MB-7166 - USA (Maryland) - Emergency Medical Billing Services - Deadline March 28,2023

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7166

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

[*] Budget: Looking for Proposal

[*] Scope of Service:

Vendor needs to 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 (5) 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 (30) days after the original billing. The third notice (final notice) will be sent to the patient or responsible party thirty (30) days after the second notice has been mailed. Billed services will include base fee, mileage, and on-scene
medical treatment when applicable.
- Conduct any follow-up required to obtain necessary insurance information for payment processing.
- 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.
- Prepare and execute patient refunds and provide appropriate record keeping and reporting to the County.
- Provide the following documents:
1. Daily Payment logs (sent once per week) with deposit confirmation attached and a monthly summary
showing balancing of daily depositions to collection report.
2. Collections profiles for each month, dating back to the beginning of this contract.
3. Status of all accounts for the current month and total in the contractor’s system.
4. Aging Receivable Report.
5. Month End Reports.
6. Monthly write off reports.
7. Overpayment (refund request) invoices.
8. Non-sufficient funds check Reports.
9. Uncollectable(s) Report (listing undeliverable, unable to locate, etc.)
- Assist the County with any audits related to EMS billing or collections activity.
- Provide operational financial reports monthly as well as ad hoc report requests on an as needed basis.
- For the billing and collection services rendered by the Contractor hereunder, the County shall pay the Contractor a fee in an amount equal to a mutually agreed percentage of all collections (i.e., payments actually received by the County) per month for Services billed by the Contractor on behalf of the County during the term of this Contract Agreement, including collections received after the effective date of termination of this Contract.
- The County’s obligation to pay this billing fee shall survive the termination of this Contract and continue so long as collections continue to be received by the Contractor on behalf of the County, the Lock Box, or any other account or party, on claims for Professional Services which were submitted by the Contractor during the term of this Contract.

[*] 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 : Tuesday, 28 March, 2023

Category : Medical Billing and Coding

Country : USA

State : Maryland

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