MB-3993 - USA (South Carolina) - Medicaid Billing and Nursing Documentation Services - Deadline April 9,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3993

Government authority located in South Carolina; USA based organization looking for expert vendor for medicaid billing and nursing documentation services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medicaid billing and nursing documentation services.
A. Clinical Nursing: -
- Ensure indefinite access to all records for students past and present
- Allow scheduling of procedures and medications - creating a daily plan which can be followed by substitute nurses
- Track immunization compliance (with DHEC state released annual updates), screening information to grade level, pass/failure, referral, medical needs due to chronic illness, increase in communicability related to influenza, GI viruses, etc.
- Define the clinical documentation response based on body systems
- Show time frame of visit for billing units, (start time & end time)
- Allow for notes/comments by visit
- Provide for disposition documentation
- Provide health room usage data, student/school/district acuity reports, and to comply with mandatory reporting under the Nurse Grant of the Student Health and Fitness Act   Incorporate Individual Health Care Plans
- Encompass elaborate algorithms defining the manner of handling Medicaid ID numbers, consent, and revoked dates from data source outside of vendor's application
- Process data on all students in import including inactive students with old enrollment   Monthly import of student picture files, up to 6.2 gig
- On a daily basis, remove students from school census who leave school district/ transfer
- Utilize enrollment dates in import file to prioritize insurance records in table
- Import pre-enrolled students as active prior to enrollment start date
- Granular Import Error reports, showing both parsing and soft errors
B. Medicaid Billing: -
- Automatic export and import of 270 and 271 files
- Automatic export and import of 837 and 835 files
- Ability to void/ replace encounters
- Ability to enter encounters for all students, regardless of Medicaid eligibility status
- Monthly identify students eligible for Medicaid, from full district roster of students
- Ability to populate required billing information using other data sources (IEP system, clinical nursing notes/data, treatment notes, etc.)
- Robust reporting tools, customizable to the user.
- Reports from the 835 with check information, claims billed, paid, etc.    Identify those students who have current consent to bill Medicaid on file
- Ability to view data for time span longer than one year
- Ability to integrate with district and school calendars
- Ability to mark student attendance or absence
- Reminder/notification system at all levels (therapist/clinician, supervisor, district)
- Generate and house all forms and compliance related documents (i.e. consent)
(2) All question must be submitted no later than March 18, 2020.

[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, 9 April, 2020

Question Answer Deadline : Wednesday, 18 March, 2020

Category : Medical Billing and Coding

Country : USA

State : South Carolina

Cost to Download This RFP Document : $ 5

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs