MB-3411 - USA (Texas) - Emergency Medical Billing Cost Recovery Services - Deadline September 12,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3411

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

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide emergency medical billing cost recovery services
- Be responsible for the billing and collection of all charges and fees resulting from the delivery of EMS services to its patients, including but not limited to all charges and fees to private insurers, Medicare, Medicaid, other governmental programs, individual patients and their responsible parties, collectively all Payors,
- Billing services:
- Receive electronic patient care report files and other billing related information electronically via connection to secure methods utilizing the Fire Department’s records management system via file transfer protocol at contractor’s expense,
- Provide accurate coding of medical claims based on information provided,
- Utilize all available resources and databases to obtain insurance information on private pay accounts,
- Process initial invoice billing in a timely manner from receipt of electronic file, with consideration regarding insurance claim processing,
- Assign billing to patient account numbers providing cross-reference to City's assigned transport numbers,
- Maintain responsibility for obtaining missing or incomplete insurance information and notifying the department of trends related to missing or incomplete information,
- Negotiate and arrange modified payment schedules for individuals unable to pay full amount when billed,
- Provide any City-designated collection agency with the data necessary for collection services to be performed when an account is referred to such agency,
- Provide a designated liaison for City, patient and other Payor concerns,
- Accounts Receivable:
- Process all claims according to timelines that will provide optimum recovery of charges. Claims must be divided into the following categories: Medicare, Medicaid, Commercial Insurance, Private Pay, Charity Care,
- Re-categorize claims appropriately after receipt of payment from the primary payer and bill any remaining balance in accordance with the current city billing rules provided,
- Process denials for Medicare, Medicaid and insurance in a timely manner to optimize recovery of charges,
- Accept payments via check or debit/credit card online, via regular mail, and ACH-type automatic deposit,
- Provide customer service via online options including e-mail communication and website access for payments,
- Maintain appropriate accounting procedures for reconciling deposits, receivables, billings, patient accounts, adjustments and refunds,
- Deposit all payments into the bank account specified, Funds shall be deposited electronically to the bank account specified by the City directly from the successful Proposer, insurance payers, Medicare and Medicaid,
- Reporting:
- All payments received (total and itemized) with detail regarding type of payment, date of payment and source of payment,
- Permit real-time read only electronic look-up access by City on Contractor’s software system to obtain patient data and billing information,
- Maintain records of services performed and financial transactions,
- Other reports, including custom reports, on an as needed basis, as required for monitoring and evaluating the emergency medical transport program and for assistance with the Ambulance Supplemental Payment Program,
- Analytical Services:
- Provide analysis and expertise in all issues related to emergency medical transport billing including but not limited to analysis of emergency medical transport billing system program performance and analysis of trends,
- Provide quarterly detailed report addressing strengths, weaknesses, opportunities and threats to the emergency medical transport billing program and identifying strategies to capitalize on opportunities and mitigate threats including cyber threats.
(2) All the questions must be submitted no later than September 5, 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 : Thursday, 12 September, 2019

Question Answer Deadline : Thursday, 5 September, 2019

Category : Medical Billing and Coding

Country : USA

State : Texas

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