MB-5217 - USA (Ohio) - Medical Billing Services - Deadline May 6,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5217

Government Authority located in Ohio; USA based organization looking for expert vendor for medical billing services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide medical billing services.
• Data entry of all patient information, charges, and payments,
• Reports of all charges, adjustments, and payments,
• Filing of insurance claims and a report verifying claims filed,
• First statement generated within the first 30 days after the date of service provided to the patient, or final disposition from insurance companies,
• Second notices generated between 31-60 days after the date of service or final disposition from insurance companies, first telephone call to patient to set up payment arrangements,   
• Final notification within 61-90 days after service, or disposition from insurances, second telephone call to patient to determine payment arrangements, ending in notification to the client who will then determine if there will be a bad debt write off, courtesy write off, or collection proceeding.
• A report showing all transports billed. The report shall include date of service, incident number, patient name, origin, destination, service level, mileage, and gross charges
• A report showing aged accounts receivable sorted by category (Medicare, Medicaid, insurance, and private pay) and payer. The report should show accounts receivable at 30, 60, and 90 days. The report should also show the last date of activity on the account.
• A report of payments received.
• A report of all refunds processed during the month.
• A report of all account referred back to the client for referral to delinquent debt collection services contractor to be written off.
• A report of all account denials broken down by payer and then by reason.
• Transactions by CPT code
• Aged Accounts Receivable
• Patients with credit balance
• Charges billed by provider
• Patient name index
• Charges not billed to insurance
• Account balances and practice total due  
• Insurance claims submitted to carrier quarterly report and an annual report detailing the payer mix and trends within.
• Other reports as needed for monitoring and evaluating the EMS transport program.
• File all necessary claims to successive primary, secondary, and tertiary insurance companies upon receipt of payment or denial from prior insurance company,
• File tracing letters and make necessary claim follow up to insurance companies within 50 days of the original filing, to acquire payment, rejection, or re-filing within 60 days,  
• Follow necessary procedures to ensure compliance with HTPAA,
• Correct clerical and coding errors as a matter or right
• Provide analysis and expertise in all issues related to EMS transport billing. This includes analysis of EMS billing system program performance, analysis of trends, and other issues that may arise.
• Meet at least semi-annually to review billing system performance and issues related to EMS transport billing.
• Prepare a written report that addresses strengths, weakness, opportunities and threats to the EMS transport billing program.
• Provide information and reports to an attorney or insurance company upon request.
• Assist in providing any reports and information needed due to an auditor’s request.
• Upon request, a representative of the billing company will appear at any city council meeting that the fire department feels may be needed to answer any billing questions that council or residents may have.   
• Provide for remote computer access to patient account information and reports by authorized Lima Fire Department staff during regular business hours.
• Provide and maintain a security and disaster recovery plan and system to ensure uninterrupted service and preserve security and continuity of data. Provide a copy of the plan for review by the fire department.
• Provide an annual report of a penetration test, by an independent outside service, that details the safety and security of the internet based systems to include the city, contractor, and other pertinent 3rd party vendors.
(2) Contract term will be three years.

[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, 6 May, 2021

Category : Medical Billing and Coding

Country : USA

State : Ohio

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