Posted Date : October 24,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4648
Government Authority located in Rhode Island; USA based organization looking for expert vendor for emergency medical billing services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide emergency medical billing services division responds to over 3000 calls per year and utilizes an electronic patient care reporting system.
• Monthly reporting to the City that details the activity for the month, as well as the type of services provided. In addition, the vendor must provide reports on as “as needed basis” as determined solely by the City/Town at no additional charge.
• A system of receiving reports from the City on a daily basis and rapid verification of information on the reports to ensure billing can be quickly and efficiently accomplished.
• Vendor must have access to a database which includes all diagnostic codes and procedure codes including newly established codes and fee schedules created under the Affordable Health Care Act in order to sequence each rescue run properly and receive the maximum payment.
• Vendor must possess an ICD-9 diagnosis code database that includes the entire volume of available diagnosis codes. The vendor must also possess the ability to sequence these codes based upon their relative value to ensure maximum reimbursement and minimize exposure to an insurance audit.
• Vendor must establish a process by which all rejected claims for payment are quickly reviewed, corrected and resubmitted.
• The City will retain complete discretion of all administrative decisions regarding the management and billing of and/or receiving of payments for emergency medical services.
• Vendor must provide training to all City personnel necessary to implement this billing process, (i.e., rescue personnel, other fire department personnel, finance personnel, etc.).
• Vendor will deposit all payments directly into a special account set up by the City.
• Vendor must ensure that Electronic Claims Interface with Rhode Island Medicare, Blue Cross/ Blue Shield of Rhode Island, United Healthcare, and Rhode Island Medicaid, as well any other medical insurance carriers available in the State of Rhode Island, and that the process is operational and functional.
• Vendor will be required to provide proof of “Errors and Omissions” insurance coverage in the aggregate amount of one million dollars ($1,000,000) and a Certificate of Insurance indicating the “The City of Central Falls Fire/Rescue Service” as additional insured and as an insurance certificate holder.
• Vendor must have the ability to retrieve patient demographic and insurance electronically from the local hospitals affiliated with our service delivery.
• Vendor must make recommendations to increase the City’s EMS revenue generating capability.
• Vendor must submit a complete listing and description of the information that each EMT must record on a billing incident report following a rescue run in order to fulfill the vendor’s billing requirement.
• Vendor must submit a listing of all current EMS departments, with attached phone numbers and contacts, for whom the vendor is currently performing these services within the State of Rhode Island.
• Vendor must submit a complete explanation of how the complete billing incident report reaches the office.
• Vendor must submit a detailed plan of how the billing process will work. This system must be completely operational upon the execution of a contract.
• Vendor must submit a complete explanation of their fee structure.
• Vendor must submit a sample patient statement (bill) generated for a rescue run.
- For more information describe in document.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: October 30,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
![]()
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4648
Government Authority located in Rhode Island; USA based organization looking for expert vendor for emergency medical billing services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide emergency medical billing services division responds to over 3000 calls per year and utilizes an electronic patient care reporting system.
• Monthly reporting to the City that details the activity for the month, as well as the type of services provided. In addition, the vendor must provide reports on as “as needed basis” as determined solely by the City/Town at no additional charge.
• A system of receiving reports from the City on a daily basis and rapid verification of information on the reports to ensure billing can be quickly and efficiently accomplished.
• Vendor must have access to a database which includes all diagnostic codes and procedure codes including newly established codes and fee schedules created under the Affordable Health Care Act in order to sequence each rescue run properly and receive the maximum payment.
• Vendor must possess an ICD-9 diagnosis code database that includes the entire volume of available diagnosis codes. The vendor must also possess the ability to sequence these codes based upon their relative value to ensure maximum reimbursement and minimize exposure to an insurance audit.
• Vendor must establish a process by which all rejected claims for payment are quickly reviewed, corrected and resubmitted.
• The City will retain complete discretion of all administrative decisions regarding the management and billing of and/or receiving of payments for emergency medical services.
• Vendor must provide training to all City personnel necessary to implement this billing process, (i.e., rescue personnel, other fire department personnel, finance personnel, etc.).
• Vendor will deposit all payments directly into a special account set up by the City.
• Vendor must ensure that Electronic Claims Interface with Rhode Island Medicare, Blue Cross/ Blue Shield of Rhode Island, United Healthcare, and Rhode Island Medicaid, as well any other medical insurance carriers available in the State of Rhode Island, and that the process is operational and functional.
• Vendor will be required to provide proof of “Errors and Omissions” insurance coverage in the aggregate amount of one million dollars ($1,000,000) and a Certificate of Insurance indicating the “The City of Central Falls Fire/Rescue Service” as additional insured and as an insurance certificate holder.
• Vendor must have the ability to retrieve patient demographic and insurance electronically from the local hospitals affiliated with our service delivery.
• Vendor must make recommendations to increase the City’s EMS revenue generating capability.
• Vendor must submit a complete listing and description of the information that each EMT must record on a billing incident report following a rescue run in order to fulfill the vendor’s billing requirement.
• Vendor must submit a listing of all current EMS departments, with attached phone numbers and contacts, for whom the vendor is currently performing these services within the State of Rhode Island.
• Vendor must submit a complete explanation of how the complete billing incident report reaches the office.
• Vendor must submit a detailed plan of how the billing process will work. This system must be completely operational upon the execution of a contract.
• Vendor must submit a complete explanation of their fee structure.
• Vendor must submit a sample patient statement (bill) generated for a rescue run.
- For more information describe in document.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: October 30,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$