MB-3663 - USA (Fort Washakie, Wyoming) - Clearinghouse Claims Services - Deadline December 26,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3663

Government Authority located in Fort Washakie, Wyoming; USA based organization looking for expert vendor for clearinghouse claims services.

[A] Budget: Looking for proposal

[B] Scope of Service:

Vendor needs to provide electronic clearinghouse services for the department to the government authority located in Fort Washakie, WY.
- Provide revenue cycle management for the validation and routing of electronic health care Medicare transaction claims submission between the wind river service unit and Novita’s solutions, ensuring that established hospital policy guidelines are adhered to, while keeping abreast of current changes in government regulations, collection laws, FTC ruling, third party payer procedures and internal procedures that affect the Medicare claims transmission.
- Knowledge of ICD-10-CM and CPT/HCPCS coding terms in order to interpret and resolve problems based in information derived from system monitoring reports and the UB 92 and HCFA 1500 billing forms submitted to Novitas solutions.
- Ensure that contractor network and infrastructure comply with 1Pv6 Internet protocol version and new CMS security requirements for FIPS compliance. As of September 2013, SSL protocol for TN3270 access to Medicare cirect data entry is no longer sufficient
- Ensure that our claims transmission is able to connect directly to the Medicare common working file and Medicare administrative contractors file transfer services, for claims submission and remit retrieval.
- Contractor ensures that telephone support technicians, online training, as well as convenient self-paced CBT's (Computer Based Training) modules and job aids are available to the business office staff.
- Project officer or business office manager, HIM manager, PRC manager or designated representative shall monitor the contractor's service and promptly inform the contracting officer of any problems or potential problems they encounter.  

[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 : Thursday, 26 December, 2019

Category : Medical Billing and Coding

Country : USA

State : Wyoming

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