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MB-3382 - USA (Missouri) - Ambulance Transport Billing Service - Deadline August 21,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3382

Government authority located in Missouri; USA based organization looking for expert vendor for ambulance transport billing service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide ambulance billing, collection, financial reporting, and analytical services.
A. Billing: The Firm will commence billing the patient care reports with the start-up date established by the firm and the District (targeted on or about October 1, 2019).
- The Firm shall assign and identify a dedicated biller(s) to the St. Charles County Ambulance District
EMS billing account.
- The Firm shall assign an account manager as the central point of contact for all agency billing
issues/questions. - The Firm must allow 24/7 online access to their billing system to allow for access to detailed
patient billing processes to see the transactions on any account at any time. - The Firm must absorb all credit card and debit card fees incurred for processing.
- The Firm shall bill all non-emergency transports according to all applicable laws established by Medicare, Medicaid and other applicable agencies.
B. Collections: The Firm shall process all claims according to timelines agreed upon between the District and the Firm. The claims shall be divided into multiple revenue categories: Medicare, Medicaid, Medicare HMO, Blue Cross and Blue Shield, Attorney Payments, Auto Insurance, Commercial Insurance, Worker Compensation, Nursing Homes, Hospice, Facility, Veteran Administration, and private pay.
- Claims shall be appropriately re-categorized after receiving payment from the primary guarantor.
All denials shall be processed according to the timeline defined by the Firm and the District.
- An active Quality Assurance and Internal Auditing Controls program for detecting, correcting and
avoiding process errors shall be maintained. It shall be the Firm’s responsibility to ensure that all
collection activity conforms with the requirements of the District and all applicable laws or
regulations.
C. Accounting and Reporting: Accounting for all billing pursuant to Generally Accepted Accounting Principles shall be provided on a daily, monthly, quarterly and annual basis, or as requested by the District. This shall include monthly auditing by the Firm to ensure accuracy of bills.
- The reports noted below must be provided to the appointed District EMS billing and collections contact by the time period specified.
- The Firm must provide assistance regarding any audits related to District EMS billing or collections
activity, including any reports, statements, or explanations, at no additional charge.
D. Analytical Services: The Firm shall be required to provide analysis and expertise in all issues related to ambulance billing and operations. This analysis shall include developing trends with in the EMS Operations and other pertinent issues that may develop. The Firm shall provide other analytical services as requested or required by the District.
E. Technology Requirements: The Firm shall provide all necessary software and secure file transmission requirements associated with the billing and collections. The Firm will receive patient data from the District via electronic format generated by the Districts ePCR software provider.
- The file format for the billing extract will be defined by the Firm and be compatible with the Districts current ePCR solution (Zoll Data), but adaptable (without a cost to the District) in the event the District transitions to another ePCR platform within the term of this agreement.
F. Training of EMS Personnel: The Firm shall provide, at no additional cost, in-depth documentation compliance training of the complex Medicare and Medicaid regulations as they relate to the pre-hospital delivery of emergency medical care. Additionally, like training shall be provided to EMS Personnel that are responsible for the delivery of non-emergency convalescent transports to include in-depth training on all supporting documentation to meet the strict medical necessity requirements of CMS. The training shall include all necessary visual training aids and handout materials that personnel may reference at the conclusion of any training session
(2) All question must be submitted no later than August 16, 2019.

[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 : Wednesday, 21 August, 2019

Question Answer Deadline : Friday, 16 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Missouri

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