MB-4132 - USA (Massachusetts) - Time Study and Medical Billing Services. - Deadline May 21,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4132

Government Authority located in Massachusetts; USA based organization looking for expert vendor for time study and medical billing services.

[A] Budget: Looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide time study and medical billing services and accounts receivable activities
- Conduct a statistically valid time study, at least annually, using a paper-based system or the Contractor’s software that is consistent with the approved state plan,
- The time study tool used by the Contractor must contain all activities reflective of the current operations considering, at minimum, changes to the organizational structure and service delivery systems, governing state and federal regulations, relevant policies, changes in funding levels, and program employee work responsibilities,
- The Contactor must prepare and submit claims for eligible TCM and RRO services as well as, maintain an accounts receivable system to reconcile payments to claims,
- Claims are currently submitted quarterly and retrospectively to the start of the fiscal year quarter,
- Ensure that claims are submitted for all eligible clients whose placement is reimbursable, Exclusions to claiming include inmates of a public institution (or recipients in other Medicaid unallowable settings), the Department of Education or Local Educational Authority, and other specific categories of assistance,
- Prepare electronic claims and submit service claims for each program,
- Review remittance advices upon receipt for denied or partial payments, and reconcile to claims submissions.
(2) All questions must be submitted no later than May 4, 2020.

[C] Eligibility:

Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Thursday, 21 May, 2020

Question Answer Deadline : Monday, 4 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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