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MB-4470 - USA (South Carolina) - Emergency Medical Services Billing, Collection and Posting Services - Deadline September 10,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4470

Government Authority located in South Carolina; USA based organization looking for expert vendor for emergency medical services billing, collection and posting services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide emergency medical services billing, collection and posting services 
- Emergency Medical Services transports individuals from varied locations to health care facilities in the emergency medical transport vehicles. Transported individuals are charged a transport fee and a mileage fee. Some patients who are not transported are charged a no-transport fee when indicated,
- The Contractor shall accept receipt of the patient data necessary for billing. The data will come from an Electronic Patient Care Report (ePCR) system called HER,
- The Contractor shall be responsible for obtaining the appropriate software that will be compatible to interface with our computerized report writing system (EHR) and to enter furnished data into their computerized billing system through secured file transfer,
- Billing the non-transported patient, when appropriate. Department policy will dictate when billing of these individuals takes place,
- Preparing the required management and financial reports including information on delinquent accounts. Real-time financial information is preferred based on amount billed, paid, and outstanding account balances,
- Review Electronic Healthcare Records (EHRs) for information necessary for either a clean claim submission or a determination of lacking medical necessity; and, in a timely manner consistent with permitting timely filing, request of client clarifications or corrections to cure deficient documentation,
- Assign the appropriate billing procedure code and diagnosis code based on the documentation, treatment, and chief complaint of the patient; all in accordance with health care regulations set for the industry,
- Obtain current patient insurance information per claim and exercise due diligence in obtaining such information in a timely manner consistent with timely filing requirements; including but not limited to documented mailings, emails, third party services and phone calls to the holder of information,
- File all insurance claims to the appropriate payer for services, including identifying and billing third party liability claims apart from health insurance claims, and submitting claims appropriately based on proper order of responsible parties and within timely filing requirements,
- File all insurance claims to the appropriate payer for services, including identifying and billing third party liability claims apart from health insurance claims, and submitting claims appropriately based on proper order of responsible parties and within timely filing requirements,
- Prepare monthly management/financial reports to include receipt by type (e.g. Medicare, Medicaid, insurance carrier, etc.), accounts receivable balances by type, amounts charged off due to uncollectibility, etc. Access to real time financial data is preferential through ondemand reporting. “Uncollectibility” due to timely filing failures is preferred to be distinguished from other forms of uncollectibility for client review, though not required,
- Contractor shall provide evidence of red Flag Identity Theft Compliance as well as Payment Card Industry Compliance.
(2) All questions must be submitted no later than August 28, 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, 10 September, 2020

Question Answer Deadline : Friday, 28 August, 2020

Category : Medical Billing and Coding

Country : USA

State : South Carolina

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