Posted Date : August 23,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5615
Government authority located in Tennessee; USA based organization looking for expert vendor for ambulance billing services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide ambulance billing services to provide a general overview of the comprehensive EMS billing and records management solution with accompanying policies and procedures that provide for accurate and timely billing.
- Provide a detailed listing of all data breaches including volume of patients affected and
current status
- The service provider shall be a direct electronic claims processor
- Electronic claims shall be filed for Medicaid and Medicare for surrounding states
- The service provider should indicate that they transmit and receive Medicare claims via the required
national standard format, or any future standard format Medicare or Medicaid may require
- The service provider should also indicate that they are currently filing electronic claims with all commercial insurance carriers that accept electronic claims
- The service provider shall demonstrate responsibility for determining what information shall be collected and retained to meet the criteria established by Medicare, Medicaid, and private medical carriers for billing appeals, auditing, and other functions defined by these carriers
- Provide all labour, materials, and technology necessary to obtain missing patient information from all available sources prior to issuing insurance claims or direct patient billing
- Describe how patient accounts are updated upon receipt of payment information
- If a payment plan has been established with the patient that exceeds 120 days for non-insurance bills, and it is being met, the account will not be turned over to the collection agency
- Describe the appeals and review processes for denied claims and the process for limiting denied claims
- Describe the cash posting process
- Show sufficient number of qualified and experienced application software and hardware personnel to rectify any problems that may arise during the testing, production installation, and maintenance period
- List any additional licenses that are necessary to fully operate all available aspects of proposed software to include reporting software
(2) A mandatory pre-proposal conference will be held on August 30, 2021.
(3) All question must be submitted no later than September 3, 2021.
[C] Eligibility:
- Onshore (USA ONLY);
[D] Work Performance:
Performance of the work will be Offsite.
Budget :
Deadline to Submit Proposals: September 10,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5615
Government authority located in Tennessee; USA based organization looking for expert vendor for ambulance billing services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide ambulance billing services to provide a general overview of the comprehensive EMS billing and records management solution with accompanying policies and procedures that provide for accurate and timely billing.
- Provide a detailed listing of all data breaches including volume of patients affected and
current status
- The service provider shall be a direct electronic claims processor
- Electronic claims shall be filed for Medicaid and Medicare for surrounding states
- The service provider should indicate that they transmit and receive Medicare claims via the required
national standard format, or any future standard format Medicare or Medicaid may require
- The service provider should also indicate that they are currently filing electronic claims with all commercial insurance carriers that accept electronic claims
- The service provider shall demonstrate responsibility for determining what information shall be collected and retained to meet the criteria established by Medicare, Medicaid, and private medical carriers for billing appeals, auditing, and other functions defined by these carriers
- Provide all labour, materials, and technology necessary to obtain missing patient information from all available sources prior to issuing insurance claims or direct patient billing
- Describe how patient accounts are updated upon receipt of payment information
- If a payment plan has been established with the patient that exceeds 120 days for non-insurance bills, and it is being met, the account will not be turned over to the collection agency
- Describe the appeals and review processes for denied claims and the process for limiting denied claims
- Describe the cash posting process
- Show sufficient number of qualified and experienced application software and hardware personnel to rectify any problems that may arise during the testing, production installation, and maintenance period
- List any additional licenses that are necessary to fully operate all available aspects of proposed software to include reporting software
(2) A mandatory pre-proposal conference will be held on August 30, 2021.
(3) All question must be submitted no later than September 3, 2021.
[C] Eligibility:
- Onshore (USA ONLY);
[D] Work Performance:
Performance of the work will be Offsite.
Budget :
Deadline to Submit Proposals: September 10,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
