RFP ID : MB-0005
We are Texas; USA based organization looking for Expert Vendor for our requirement of Third Party Billing & Collection Services
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1.) Transition from a hard copy format of the billing and patient data for preparation of monthly statements and/or third party filings to an electronic format of reporting.
(2.) Calculate mileage for billing from point of pickup to destination.
(3.) Obtain any missing data necessary for billing from either the receiving hospital or from the patient by telephone or in person. (Using the U.S. Postal Service for such inquiries is discouraged and only viable if telephone contact numbers are unavailable.)
(4.) File claims, electronically or by using appropriate forms, on behalf of patients with Medicare, Medicaid, Worker’s Compensation, Personal Injury Protection, and third party insurance companies.
(5.) Gather, extract and transmit data collected from patient run information to satisfy the reporting requirements.
(6.) Adhere to and implement current privacy standards of Health Insurance Portability and Accountability Act (HIPAA) requirements. Follow national electronic data interchange (EDI) standards and use national standard codes such as HCPCS, CPT, and CDT.
(7.) Adhere to and be aware of the current billing requirements and contractual restrictions dictated by the Centers of Medicare and Medicaid Services, Texas Medicaid and Healthcare Partnership, the Health Insurance Portability and Accountability Act, and the Texas Worker’s Compensation Commission and shall hold the City harmless for any billing errors due to the Contractor’s activity.
(8.) Send the patient or the patient’s responsible party a statement advising the status of the claim every thirty days.
(9.) Collect all EMS account fees and establish monthly payment plans, when necessary, for patients financially unable to make one full payment.
(10.) We will notify the Contractor of any direct payments and will credit the Contractor with the contractual rate for all such direct payments collected after the Contractor begins active collection efforts.
(11.) The Contractor shall suspend the billing and collecting efforts on any EMS account upon written notice to do so by a representative of our department. We may recall any EMS account, all at no cost to the City, except for fees earned prior thereto.
(12.) The Contractor shall not have the right to refuse to bill and collect any EMS fee.
(13.) The Contractor shall maintain adequate records of the services performed such as invoicing, statement and dunning letter processing for audit by us. All such records shall be available for inspection and audit, without prior notice, by us.
(14.) All standard billing, collecting, and account status reporting formats will be in a format acceptable to us. The Offeror’s proposal shall include proposed sample reports and the desired schedule for furnishing each.
[D] Work Performance:
Performance of the work may be partially onsite.
[E] Eligibility:
Onshore (USA Only)
[F] Pre-bid Conference has been scheduled on April 14, 2010.
Interested service providers are requested submit proposals on or before May 4, 2010.
Status: RFP Expired
