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MB-5909 - USA (Missouri) - Medical Billing and Associated Services - Deadline January 11,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5909

Government authority located in Missouri; USA based organization looking for expert vendor for medical billing and associated services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical billing and associated services to meet once a month, or as needed, for end of month reporting review; comply with all applicable laws in performing the services; perform all billing services to third party payers in accordance with any requirements imposed by third party payers (including, without limitation, medicare and medicaid); issue bills to individuals for all self-pay patients. pathology will be given full discretion regarding the wording to appear on bills and letters; regularly monitor patient services and visit volume(s) with detailed, patient-by-patient audits, reconciled to applicable service, encounter and activity records/logs; use reasonable efforts to enter all procedural and demographic data necessary for patient and third party payer billing into its billing system on a timely and accurate manner, subject to pathology’s obligation to provide accurate and complete demographic information; issue initial billings to patients and/or third party payer within seven days of receiving all required information. may be required to contact patient or referring doctor to obtain missing information; submit claims electronically to all third-party payers within seven days of receiving all required information; submit claims electronically to all third-party payers capable of accepting claims in electronic format; prepare and deliver month-end reports of the billing performance and practice statistics no later than the third business day of the next month; have its senior staff present reports of billing performance at meetings in pathology’s offices as required; maintain and follow a written program for quality assurance in areas of coding and billing regulatory compliance; apply for and monitor progress of third party payer identification numbers; toll free lines for patient inquires and adequate phone inquiry staff to effectively respond to patients in a reasonable amount of time; from time to time review and make recommendations with respect to coding, service descriptions and professional fees for the pathology fee schedule; use reasonable efforts to advise pathology with respect to any material change in third party payer rules and regulations affecting providers and third party billing agents; produce monthly credit balance reports and advise pathology of refunds due to both patients and third party payers.
(2) All question must be submitted no later than December 15, 2021.

[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 : Tuesday, 11 January, 2022

Category : Medical Billing and Coding

Country : USA

State : Missouri

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