Posted Date : October 16,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-3545
Government Authority located in Rhode Island; USA based organization looking for expert vendor for emergency medical billing administrator services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide emergency medical billing administrator services.
- To collect specific information pertaining to medical incidents, and subsequently submit bills to the applicable medical insurers or self-pay individual,
- To accept patient information from the Town via an electronic patient care report (E-PCR),
- To update billing, collection, and accounts receivable records on a daily basis and to ensure the accuracy of transactions posted to the billing database. (Accounts receivable records should be classified by collection categories - i.e. Medicare, Medicaid, Blue Cross, Self Pay, etc.),
- To account for, report all contractual adjustments, and record accordingly after the applicable payments have been received,
- To provide customer service support for all billing inquiries and requests for information via phone, email and mail,
- To transfer aged uncollectible account balances to a collection agency and to properly separate and classify these accounts within the administrator's accounts receivable summary. after accounts are sent to collection, the administrator will establish a collection agency receivable category, which will remain active on their system. as collection agency payments are received,
- To balance out deposited cash for the month. ach payments from insurance providers will be deposited directly into the town’s with documentation of deposits forwarded by the town to the administrator. any payments received directly by the administrator (including payments by credit card) will be deposited by the administrator into the town s on a daily basis and documentation for those deposits will be forwarded to the town’s finance department,
- The selected administrator will be required to submit a performance analysis report, which is a monthly report summarizing the results of the collection effort in order to measure vendor performance this report should include, but may not be limited to the following,
- 1. Total number of transports reported by EMS,
2. Total number of transports billed by contractor,
3. Amount billed by contractor,
4. Amount uncollectible due to Medicare or Medicaid assignment, and the Resulting Net Amount Billed (All Medicare or Medicaid uncollectible amounts should be fully supported by adequate authoritative documentation),
5. The number of accounts collected by payer (i.e. Medicare or Medicaid, private insurance and self-payment),
6. Total amount collected by payer,
7. Amount of overpayments, adjustments, including refunds, returned checks and posting errors and the resulting amount collected.
(2) All question must be submitted no later than October 24,2019.
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: November 01,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-3545
Government Authority located in Rhode Island; USA based organization looking for expert vendor for emergency medical billing administrator services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide emergency medical billing administrator services.
- To collect specific information pertaining to medical incidents, and subsequently submit bills to the applicable medical insurers or self-pay individual,
- To accept patient information from the Town via an electronic patient care report (E-PCR),
- To update billing, collection, and accounts receivable records on a daily basis and to ensure the accuracy of transactions posted to the billing database. (Accounts receivable records should be classified by collection categories - i.e. Medicare, Medicaid, Blue Cross, Self Pay, etc.),
- To account for, report all contractual adjustments, and record accordingly after the applicable payments have been received,
- To provide customer service support for all billing inquiries and requests for information via phone, email and mail,
- To transfer aged uncollectible account balances to a collection agency and to properly separate and classify these accounts within the administrator's accounts receivable summary. after accounts are sent to collection, the administrator will establish a collection agency receivable category, which will remain active on their system. as collection agency payments are received,
- To balance out deposited cash for the month. ach payments from insurance providers will be deposited directly into the town’s with documentation of deposits forwarded by the town to the administrator. any payments received directly by the administrator (including payments by credit card) will be deposited by the administrator into the town s on a daily basis and documentation for those deposits will be forwarded to the town’s finance department,
- The selected administrator will be required to submit a performance analysis report, which is a monthly report summarizing the results of the collection effort in order to measure vendor performance this report should include, but may not be limited to the following,
- 1. Total number of transports reported by EMS,
2. Total number of transports billed by contractor,
3. Amount billed by contractor,
4. Amount uncollectible due to Medicare or Medicaid assignment, and the Resulting Net Amount Billed (All Medicare or Medicaid uncollectible amounts should be fully supported by adequate authoritative documentation),
5. The number of accounts collected by payer (i.e. Medicare or Medicaid, private insurance and self-payment),
6. Total amount collected by payer,
7. Amount of overpayments, adjustments, including refunds, returned checks and posting errors and the resulting amount collected.
(2) All question must be submitted no later than October 24,2019.
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: November 01,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$