MB-6659 - USA (California) - Ambulance Billing Services - Deadline August 30,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6659

Government Authority located in California; USA based organization looking for expert vendor for ambulance billing services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide ambulance billing services
- To provide ambulance billing services for the County. The Contractor shall prepare, process, and submit claims to private and government payors for transport services rendered,
- Claims will be submitted either electronically or by means of paper submission as directed by the third-party payor. The Contractor shall maintain all records and books pertaining to the delivery of services
- Business Processes:
- Monitor all billing and regulatory changes impacting ambulance/EMS reimbursement and adjust system to ensure regulatory compliance; update the County of any such changes with an explanation of how it will affect the County and/or patients.
- Process payments, adjustments, receipts, and correspondence.
- Produce and mail accurate insurance claims for payers that only accept hard copy claims submissions. Claims must be submitted to the correct address for claim submission.
- Produce and mail initial invoices to self-pay accounts with no third-party information, requesting third party information, or payment in full.
- Verify eligibility for third party payers prior to claim submission
- Appeal all inaccurately, denied or down-coded claims from Medicare, Medi-Cal, Workers' Compensation and insurance carriers.
- Produce and mail second notices or other letters and make telephone calls on all open accounts, according to a pre-defined timetable, to collect amounts due to the County.
- Coordinate all disputed claims with the designated County representative.
- Provide a mechanism to track subscriber memberships and bill and/or write-off accounts according to County policy and produce reports detailing these accounts
- Customer Relations:
- Provide nationwide toll-free telephone line(s) to accommodate billing inquiries from patients and other responsible parties.
- Handle all telephone calls and correspondence in a timely, professional, and courteous manner.
- Provide a multi-lingual staff for communication with patients and other responsible parties
- Data Management:
- Provide mechanisms/systems to receive ambulance transport documentation on paper and electronically.
- Verify the receipt of Electronic Patient Care Reporting and return confirmation of receipt to the County.
- Maintain updated and current technology that will continuously provide the highest level of reimbursement and patient service possible.
- Provide electronic access to all records/reports to authorized County staff.
- Utilize software systems that are capable of exporting data to the County in Microsoft Office Software.
(2) All the questions must be submitted no later than August 9, 2022.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

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

Expiry Date : Tuesday, 30 August, 2022

Question Answer Deadline : Tuesday, 9 August, 2022

Category : Medical Billing and Coding

Country : USA

State : California

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