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MB-6960 - USA (Colorado) - Ambulance Billing Services - Deadline January 17,2023

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6960

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

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide ambulance billing services
1. Use a software interface between the District’s reporting platform (ESO) and the billing program used by the Contractor.
2. The Contractor shall submit, when requested by the transported party, a financial assistance package as provided by the district.
3. At a minimum, conduct diligent, regular, and uninterrupted billing services in a professional business-like manner. Service shall include a level of effort consistent with best industry standards, all aspects of which shall be fully documented for review by the District. State your internal standards for getting an accurate initial invoice out the door.
4. Bill patients and third-party payers, including, but not limited to, Medicaid, Medicare, and commercial and private insurance carriers for all services rendered. Itemize patient accounts of all EMS to the patient and/or third-party payers. Follow-through with all patient accounts and/or third-party payers as necessary to achieve final payment.
5. Provide the District with a list of non-collectable accounts to be released back to the District after collection efforts have failed and cooperate with the district’s contracted collection agency to provide needed documentation regarding the billings.
6. Apply medical coding in accordance with all HIPAA requirements, as well as requirements specified in any other federal or state law or regulation.
7. Recognize the confidential nature of the District’s patient accounts and agree not to disclose any HIPAA restricted, protected health information and to maintain the integrity of transmitted health information transmitted for billing purposes.
8. Provide assistance in completing application forms required for maintenance of enrollment in Medicare Part B and state Medicaid programs in the state where services are rendered including the establishment of a National Provider Identifier (NPI).
9. Provide assistance in maintaining and updating the local Medicaid signature authorization forms for billing paper claims.
10. Provide annual Medicare updates as required by the program.
11. Provide re-enrollment of Medicare and other third party payers required by Medicare or by the respective third party payers.
12. Provide EDI registration maintenance and updated applications for local Medicaid and Medicare carriers.
13. Provide all required registration maintenance and updates of Contractor as the District’s official patient billing address
- Patient Billings
The Contractor shall process new patient accounts within their system. End of the month analysis reports must be provided, listed by account and percentage billed, collected and write-offs. In addition, the successful firm will provide patient accounting and tracking reports to the District’s designated administrator as well as any necessary status reports.
- Medicare, Medicaid, Commercial, and Private Claims
The Contractor shall process new patient accounts within their system. End of the month analysis reports must be provided, listed by percentage of the party billed.

[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, 17 January, 2023

Category : Medical Billing and Coding

Country : USA

State : Colorado

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