RFP ID: MB-0013
We are Oklahoma; USA based organization looking for Expert Vendor for Billing Management Service.
[A] Notice Type: RFP (Request for Proposal)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Service Provider shall provide a minimum of 6 accesses to its practice management and billing software. This is based on current needs and staffing. Service Provider shall take the necessary steps to insure a 98% - up time through these accesses.
(2) Service Provider shall be responsible for installation and necessary software setup to initiate the system. Thereafter, we will be responsible for maintenance of hardware and network.
(3) Service Provider will also take care of maintenance of software and all necessary updates.
(4) Service Provider shall enter non-point of service activity into company’s practice management and billing information system to include patient demographics, charges, diagnoses, mailed receipts and adjustments from information supplied by us.
(5) Service Provider shall provide and demonstrate how to obtain daily account transactions showing payer, date, amount, and change in both patient balance and A/R balance.
(6) Service Provider shall provide and demonstrate how to obtain a report demonstrating claim denials. Service Provider will work with us jointly in resolving claim denials and will jointly review these daily.
(7) Service Provider shall provide current ICD-9 (International Codes of Diseases-Revision 9) and CPT (Current Procedural Terminology) coding training, analysis, and expert support.
(8) Service Provider shall perform insurance claim follow-up, patient balance follow-up statements, and collection letter generation.
(9) Service Provider shall answer incoming billing related telephone calls and provide the associated customer service support out of Company’s office.
(10) Service Provider shall submit electronic claims to payers that can accept claims in an electronic format and submitting paper claims to payers that cannot accept a claim in an electronic format.
(11) Service Provider will perform the necessary steps to correct wrong addresses as a result of return mail and will assist us in maintaining an accurate patient demographic database.
(12) Service Provider shall provide monthly reporting regarding various operational statistics and performance indicators to be mutually agreed upon and be capable to produce ad-hoc reports.
(13) Service Provider will provide on-site training on billing software and physically be on-site to provide supervision of staff for conversion to a new system.
(14) Service Provider will also provide ICD-9 and CPT coding training/seminars in our office
(15) Service Provider shall comply with all HIPAA requirements
(16) Service Provider’s software shall allow for and have the ability to bill insurance companies and produce reports based on the - rendering physicians and the billing physicians.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be either Offsite. All services described herein shall be performed within the United States. Work cannot be performed outside Boundaries of United States of America.
Interested Vendors are requested to submit proposals on or before May 24, 2010 via post, courier or hand delivery only.
Status: RFP Expired
