MB-3578 - USA (Illinois) - Physician and Facility Billing and Coding and Claims Management Services using Artificial Intelligence Software - Deadline December 5,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3578

Government Authority located in Illinois; USA based organization looking for expert vendor for physician and facility billing and coding and claims management services using artificial intelligence software.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide physician and facility billing and coding and claims management services using artificial intelligence software.
- Solution must demonstrate its use of artificial intelligence technology to select and process all billing accounts that remain unpaid at day 1 after discharge date. This includes generating/regenerating bills, submitting/resubmitting to the payor regardless of the payor. - Technology is used to automatically query physicians, coding and billing staff for the completion of documentation as well as use artificial intelligence and automation tools to ensure the accuracy of coding and billing and ongoing reporting of billing and coding throughout the revenue cycle management process medical records retrieval, daily eligibility verification, remittance advise and EOBs, claims follow-ups, pre-claims identification of covered and non-covered services, forecast claim reimbursement, precertification and authorization, automated claims analysis and corrections for resubmission, patient access data entry productivity and accuracy reporting and physician level /division/practice level dashboards and reporting.
- Solution must be compliant with all regulations at all times, to include state and federal, must have capability to process over 10,000 claims per week, must provide an overall diagram of claims processing and clearly delineate percentage of its billing and coding and claims management services completed with the use of artificial intelligence versus that completed by staff (human) involvement and disclose any patents/patents pending on its artificial intelligence, deep learning and other software technologies.
(2) A pre-proposal conference will be held on November 07, 2019.
(3) All question must be submitted no later than November 08, 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, 5 December, 2019

Pre-proposal Conference Date : Thursday, 7 November, 2019

Question Answer Deadline : Friday, 8 November, 2019

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

Country : USA

State : Illinois

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