide services that will achieve the following objectives for Air Ambulance:
(a) Improve timeliness and accuracy of patient care reports, the billing process, and accounts receivable.
(b) Increase revenue collections (including delinquent account collections).
(c) Boost customer service by decreasing errors.
(d) Decrease program business costs.
(2) Patient Charges: i) For Resident – 3400 USD and ii) For Non-Resident – 7500 USD. Mileage is set at 85 USD per loaded mile. In 2010, approximately 800 patient transports are expected.
(3) Service Providers within 50 miles from zip code 78701 are eligible to propose or send their responses for this tender.
(4) Since, Time is of the essence in this contract, Service Provider shall perform all the services and activities in a timely manner at highly professional and ethical standard.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/784-usa-texas-medical-billing-and-collection-services-for-air-ambulance.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/784-usa-texas-medical-billing-and-collection-services-for-air-ambulance.html

RFP ID: MB-0023
We are Wisconsin; USA based organization looking for expert vendor for Pre-Hospital Emergency Medical Care.
[A] Notice Type: Request for Qualifications
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Collect billing data electronically.
(2) Short-out the data, prepare an invoice, a statement or a claim for service to appropriate individual or agency.
(3) Verify dates, times and all other pertinent information to facilitate the billing process.
(4) Other standard process mentioned in RFP document in detail.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/778-usa-wisconsin-billing-services-for-pre-hospital-emergency-medical-care-deadline-july-22-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/778-usa-wisconsin-billing-services-for-pre-hospital-emergency-medical-care-deadline-july-22-2010.html

RFP ID: MB-0022
We are Texas; USA based organization looking for expert vendor for Medical Services. Contract will be for the period of 3 years.
[A] Notice Type: Request for Qualifications
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Medical Control
- We are looking for qualified vendors to provide Medical Control Services.
- Physicians provided by the successful vendor must meet the qualifications of 22 TAC Section 197.3, as Medical Control physicians.
- Provide continuous physician coverage, by two-way voice communications twenty four hours a day, seven days a week.
- All Medical Control physicians utilized in fulfilling the terms of this contract shall be licensed to practice medicine in the State of Texas.
- All Medical Control physicians shall be ultimately responsible for pre-hospital care.
(2) Medical Training
- Vendor will submit an RFQ demonstrating the ability to perform education and certification services for the Emergency Management Services System (EMSS):
- Conduct advanced, special and supplementary courses for the EMSS for EMT-Basics, EMT-Intermediates, EMT-Paramedics and EMSS medical instructors as required for certifications by the Texas Department of State Health Services and as dictated by the needs of the Fire Chief or designee and the Medical Director.
(3) Infectious Control
- Provide Infectious Disease Control functions
- Develop programs for education, counseling, and standardization of equipment, procedures and policies involving exposure to infectious diseases
- Develop a system for the treatment, follow up and documentation of infectious disease exposure. Provide initial follow up for 100% of reported, suspected exposures.
(4) Immunizations Services
- Develop a program of immunizations for personnel selected by us.
- Coordinate with the us on the purchase of immunizations. We will provide the funds and specify the immunizations that will be purchased.
- Immunizations shall include, but are not limited to: Hepatitis A, Hepatitis B, TWINRIX, TDaP, PPD, Seasonal Flu, Pneumonia, and any vaccine recommended for first responders by the Center on Disease Control.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/740-usa-texas-medical-services-deadline-june-30-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/740-usa-texas-medical-services-deadline-june-30-2010.html

RFP ID: MB-0021
We are Illinois; USA based organization looking for expert vendor for Medicare B Billing Services.
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
Service Provider will provide medical record technical services including but not limited to:
(1) Retrieval of all identified records that are eligible for billing of Medicare B services.
(2) Must have knowledge and proficiency in the use of reference manuals as follows:
(a) ICD9- CM (International Classification of Diseases, Ninth Revision, Clinical Modification), CPT 4 (Current Procedural Terminology, 4th Edition) and HCPCS (Healthcare Common Procedure Coding System), and any additional reference manuals /materials that apply to assure accuracy.
(3) Process both quantitative and quality abstracting to identify Med B eligible services.
(4) Proficiency in applying proper codes for eligible services onto abstracting forms using both facility pre-determined policy and procedures and any applicable professional coding guidelines and standards.
(5) Process applicable data transactions from the coding abstract forms into the facility and reimbursement databases.
(6) Process all files to completion to include: abstracting forms, reports and refilling of records.
(7) Follow and apply all applicable confidentiality and HIPAA related regulations and procedures as directed by the facility.
(8) Services performed are professional and technical and must be performed by at least the equivalent of a certified coding specialist (CCS); registered health information technician (RHIT); or a registered health information administrator (RHIA)
(9) Service Provider will complete all billing procedures and provide reports in a timely manner as determined by us.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/729-usa-illinois-medicare-b-billing-services-deadline-june-29-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/729-usa-illinois-medicare-b-billing-services-deadline-june-29-2010.html

RFP ID: MB-0020
We are California, USA based organization requesting proposals from expert vendor (From USA ONLY) for Emergency Medical Services (EMS) Billing. The contract would be for three years with the option to extend for an additional two one-year periods.
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Service Provider shall provide in the proposal, detailed steps that will be taken once the account is received from us including the number of contacts and procedures that will be taken to secure payment for the service. This shall include research methods of patients’ ability to pay, and efforts to locate and correct any incorrect billing address for billable patients.
(2) Service Provider shall provide detailed information on how it will handle incomplete patient data. We will provide electronic pre-hospital patient care records from the ImageTrend program. We currently utilize ImageTrend to capture patient data electronically.
(3) Service Provider must have the ability to accept patient data via hard copy. Service Provider should have the ability to utilize a secure FTP platform for billing transfer or an alternative detailed description of the recommended process. Service Provider will also be able to receive supplement patient information (such as FACE sheets, if available), via fax, email, or mail.
(4) Service Provider will provide all software and hardware associated with the billing and collections process. The software should interface with ImageTrend.
(5) The software/hardware billing system should ensure complete and uninterrupted back-up systems and a data recovery plan/system should a disaster occur.
(6) Service Provider should screen each document for completeness of data and level of service; Advanced Life Support (ALS) 1-1, (Basic Life Support) BLS, medications and skills administered. Use of appropriate ICD9 diagnosis codes and procedure codes for billing purposes is essential.
(7) Service Provider should have the ability to bill electronically on their secure server for the various claim types: Medicare, Medi-Cal, commercial insurances and private payers following all guidelines of Centers for Medicare & Medicaid Services (CMS). Service Provider should also process denials for insurances including Medicare and Medi-Cal according to defined timelines.
(8) Service Provider shall agree to provide a minimum of 24 hours of operational training and 6 hours of management/finance training prior to transfer of responsibilities to Service Provider.
(9) Service Provider shall provide acknowledgement of account placement within 10 days of submission via the same method that the account was submitted.
(10) For all accounts that are assigned to the Service Provider, all customer contact, including notices, mailing, itemizations, small claims, bankruptcy filings, and miscellaneous requests and inquiries, is sole responsibility of the Service Provider. Service Provider will also be responsible for any and all costs incurred in and associated with the collection of debts referred to it by us.
(11) Service Provider shall provide CSRs that are available at a minimum from 8:00 AM – 5:00 PM (local time), Monday through Friday, excluding major holidays. A toll free number shall be provided, as well as fax and email. Spanish-speaking representatives shall also be available.
(12) Required reports will be provided by Service Provider on monthly, ad-hoc or as required basis.
(13) Service Provider shall be HIPAA compliant.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/725-usa-california-emergency-medical-services-ems-or-ambulance-services-billing-deadline-july-2-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/725-usa-california-emergency-medical-services-ems-or-ambulance-services-billing-deadline-july-2-2010.html

RFP ID: MB-0019
We are California; USA based organization looking for expert vendor for Offsite Medical Claims Review Services.
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Vendor/Contractor will be contacted by telephone, facsimile, or other electronic media to confirm its availability to provide the services within 7 calendar days. The Contractor shall confirm by return facsimile or other electronic media its availability to provide the necessary services.
(2) Vendor/Contractor will have direct toll-free telephone access between 8:00 a.m. and 5:00 p.m. Pacific Standard Time, Monday through Friday, and have the capability to receive and act upon information, if necessary, 24 hours per day, 7 days per week (including holidays) if notified by telephone,
facsimile, electronic mail, or overnight delivery.
(3) Vendor/Contractor will distribute Case Review files to qualified medical consultants (physicians or other licensed medical claims professionals) of the appropriate specialty within 24 hours of receipt
(4) Vendor/Contractor shall provide sufficient administrative facilities and staff, organizational policies
and procedures, and available qualified medical reviewers free from conflicts of interest to provide timely, complete, and professional case analysis, documented opinions, and testimony as required regarding appropriate medical coding.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.

More Info:

http://www.7outsource.com/request-for-proposals/medical-billing-coding-rfp/724-usa-california-offsite-medical-claims-review-medical-billing-a-coding-services-deadline-june-30-2010.html

http://www.rfpmart.com/request-for-proposals/medical-billing-coding-rfp/724-usa-california-offsite-medical-claims-review-medical-billing-a-coding-services-deadline-june-30-2010.html