Posted Date : October 03,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : BILLING-1145
Government Authority located in Rhode Island; USA based organization looking for expert vendor for rescue billing administrator service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide rescue billing administrator service
- To work with rescue service personnel to collect specific information pertaining to rescue runs, and subsequently to submit bills to the applicable medical insurers which include Medicare, Medicaid, Blue Cross, and the Warwick Resident Public Fund. (We also deal with a myriad of private health, auto, and workers compensation insurers.)
- To accept rescue run information from the City via an electronic patient care report (EPCR) that has been approved by the Rhode Island Department of Health, Division of EMS.
- To periodically review incident reports filed by Fire Department personnel and provide suggestions for enhancements which address the changing requirements within the healthcare insurance industry.
- To maintain the City’s current specified rate structure in accordance with changes in the Federal Medicare Fee Schedule. A revised rate structure will be established by the Administrator and reviewed with the City each January, following the annual revision of the Medicare Fee Schedule.
- 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, Warwick Resident Fund, etc.)
- To account for all contractual write-offs and record each accordingly after the applicable payments have been received.
- To properly classify accounts which should be transferred to the Warwick Resident Fund and to post all payments received from the Warwick Resident Fund.
- To provide customer service support for all billing inquiries and requests for information.
- To provide initial collection agency services for the delinquent accounts.
- To provide forms and assistance for hardship cases.
- If applicable, to transfer aged uncollectible account balances to the City’s 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, the Administrator will post the activity accordingly. The Administrator’s collection agency receivable should accurately reflect the outstanding account balance held by the Collection Agency at any time.
- To ensure that no Warwick resident accounts are sent to Collection, especially those with “out of city” zip codes.
- To post lockbox payments (both cash and electronic fund transfers) on a daily basis from remittance information provided by the bank.
- To balance out lockbox cash for the month. It is imperative that the monthly collections reported by the Administrator balance to the cash deposits reflected on the monthly lockbox bank statement. Monthly reports must include deposits through the last day of the month. Also, the City will pay the administrative fee on a monthly basis, based upon a percentage of the reported collection total, net of payments received from the Warwick Resident Public Fund and the Collection Agency.
- During the term of the engagement, it is possible that the City may transition to a new bank and implement a new lockbox account. During this transition, the Administrator will be required to provide two separate monthly cash deposit reports – one summarizing collections from the old lockbox and one pertaining to the new lockbox.
- To properly separate the Administrator’s collections, the prior Administrator’s collections (if applicable) and the Collection Agency’s collections on the monthly lockbox report. All rescue service collections are deposited into one lockbox so it is important to separate collections by billing agency. Daily activity should be classified properly and all collections should be posted to the applicable receivable accounts. If there is a fee for posting the collection agency collections to the patient accounts, please indicate it on the Bid & Contract Form. This will be separate from the Administrator’s administrative fee which only applies to the Administrator’s collections.
- To meet at regular intervals with City Finance Department personnel to review the current billing procedures and to discuss new developments within the health care industry, as well as any pending state or federal legislation that might affect the billing process. The Administrator should also periodically review the City’s billing rate structure, and advice if alterations are necessary based upon adjustments to the Medicare fee schedule.
- To ensure that the City remains compliant with all applicable HIPAA and Medicare requiremen
[C] Eligibility:
- Onshore (USA Organization 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: October 14,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : BILLING-1145
Government Authority located in Rhode Island; USA based organization looking for expert vendor for rescue billing administrator service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide rescue billing administrator service
- To work with rescue service personnel to collect specific information pertaining to rescue runs, and subsequently to submit bills to the applicable medical insurers which include Medicare, Medicaid, Blue Cross, and the Warwick Resident Public Fund. (We also deal with a myriad of private health, auto, and workers compensation insurers.)
- To accept rescue run information from the City via an electronic patient care report (EPCR) that has been approved by the Rhode Island Department of Health, Division of EMS.
- To periodically review incident reports filed by Fire Department personnel and provide suggestions for enhancements which address the changing requirements within the healthcare insurance industry.
- To maintain the City’s current specified rate structure in accordance with changes in the Federal Medicare Fee Schedule. A revised rate structure will be established by the Administrator and reviewed with the City each January, following the annual revision of the Medicare Fee Schedule.
- 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, Warwick Resident Fund, etc.)
- To account for all contractual write-offs and record each accordingly after the applicable payments have been received.
- To properly classify accounts which should be transferred to the Warwick Resident Fund and to post all payments received from the Warwick Resident Fund.
- To provide customer service support for all billing inquiries and requests for information.
- To provide initial collection agency services for the delinquent accounts.
- To provide forms and assistance for hardship cases.
- If applicable, to transfer aged uncollectible account balances to the City’s 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, the Administrator will post the activity accordingly. The Administrator’s collection agency receivable should accurately reflect the outstanding account balance held by the Collection Agency at any time.
- To ensure that no Warwick resident accounts are sent to Collection, especially those with “out of city” zip codes.
- To post lockbox payments (both cash and electronic fund transfers) on a daily basis from remittance information provided by the bank.
- To balance out lockbox cash for the month. It is imperative that the monthly collections reported by the Administrator balance to the cash deposits reflected on the monthly lockbox bank statement. Monthly reports must include deposits through the last day of the month. Also, the City will pay the administrative fee on a monthly basis, based upon a percentage of the reported collection total, net of payments received from the Warwick Resident Public Fund and the Collection Agency.
- During the term of the engagement, it is possible that the City may transition to a new bank and implement a new lockbox account. During this transition, the Administrator will be required to provide two separate monthly cash deposit reports – one summarizing collections from the old lockbox and one pertaining to the new lockbox.
- To properly separate the Administrator’s collections, the prior Administrator’s collections (if applicable) and the Collection Agency’s collections on the monthly lockbox report. All rescue service collections are deposited into one lockbox so it is important to separate collections by billing agency. Daily activity should be classified properly and all collections should be posted to the applicable receivable accounts. If there is a fee for posting the collection agency collections to the patient accounts, please indicate it on the Bid & Contract Form. This will be separate from the Administrator’s administrative fee which only applies to the Administrator’s collections.
- To meet at regular intervals with City Finance Department personnel to review the current billing procedures and to discuss new developments within the health care industry, as well as any pending state or federal legislation that might affect the billing process. The Administrator should also periodically review the City’s billing rate structure, and advice if alterations are necessary based upon adjustments to the Medicare fee schedule.
- To ensure that the City remains compliant with all applicable HIPAA and Medicare requiremen
[C] Eligibility:
- Onshore (USA Organization 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: October 14,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$