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We are Providing Government Procurement Consulting Services

USA (Kansas) Offsite Medical Billing Services

RFP ID : MB-0006
We are based in Kansas, USA and we are requesting bids from experienced service providers (From USA Only), for Medical Billing Services. The contract will be of 2 years with an option to renew it for three additional one (1) year terms.
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Provide Medical Billing Services for approximately 18900000 USD in patient services rendered.
(2) Have ability to perform the following:
(a) ICD-9 Coding (Coding Services), (b) Electronic and Paper Claims Filing, (c) Post Payments, (d) Primary, Secondary, and Tertiary Claims Filing, (e) Rejected Claim Resolution (i.e. Letter of Medical Necessity), (f) Patient Statements and (g) Receive electronic information from our electronic patient reporting system.
(3) Have customized software and/or have an equivalent to fit our needs.
(4) Utilize a document imaging product for storage and retrieval of signature pages and supporting documentation.
(5) Guarantee daily claims filing (HIPPA Compliant), with a 100% electronic billing capacity.
(6) Guarantee claim follow up and re-bill and work with the insurance companies when applicable.
(7) Be responsible for the re-billing of any claim sent to collections that is billable to Medicare, Blue Cross/Blue Shield and Medicaid.
(8) Provide the software and hardware necessary to interface between EMS reporting system and their central processing unit.
(9) Provide on-site training for EMS administration staff on the software utilized.
(10) Provide pre-collection activities on accounts to significantly reduce accounts being turned to an outside collection agency.
(11) Accept responsibility for all EMS consumers billing inquires and retrieval of medical records for affiliated agencies on normal business days from 8:00 a.m. – 5:00 p.m.
(12) Accept responsibility for all EMS consumer complaints and complements by providing this information to the EMS administration (hard copy) no later than the following work day or by computer media (i.e. internet).
(13) Be responsible for refund requests and provide backup material that supports the request. (Copies of the payment, checks, remittance advices, credit account balances). Keep the credit balance within a reasonable amount with regards to amount receivable balances. (negotiated)
(14) Guarantee the ability to define EMS specific general ledger accounts for cash, accounts receivable, general adjustments, bad debt, write offs, etc.
(15) Supply the EMS administration, necessary reports on a daily, monthly or as required basis.
(16) Bad debts written off shall be sent in a legible format. (to be negotiated)
(17) Guarantee the ability to define EMS specific general ledger accounts for cash, accounts receivable, general adjustments, bad debt, write offs, etc.
[D] Work Performance:
Performance of the work will be Offsite.
[E] Eligibility:
Onshore (USA Only)
Interested service providers are requested submit proposals on or before May 4, 2010 via post, courier or hand delivery only.

Status: RFP Expired