RFP Notification Services

RFP ID: MB-0020
We are California, USA based organization requesting proposals from expert vendor (From USA ONLY) for Emergency Medical Services (EMS) Billing. The contract would be for three years with the option to extend for an additional two one-year periods.
[A] Notice Type: RFP (Request for Proposals)
[B] Budget: Looking for Proposals
[C] Scope of Service:
(1) Service Provider shall provide in the proposal, detailed steps that will be taken once the account is received from us including the number of contacts and procedures that will be taken to secure payment for the service. This shall include research methods of patients’ ability to pay, and efforts to locate and correct any incorrect billing address for billable patients.
(2) Service Provider shall provide detailed information on how it will handle incomplete patient data. We will provide electronic pre-hospital patient care records from the ImageTrend program. We currently utilize ImageTrend to capture patient data electronically.
(3) Service Provider must have the ability to accept patient data via hard copy. Service Provider should have the ability to utilize a secure FTP platform for billing transfer or an alternative detailed description of the recommended process. Service Provider will also be able to receive supplement patient information (such as FACE sheets, if available), via fax, email, or mail.
(4) Service Provider will provide all software and hardware associated with the billing and collections process. The software should interface with ImageTrend.
(5) The software/hardware billing system should ensure complete and uninterrupted back-up systems and a data recovery plan/system should a disaster occur.
(6) Service Provider should screen each document for completeness of data and level of service; Advanced Life Support (ALS) 1-1, (Basic Life Support) BLS, medications and skills administered. Use of appropriate ICD9 diagnosis codes and procedure codes for billing purposes is essential.
(7) Service Provider should have the ability to bill electronically on their secure server for the various claim types: Medicare, Medi-Cal, commercial insurances and private payers following all guidelines of Centers for Medicare & Medicaid Services (CMS). Service Provider should also process denials for insurances including Medicare and Medi-Cal according to defined timelines.
(8) Service Provider shall agree to provide a minimum of 24 hours of operational training and 6 hours of management/finance training prior to transfer of responsibilities to Service Provider.
(9) Service Provider shall provide acknowledgement of account placement within 10 days of submission via the same method that the account was submitted.
(10) For all accounts that are assigned to the Service Provider, all customer contact, including notices, mailing, itemizations, small claims, bankruptcy filings, and miscellaneous requests and inquiries, is sole responsibility of the Service Provider. Service Provider will also be responsible for any and all costs incurred in and associated with the collection of debts referred to it by us.
(11) Service Provider shall provide CSRs that are available at a minimum from 8:00 AM – 5:00 PM (local time), Monday through Friday, excluding major holidays. A toll free number shall be provided, as well as fax and email. Spanish-speaking representatives shall also be available.
(12) Required reports will be provided by Service Provider on monthly, ad-hoc or as required basis.
(13) Service Provider shall be HIPAA compliant.
[D] Eligibility:
Onshore (USA Only)
[E] Work Performance:
Performance of the work will be offsite; Contractor needs to carry work on their office premises within USA.
[F] Deadline to Submit Proposals: July 2, 2010
Cost to Apply: $17.99