MB-3485 - USA (Kentucky) - Third Party Medicaid Administrative and Recovery Services - Deadline October 15,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3485

Government Authority located in Kentucky; USA based organization looking for expert vendor for third party Medicaid administrative and recovery services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide third party Medicaid administrative and recovery services for the services of a third-party administrator to manage the administration and direct billing of the fee-for-service Medicaid programs.
A. Manage new and existing claims for Medicaid billing.
B. Provide a comprehensive web-based service documentation tool, including the functionality to:
1. Maintain security of data from both server and client side as well as mobile devices (smart phones and hand-held devices)
2. Easily create and manage provider caseloads
3. View previously logged services on the main logging page
4. Create groups of students for easy access for logging services
5. Log for students seen in a group setting
6. Log services from a smart phone or hand-held
C. View and print service logs in an easily readable format.
E. Review the District’s records and identify medical services and transportation services that were provided to students that can be claimed under the State’s existing fee for service program.
E. Prepare, on behalf of the District, all forms needed to claim for such services.
F. Accept both paper copies and electronic files of Medicaid services logs for data entry.
G. Ensure that appropriate signed services logs and individualized education plans are maintained in auditable paper files and readily accessible in an organized format.
H. Maintain inventory of the auditable paper files referenced in “g.” (listed above) and provide inventory to the District upon request.
I. Provide District staff with training of parental consent requirements at annual kick-off meetings and other meetings as required.
J. Create training materials to assist with new parental consent requirements
K. Continually monitor parental consent and provide targeted follow-up to maximize revenue.
L. Provide a weekly/monthly action plan of steps being taken to rectify outstanding claims.
M. Advise the District on pending legislation and policy changes related to fee-for-service billing.
N. Advise the District on pending meetings and/or public hearings by the State of Kentucky as they relate to the fee-for-service Medicaid programs.
O. Provide a designated account representative available Monday through Friday 8:00 AM-5:00 PM Eastern Time.
P. The designated account representative shall attend meetings held within the State of Kentucky, with 24 hours advance notice, at no additional cost to the District, throughout the duration of this agreement.
Q. Provide a detailed process flow chart of the Medicaid billing process including the flow of individualized
education program documents.
R. Analyze the current billing practices and provide solutions for areas of concern.
(2) All questions must be submitted no later than September 30, 2019.
(3) Contract period 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 premises.

Expiry Date : Tuesday, 15 October, 2019

Question Answer Deadline : Monday, 30 September, 2019

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

Country : USA

State : Kentucky

RFP Expired

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