Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7163

Government Authority located in Texas; USA based organization looking for expert vendor for emergency medical billing services and patient care reporting services.

[*] Budget: Looking for Proposal

[*] Scope of Service:

(1) Vendor needs to provide emergency medical billing services and patient care reporting services
- EMS Billing
1) Prepare, process and forward all bills of service to the appropriate insurance provider, governmental program or individual, for claims processing.
2) Verify patient’s insurance information. If no insurance information is provided by the patient, the
contractor is responsible for conducting a search/sweep in multiple insurance informational databases to determine if a patient has health insurance.
3) Account follow up on denials, rejections and appeals with insurance companies and governmental
programs, such as Medicare & Medicaid.
4) Accurate and timely review of claims to verify completeness and compliance.
5) Electronic submission of all insurance claims, such as commercial, governmental, auto and individual types that can be accepted and paid electronically, except in cases where paper submission may have a financial benefit.
6) Revenues will be collected either by contractor or the City of Denton;
a. If funds will be collected by contractor, the funds shall be disbursed to the City of Denton on a
weekly basis, either by wire or check. With the check or wire, a detailed report must be sent to the
City of Denton showing who paid, the amount paid, and the patient account that was paid.
b. Develop, implement and monitor extended payment plans with patients unable to pay in full.
7) Must provide a complete paperless document management system to:
a. Include scanning of all patient and insurance company correspondence. (i.e., checks and
explanation of benefit forms)
a. Allow secure online access to view and audit these records.
8) Contractor must accept MasterCard, VISA, and Discover credit cards as payment for EMS services
rendered.
- Real Time Financial Reporting
- The contractor will provide the City of Denton ongoing access to print statements and run receivables reports based on real time data.
- Monthly batched reports for accounts that are over 210 days. After review and approval from the City, the contractor will submit this report to a third-party collections agency, which is contracted by the City separately.
- Monthly revenue adjustment report including documented write-offs and aging accounts receivable balances.
- Cash receipts by payer type and carrier.
- Gross revenues, assignment/adjustment, and financial class reports.
- Customizable reports that can be generated by the user or automated.
- Other reports as requested.
- The proposer must provide sample copies of the proposed financial reports with the proposal submission.
- Contractor must include at the contractor’s expense – EMS Billing Services
- Employee wage and benefits.
- Billing forms.
- Postage, envelopes and office supplies.
- Long distance telephone, cellular and data charges.
- Toll free access numbers for patients.
- Any other costs associated with patient account billing
(2) All question must be submitted no later than March 2, 2023.

[*] Eligibility:

- Onshore (USA Organization Only);

[*] Work Performance:

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

Expiry Date : Wednesday, 15 March, 2023

Question Answer Deadline : Thursday, 2 March, 2023

Category : Medical Billing and Coding

Country : USA

State : Texas

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