Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7212

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

[*] Budget: Looking for Proposal

[*] Scope of Service:

(1) Vendor needs to provide emergency medical billing services.
- Provide electronic billing of Medicare, Medicaid, and private insurance claims, including third party payors for Electronic Billing Services (EMS) provided, no later than five business days of receipt of the electronic patient care reports (ePCR) from the agency. Send second billing notice to the patient or responsible party thirty days after the original billing. The third notice (final notice) will be sent to the patient or responsible party thirty days after the second notice has been mailed. Billed services will include base fee, mileage, and on-scene medical treatment when applicable.
- 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. - Evaluate the current data collection configuration of the agency and make recommendations to the agency on any reconfiguration that might be required to assure minimal interruption of the data stream.
- Be responsible for renewing all Medicare and Medicaid licensing. - Provide operational financial reports monthly as well as ad hoc report requests on an as needed basis. - Provide billing services for Mobile Integrated Health Services (MIHDS) reimbursements as described.
- Comply with all HIPAA regulations regarding protected health information (PHI) and guardian of all record sets and shall maintain any and all documentation records and patient information in a safe and secure manner allowing for inspection and/or audit by the County.
- Assist the County with any audits related to EMS billing or collections activity.
- Provide, at no additional cost, in-depth compliance/documentation training for County EMS personnel.
(2) All the questions must be submitted no later than March 22, 2023.
(3) Pre-bid meeting was held on March 7, 2023.

[*] Eligibility:

- Onshore (USA Organization Only);

[*] Work Performance:

Not Applicable

Expiry Date : Tuesday, 28 March, 2023

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

Question Answer Deadline : Wednesday, 22 March, 2023

Category : Medical Billing and Coding

Country : USA

State : Maryland

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