MB-3224 - USA (South Carolina) - Medicaid Billing and Nursing Documentation Services - Deadline July 11,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3224

Government Authority located in South Carolina; USA based organization looking for expert vendors for medicaid billing and nursing documentation services

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide medicaid billing and nursing documentation services Clinical nursing components must allow for mental health documentation, nursing documents, risk management documentation.
Ensure indefinite access to all records for students past and present
Allow scheduling of procedures and medications - creating a daily plan which can be followed by substitute nurses
- Track immunization compliance (with DHEC state released annual updates), screening information to grade level, pass/failure, referral, medical needs due to chronic illness, increase in communicability related to influenza, GI viruses, etc.
- Use templates with appropriate ICDI 0 and HCPCS codes
- Define the clinical documentation response based on body systems
- Show time frame of visit for billing units, (start time & end time)
- Allow for notes/comments by visit
- Provide for disposition documentation
- Provide health room usage data, student/school/district acuity reports, and to comply with mandatory reporting under the Nurse Grant of the Student Health and Fitness Act.
- Incorporate Individual Health Care Plans
- Encompass elaborate algorithms defining the manner of handling Medicaid ID numbers, consent, and revoked dates from data source outside of vendor's application
- Process data on all students in import including inactive students with old enrolment Monthly import of student picture files, up to 6.2 gig On a daily basis, remove students from school census who leave school district/ transfer
- Utilize enrolment dates in import file to prioritize insurance records in table
- Import pre-enrolled students as active prior to enrolment start date
- Granular Import Error reports, showing both parsing and soft errors
- Specific Requirements for Medicaid Billing Module
The Medicaid Billing solution should include the following:
- Automatic export and import of 270 and 271 files
- Automatic export and import of 837 and 835 files
- Ability to void/ replace encounters
- Ability to enter encounters for all students, regardless of Medicaid eligibility status
Monthly identify students eligible for Medicaid, from full district roster of students
  Ability to populate required billing information using other data sources (IEP system, clinical nursing notes/data, treatment notes, etc.)
  Robust reporting tools, customizable to the user.
Reports from the 835 with check information, claims billed, paid, etc.
-  Identify those students who have current consent to bill Medicaid on file
- Ability to view data for time span longer than one year
- Ability to integrate with district and school calendars
- Ability to mark student attendance or absence
- Reminder/notification system at all levels (therapist/clinician, supervisor, district)
- Generate and house all fonns and compliance related documents (i.e. conse
(2) All question must be submitted no later than June 27, 2019.
(3) The contract term will be for 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 July, 2019

Question Answer Deadline : Thursday, 27 June, 2019

Category : Medical Billing and Coding, Software, System and Application

Country : USA

State : South Carolina

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