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MB-4467 - USA (Texas) - EMS Billing and Collection Services - Deadline September 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4467

Government Authority located in Texas; USA based organization looking for expert vendor for EMS billing and collection services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide EMS billing and collection services for cost recovery to serve its citizens and staff as well as insurance providers.
Compliance:
- Recent audits by Medicare, Medicaid, or other agencies may be used to document compliance.
- Please provide experience with CMS audits and results for the last five years.
Security:
- The contractor must ensure a segregation of duties, whereby the same individual must not be able to enter billing, adjust billing, post payments, nor deposit funds; and maintain the necessary levels of security in their automated billing system to protect the city from loss.
- Develop a disaster safeguard and a data recovery plan with innate system and functional redundancy to include processing and patient services.
Billing:
- Contractor provide hardware and software for the filed collection of EMS patient and billing data, and that the proposing agency shall receive this information via secure internet connections in order to increase the speed and efficiency of fee processing and claims submittal.
- The Contractor will utilize available resources; internal and external insurance eligibility, demographic sweeps and databases to obtain billing insurance information on patients in a timely manner to support billing practices.
- The Contractor will bill all transports according to applicable laws established by Medicare, Medicaid, and other applicable agencies.
- The successful contract will be furnished with the EMS chart summaries electronically.
- Contractor will maintain appropriate accounting procedures and provide for reconciling all payments, bank deposits, receivables, billings, patients accounts, adjustments and refunds between the contractor’s billing system and city records.
Collections:
- The successful contractor will provide a continual review of Medicare, Medicaid, and insurance company policies, procedures, and changes and immediately incorporate new requirements of changes into the collection effort while making appropriate recommendations to maximize recoveries for the city.
- Contractor will process all cash receipts and receipts of payments, refunds and overpayments in a timely manner.
- The call center must support diverse languages on staff or have resources available for translation services when necessary.
- The contractor will work with the city to assist with walk-in payments made at EMS headquarters developing an online payment portal.
- The contractor will submit documentation of their ability to submit fire related claims.
Training:
- The contractor will provide up to three days of training per calendar year to the EMS staff.
- These days will be scheduled by the EMS chief or their designee and a minimum of thirty days’ notice will be provided to the contractor.
Audit:
- Provide copies of all user manuals, system overviews, technical manuals, reports on control such as internal or external audits or regulatory authority reports when requested to do so by the City.
(2) All questions must be submitted no later than August 24, 2020.
(3) The term of contract will be two years.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Thursday, 3 September, 2020

Question Answer Deadline : Monday, 24 August, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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