MB-2914 - USA (Nevada) - Emergency Medical Billing Services - Deadline April 11,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2914

Government Authority located in Nevada; USA based organization looking for expert vendor for emergency medical billing services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide emergency medical billing services for billing and continual receipt of payments includes
- All claims information shall be valid and accurate.
- All billing and payment receipts recorded shall be timely.
- Revenues billed and payments received shall be maximized.
- Insurance and Medicare and Medicaid claims shall be maximized through accurate coding and compliance with rules and time constraints.
- Proposed services shall be carried out with limited city maintenance, reconciliation, or key entry requirements.
- The system shall meet the federal requirements for health insurance portability and accountability act compliance assuring patient confidentiality. It shall include password and security protection as well as patient health information accounting disclosure tracking.
- Compliance with Nevada state reporting codes and requirements, as well as future updates.
- Utilizes the stryker health EMS billing program for patient care reporting.
- The independent contractor will perform billing and coding services, claims scrubbing, payment posting, overpayment monitoring, which are reasonably necessary to invoice on behalf of the city.
- Refund determinations will be processed by the independent contractor and presented to city fire on a monthly basis, city fire will process and remit refund checks.
- The independent contractor will be responsible for soft collection services and patient payment plan initiation and monthly collections.
- The independent contractor must allow the city to write off hardship cases as identified.
- The independent contractor’s financial reporting system will report revenue received, contractual write-offs and net income by the following programs.
- The independent contractor must accept multiple forms of payment, including credit cards and debit cards.
- The independent contractor must maintain health insurance portability and accountability act compliance in the billing process.
- Claim data will be transmitted electronically as agreed upon by both parties.
- Reconciliation of run reports and billing reports for patients.
- Invoice once per month, detailed gross collections, refunds, collection refund adjustments, and net collections, including firm’s current monthly charge.
- Electronic access to billing portal which provides current status of bills, invoices and payments.
- Daily completion of and reporting of payments applied to cost center and accounts. To include checking clearing house websites for EFTs and reconcile against city bank statement, posting EFT and preparing daily EFT deposits.
- Monthly aging report and billing register.
- Monthly reconciliation of aging report showing: billing, adjustments, payments, balance.
- Monthly completion of and reporting of refunds for overpayments.
- Initiating and monthly collections related to patient payment plans.
- Provide monthly reporting of collection percentage, both gross and against allowable due to contractual write-offs separated by the following programs: emergency medical billing services, the basic life support program and the CC care (ambulance membership) program.
- Fiscal year-end summary report and graphs, statistical data report for state and federal reporting, with updates as these requirements may change during the contract period.
- Upon request provide a yearly report which specifies trip date, customer (last, first name), primary payer, gross charges, payments, write-offs, secondary payer.
- The ability to modify existing reports to accommodate changing reporting needs.
(2) All questions must be submitted no later than April 1, 2019.    
(3) Contract term will be one year.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Thursday, 11 April, 2019

Question Answer Deadline : Monday, 1 April, 2019

Category : Medical Billing and Coding

Country : USA

State : Nevada

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