Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7150

Government Authority located in Maryland; USA based organization looking for expert vendor for emergency medical billing service.

[*] Budget: Looking for Proposal

[*] Scope of Service:

(1) Vendor needs to provide emergency medical billing service.
- Provide electronic billing of medicare, medicaid and private insurance claims, including third party payors for EMS services provided including MIHS as allowable by state law, no later than five business days of receipt of the electronic patient care reports (ePCR) from the county. Send second billing notice to the patient or responsible party thirty days after the original billing. The third notice will be sent to the patient or responsible party thirty days after the second notice has been mailed.
- Process all claims within 40 business hours of contractor’s receipt of the claim. The claims shall be divided into multiple revenue categories including medicare, medicaid, private insurance and private pay.
- Conduct any follow-up required to obtain necessary insurance information for payment processing.
- Use professionally trained and fully compliant coders to manually review and code all ePCR.
- Be responsible for reviewing each ePCR for content and accuracy for billing purposes. The contractor shall be responsible for all pre-billing review, including verification for proper documentation appropriate patient signatures and data entry from the ePCR. The contractor is required to perform any essential research and notify the county of any discrepancies.
- Assign the appropriate billing procedure code and ICD-10 diagnosis code based on the documentation, treatment and chief complaint of the patient by ensuring that the appropriate fee box has been selected and the documentation to support the charge is present.
- Comply with the county emergency services billing coordinator and county attorney requests for billing charges in a timely manner.
- Provide operational financial reports monthly as well as ad hoc report requests on an as needed basis.
- Assign a dedicated client representative to the county department of emergency services account.
(2) An optional pre-proposal meeting will be held on March 07, 2023.
(3) All question must be submitted no later than March 14, 2023.

[*] Eligibility:

- Onshore (USA Organization Only);

[*] Work Performance:

Performance of the work will be Onsite and Offsite.

Expiry Date : Friday, 24 March, 2023

Pre-proposal Conference Date : Tuesday, 7 March, 2023

Question Answer Deadline : Tuesday, 14 March, 2023

Category : Medical Billing and Coding

Country : USA

State : Maryland

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