Type: Tender
ID: 1009773
Category: Medical Billing Services
Title: Emergency Medical Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 1 Year Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for provision of emergency medical billing service. The duration of the contract is 1 year with 2 optional 1 year extensions.
Scope:
1. Provide EMS billing service
2. Provide all services necessary to receive and process patient billing and debt collection
3. Creation and maintenance of interface capability to receive electronic run tickets
4. Electronically file insurance claims and mail direct patient billing upon verification of run ticket information no later than 25 days after receipt of run ticket
5. Provide follow-up billing upon receipt of “new” information received concerning a patient
6. Update patient accounts upon receipt of payment information.
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 31, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 29-12-2010
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Air Medical Billing Service
Type: Tender
ID: 1009730
Category: Medical Billing Services
Title: Air Medical Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 2 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for air medical billing service. The duration of the contract is 2 years with 3 additional one year option periods.
Scope:
1. Contractor must submit claims with complete payer and other required information within no more 48 to 72 hours of receipt
2. Contractor must determine insurance eligibility for the patient
3. Must verify coverage for the patient, and must ensure that they have sent out the right amount due in a notice to the patient for services provided
4. Contractor must make documented efforts to get in contact with the patient if full payment has not been received
5. Contractor must maintain a structured process for billing procedures and conduct regular monitoring and auditing of compliance as often as needed but not less than yearly
6. Contractor must ensure access to patient information should be limited to only those who use it for billing purposes
7. Ability to process patient payments by credit card, preferable using either telephone and online
8. Ability to identify over payments at time of payment posting and to ensure
9. Contractor shall have a reviews and appeals process which shall be reviewed periodical.
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 14, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 27-12-2010
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ID: 1009730
Category: Medical Billing Services
Title: Air Medical Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 2 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for air medical billing service. The duration of the contract is 2 years with 3 additional one year option periods.
Scope:
1. Contractor must submit claims with complete payer and other required information within no more 48 to 72 hours of receipt
2. Contractor must determine insurance eligibility for the patient
3. Must verify coverage for the patient, and must ensure that they have sent out the right amount due in a notice to the patient for services provided
4. Contractor must make documented efforts to get in contact with the patient if full payment has not been received
5. Contractor must maintain a structured process for billing procedures and conduct regular monitoring and auditing of compliance as often as needed but not less than yearly
6. Contractor must ensure access to patient information should be limited to only those who use it for billing purposes
7. Ability to process patient payments by credit card, preferable using either telephone and online
8. Ability to identify over payments at time of payment posting and to ensure
9. Contractor shall have a reviews and appeals process which shall be reviewed periodical.
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 14, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 27-12-2010
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Monday, December 27, 2010
Medical Coding Service
Type: Tender
ID: 1009723
Category: Medical Billing Services
Title: Medical Coding Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for Medical Coding Service.
Scope:
1. Provider must be able to code outpatient encounters based on the documentation in the Computerized Patient Record System (CPRS), input Data entry into Compliance Module using incorporated edits contained in the software.
2 This includes Encoder MD and/or Quantum
3. All Coders will follow-up with providers to obtain missing documentation, clarification of terminology or other documentation, and any other coding or documentation requirements necessary for accurate billing using compliance e-mail.
4. Coders shall be utilized only on an “as needed basses”.
This is an on shore and off site tender. Interested service providers are requested to contact no later than December, 29, 2010 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 24-12-2010
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ID: 1009723
Category: Medical Billing Services
Title: Medical Coding Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for Medical Coding Service.
Scope:
1. Provider must be able to code outpatient encounters based on the documentation in the Computerized Patient Record System (CPRS), input Data entry into Compliance Module using incorporated edits contained in the software.
2 This includes Encoder MD and/or Quantum
3. All Coders will follow-up with providers to obtain missing documentation, clarification of terminology or other documentation, and any other coding or documentation requirements necessary for accurate billing using compliance e-mail.
4. Coders shall be utilized only on an “as needed basses”.
This is an on shore and off site tender. Interested service providers are requested to contact no later than December, 29, 2010 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 24-12-2010
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Friday, December 24, 2010
EMS Ambulance Billing Service
Type: Tender
ID: 1009722
Category: Medical Billing Services
Title: EMS Ambulance Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Ambulance Billing Service.
Scope:
1. Provider shall have experience with, and complete knowledge of ground ambulance transportation billing with Medicare, Medicaid, and all other applicable sources of reimbursement.
2. There shall be complete understanding of current regulations regarding electronic claims, paper claims, appeals and all other processing.
3 Provider must be in compliance with federal privacy regulations as defined in the Health Insurance Portability and Accountability Act (HIPPA).
4. Provider shall gather all data in format and file all government and insurance company claims for reimbursement in electronic format.
5. Provider shall maintain a paper reporting back-up system in the event of an electronic failure so as to maintain the uninterrupted filing and reimbursement process.
6. Provider must provide the County with monthly backup copies in an acceptable format to the County on a media of the choice of the County.
7. Provider must bear the cost of invoicing including but not limited to supplies, postage, etc. and must be responsible for rebilling rejected claims; partial paid claims and maintaining payments made and balance due.
8. Provider shall have sufficient staff that all billing will be accomplished within 10 days after receipt of such submission from the County. All rejected claims shall be re- submitted within 10 days of rejection.
9. Provider must provide 2 hard copies of a monthly activity summary report and aging report. These reports will cover patient status in regards to billing, payments, aging, adjustments, write offs and ending balances due and are reported by patient name, date of service, invoice number , and total amounts due aged by 30 day increments up to 120 days.
10. Provider must provide a report, which details all EMS patient runs, which remain unbilled at the end of each month.
11. Provider must maintain records as required by Medicare and Medicaid, and all other applicable government agencies and/or regulations.
12. Provider needs to respond to approximately 480 calls per year. (Monthly approx 30).
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 3, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 24-12-2010
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ID: 1009722
Category: Medical Billing Services
Title: EMS Ambulance Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Ambulance Billing Service.
Scope:
1. Provider shall have experience with, and complete knowledge of ground ambulance transportation billing with Medicare, Medicaid, and all other applicable sources of reimbursement.
2. There shall be complete understanding of current regulations regarding electronic claims, paper claims, appeals and all other processing.
3 Provider must be in compliance with federal privacy regulations as defined in the Health Insurance Portability and Accountability Act (HIPPA).
4. Provider shall gather all data in format and file all government and insurance company claims for reimbursement in electronic format.
5. Provider shall maintain a paper reporting back-up system in the event of an electronic failure so as to maintain the uninterrupted filing and reimbursement process.
6. Provider must provide the County with monthly backup copies in an acceptable format to the County on a media of the choice of the County.
7. Provider must bear the cost of invoicing including but not limited to supplies, postage, etc. and must be responsible for rebilling rejected claims; partial paid claims and maintaining payments made and balance due.
8. Provider shall have sufficient staff that all billing will be accomplished within 10 days after receipt of such submission from the County. All rejected claims shall be re- submitted within 10 days of rejection.
9. Provider must provide 2 hard copies of a monthly activity summary report and aging report. These reports will cover patient status in regards to billing, payments, aging, adjustments, write offs and ending balances due and are reported by patient name, date of service, invoice number , and total amounts due aged by 30 day increments up to 120 days.
10. Provider must provide a report, which details all EMS patient runs, which remain unbilled at the end of each month.
11. Provider must maintain records as required by Medicare and Medicaid, and all other applicable government agencies and/or regulations.
12. Provider needs to respond to approximately 480 calls per year. (Monthly approx 30).
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 3, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 24-12-2010
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EMS Billing And Collection Servic
Type: Tender
ID: 1009683
Category: Medical Billing Services
Title: EMS Billing And Collection Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Billing & Collection Service. The duration of the contract is 1 year with 2 optional 1 year extensions.
Scope:
1. Provide Emergency Medical Services (EMS) billing services, all services necessary to receive and process patient billing and Debt Setoff collection.
2. Create and maintain interface capability to receive electronic run tickets from the existing emsCharts system, check for discrepancies to ensure all run tickets have been received, and verify that required trip and patient information is included.
3. Contractor must be prepared to furnish, at some point during the term of the contract, either an electronic patient care reporting software system (ePCR)
4. Provide all labor, materials and technology necessary to obtain missing patient information from all available sources prior to issuing insurance claims or direct patient billing.
5. Electronically file insurance claims and mail direct patient billing upon verification of run ticket information no later than 25 days after receipt of run ticket.
6. Provide follow-up billing upon receipt of “new” information received concerning a patient. This includes, but is not limited to, additional insurance information, change of address, or change of responsible party.
7. Electronically receive data files from our lockbox and/or other sources (i.e., Medicare or insurance companies) to update patient accounts. Use our lockbox system (when available) for viewing lockbox receipts including check copies and enclosed correspondence. Hard copies of these items will not be provided, but may be printed from the online system.
8. Update patient accounts upon receipt of payment information.
9. Comply with all HIPAA rules and regulations.
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 31, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 21-12-2010
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ID: 1009683
Category: Medical Billing Services
Title: EMS Billing And Collection Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Billing & Collection Service. The duration of the contract is 1 year with 2 optional 1 year extensions.
Scope:
1. Provide Emergency Medical Services (EMS) billing services, all services necessary to receive and process patient billing and Debt Setoff collection.
2. Create and maintain interface capability to receive electronic run tickets from the existing emsCharts system, check for discrepancies to ensure all run tickets have been received, and verify that required trip and patient information is included.
3. Contractor must be prepared to furnish, at some point during the term of the contract, either an electronic patient care reporting software system (ePCR)
4. Provide all labor, materials and technology necessary to obtain missing patient information from all available sources prior to issuing insurance claims or direct patient billing.
5. Electronically file insurance claims and mail direct patient billing upon verification of run ticket information no later than 25 days after receipt of run ticket.
6. Provide follow-up billing upon receipt of “new” information received concerning a patient. This includes, but is not limited to, additional insurance information, change of address, or change of responsible party.
7. Electronically receive data files from our lockbox and/or other sources (i.e., Medicare or insurance companies) to update patient accounts. Use our lockbox system (when available) for viewing lockbox receipts including check copies and enclosed correspondence. Hard copies of these items will not be provided, but may be printed from the online system.
8. Update patient accounts upon receipt of payment information.
9. Comply with all HIPAA rules and regulations.
This is an on shore and off site tender. Interested service providers are requested to contact no later than January, 31, 2011 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Posted Date: 21-12-2010
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Tuesday, December 21, 2010
Emergency Medical Billing
Type: Tender
ID: 1008537
Category: Medical Billing Services
Title: Emergency Medical Billing
Clients Approx Budget: Need Best Proposals
Volume of Work: 1 Year Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for emergency medical billing service. The duration of the contract is 1 year with the possibility of further extension 4 additional one year periods.
Scope:
1. Providers are encouraged to submit a proposal for medical services billing and collection, as well as related administrative and reporting systems, for emergency medical transports in our region. Service Provider shall coordinate invoicing and collections to insurance companies, including Medicare, Medicaid, managed care organizations, commercial insurance companies and other designated third parties and payers for fees.
2. Provider must have knowledge of ambulance operations, data processing experience in the ambulance industry, systems management, integration and security experience in the ambulance industry, a demonstrable record of high achievement in accounts receivable collections, and experienced staff in health care collections.
3. Provider must have a HIPAA compliance manager and should be able to guarantee availability on-site within four hours; and must provide a Statement on Auditing Standards No. 70 (SAS 70) report (http://sas70.com) completed by an independent auditing firm within the past twenty-four months.
4. Provider shall submit a copy of their customer service rules, policies and guidelines, and training program requirements for staff answering the telephone. These customer service policies may be subject to amendment by us and Service Provider from time to time.
This is an on shore and off site tender. Interested service providers are requested to contact no later than October, 13, 2010, 3:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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ID: 1008537
Category: Medical Billing Services
Title: Emergency Medical Billing
Clients Approx Budget: Need Best Proposals
Volume of Work: 1 Year Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for emergency medical billing service. The duration of the contract is 1 year with the possibility of further extension 4 additional one year periods.
Scope:
1. Providers are encouraged to submit a proposal for medical services billing and collection, as well as related administrative and reporting systems, for emergency medical transports in our region. Service Provider shall coordinate invoicing and collections to insurance companies, including Medicare, Medicaid, managed care organizations, commercial insurance companies and other designated third parties and payers for fees.
2. Provider must have knowledge of ambulance operations, data processing experience in the ambulance industry, systems management, integration and security experience in the ambulance industry, a demonstrable record of high achievement in accounts receivable collections, and experienced staff in health care collections.
3. Provider must have a HIPAA compliance manager and should be able to guarantee availability on-site within four hours; and must provide a Statement on Auditing Standards No. 70 (SAS 70) report (http://sas70.com) completed by an independent auditing firm within the past twenty-four months.
4. Provider shall submit a copy of their customer service rules, policies and guidelines, and training program requirements for staff answering the telephone. These customer service policies may be subject to amendment by us and Service Provider from time to time.
This is an on shore and off site tender. Interested service providers are requested to contact no later than October, 13, 2010, 3:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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Tuesday, September 14, 2010
Medical Billing Service
Type: Tender
ID: 1008063
Category: Medical Billing Services
Title: Medical Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for medical billing service.
Scope:
1. Air medical billing services may include:
- Unique staffing models to augment current personnel
- Offer cost recovery methods and/or models
- Information on any innovative and unique service models
- Information on best practice that offer enhanced medical safety and training
- Best practice that offer infrastructure support for maintenance and warehouse of assets
- Practice that offer collaboration efforts via joint exercise powers
of agreement.
This is an on shore and off site tender. Interested service providers are requested to contact no later than August, 6, 2010, 4:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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ID: 1008063
Category: Medical Billing Services
Title: Medical Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for medical billing service.
Scope:
1. Air medical billing services may include:
- Unique staffing models to augment current personnel
- Offer cost recovery methods and/or models
- Information on any innovative and unique service models
- Information on best practice that offer enhanced medical safety and training
- Best practice that offer infrastructure support for maintenance and warehouse of assets
- Practice that offer collaboration efforts via joint exercise powers
of agreement.
This is an on shore and off site tender. Interested service providers are requested to contact no later than August, 6, 2010, 4:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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Saturday, July 31, 2010
Alaram Billing Service
Type: Tender
ID: 1007875
Category: Billing Services
Title: Alaram Billing Service
Clients Approx Budget: Need Best Proposal
Volume of Work:
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for alaram billing service.
Scope:
1. Process new applications for alarm users
2. Process renewal applications
3. Maintain records of alarm users operating in the Town
4. Extract records that indicate locations of false alarms
5. Justify which false alarms are billable, the rate at which each alarm is billable, and total amount of fee to be levied for each location
6. Issue bills, at least monthly, to alarm users along with documentation of the delinquent addresses and billable amounts for each address
7. Collect fees from alarm users as an agent of the Town and report to the Town the amount of fees collected including documentation of each transaction
8. Identify and provide notice to alarm users that are delinquent by 30 days
9. Report to the Town those alarms users that are delinquent by 30 days
10. Respond to citizen complaints about lack of service to an alarm address
11. Respond to miscellaneous citizen complaints concerning the false alarm billing collection and related services
12. Provide monthly payments to the Town, less administrative fees, of monies collected.
13) The proposer shall be the point of contact for all contacts with alarm users.
This is an on shore and off site tender. Interested service providers are requested to contact no later than July, 29, 2010 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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ID: 1007875
Category: Billing Services
Title: Alaram Billing Service
Clients Approx Budget: Need Best Proposal
Volume of Work:
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for alaram billing service.
Scope:
1. Process new applications for alarm users
2. Process renewal applications
3. Maintain records of alarm users operating in the Town
4. Extract records that indicate locations of false alarms
5. Justify which false alarms are billable, the rate at which each alarm is billable, and total amount of fee to be levied for each location
6. Issue bills, at least monthly, to alarm users along with documentation of the delinquent addresses and billable amounts for each address
7. Collect fees from alarm users as an agent of the Town and report to the Town the amount of fees collected including documentation of each transaction
8. Identify and provide notice to alarm users that are delinquent by 30 days
9. Report to the Town those alarms users that are delinquent by 30 days
10. Respond to citizen complaints about lack of service to an alarm address
11. Respond to miscellaneous citizen complaints concerning the false alarm billing collection and related services
12. Provide monthly payments to the Town, less administrative fees, of monies collected.
13) The proposer shall be the point of contact for all contacts with alarm users.
This is an on shore and off site tender. Interested service providers are requested to contact no later than July, 29, 2010 by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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Friday, July 16, 2010
EMS Billing Service
Type: Tender
ID: 1007308
Category: Billing Services
Title: EMS Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Year Contract
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for EMS billing service. The duration of the contract is 3 years with the possibility of further extension for 2 additional 1 year options.
Scope:
1. Provide comprehensive electronic billing service for inpatient and outpatient billing for hospital services
2. Approximate number of claims is 27000 on monthly basis
3. Creation and programming of all required billing edits
4. Preparation of bills for clean claim submission
5. Billing system must accommodate several components
6. Control of loading payers into billing system must be maintained
7. Ability to automatically upload the correct bill file into correct component of system
8. Ability to copy a claim and make changes to the copy without changing the original
9. Provide the capability of manually entering claims into the system
10. System must accommodate electronic dental billing
11. Billing system must produce error reports including summary and detail.
This is an on shore and off site tender. Interested service providers are requested to contact no later than June, 30, 2010, 2:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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ID: 1007308
Category: Billing Services
Title: EMS Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Year Contract
Description: We are US based looking to outsource our requirement of Billing Service. We are looking for EMS billing service. The duration of the contract is 3 years with the possibility of further extension for 2 additional 1 year options.
Scope:
1. Provide comprehensive electronic billing service for inpatient and outpatient billing for hospital services
2. Approximate number of claims is 27000 on monthly basis
3. Creation and programming of all required billing edits
4. Preparation of bills for clean claim submission
5. Billing system must accommodate several components
6. Control of loading payers into billing system must be maintained
7. Ability to automatically upload the correct bill file into correct component of system
8. Ability to copy a claim and make changes to the copy without changing the original
9. Provide the capability of manually entering claims into the system
10. System must accommodate electronic dental billing
11. Billing system must produce error reports including summary and detail.
This is an on shore and off site tender. Interested service providers are requested to contact no later than June, 30, 2010, 2:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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Saturday, June 5, 2010
University Medical Billing
Type: Tender
ID: 1006998
Category: Medical Billing Services
Title: University Medical Billing
Clients Approx Budget: Need Best Proposals
Volume of Work: 1 Year Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for University Medical Billing Service. The duration of the contract is 1 year with the possibility of further extension for 4 additional one-year periods.
Scope:
1. 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. Responsible for installation and necessary software setup to initiate the system. Thereafter, we will be responsible for maintenance of hardware and network.
3. Maintenance of software and all necessary updates.
4. 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. Provide and demonstrate how to obtain daily account transactions showing payer, date, amount, and change in both patient balance and A/R balance.
6. 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. Provide current ICD-9 (International Codes of Diseases-Revision 9) and CPT (Current Procedural Terminology) coding training, analysis, and expert support.
8. Perform insurance claim follow-up, patient balance follow-up statements, and collection letter generation.
9. Answer incoming billing related telephone calls and provide the associated customer service support out of Company’s office.
10. 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. 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. Provide monthly reporting regarding various operational statistics and performance indicators to be mutually agreed upon and be capable to produce ad-hoc reports.
13. Provide on-site training on billing software and physically be on-site to provide supervision of staff for conversion to a new system.
14. Provide ICD-9 and CPT coding training/seminars in our office
15. Comply with all HIPAA requirements
16. Software shall allow for and have the ability to bill insurance companies and produce reports based on the ?rendering physicians and the billing physicians.
This is an on shore and off site tender. Interested service providers are requested to contact no later than May, 24, 2010, 2:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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ID: 1006998
Category: Medical Billing Services
Title: University Medical Billing
Clients Approx Budget: Need Best Proposals
Volume of Work: 1 Year Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for University Medical Billing Service. The duration of the contract is 1 year with the possibility of further extension for 4 additional one-year periods.
Scope:
1. 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. Responsible for installation and necessary software setup to initiate the system. Thereafter, we will be responsible for maintenance of hardware and network.
3. Maintenance of software and all necessary updates.
4. 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. Provide and demonstrate how to obtain daily account transactions showing payer, date, amount, and change in both patient balance and A/R balance.
6. 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. Provide current ICD-9 (International Codes of Diseases-Revision 9) and CPT (Current Procedural Terminology) coding training, analysis, and expert support.
8. Perform insurance claim follow-up, patient balance follow-up statements, and collection letter generation.
9. Answer incoming billing related telephone calls and provide the associated customer service support out of Company’s office.
10. 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. 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. Provide monthly reporting regarding various operational statistics and performance indicators to be mutually agreed upon and be capable to produce ad-hoc reports.
13. Provide on-site training on billing software and physically be on-site to provide supervision of staff for conversion to a new system.
14. Provide ICD-9 and CPT coding training/seminars in our office
15. Comply with all HIPAA requirements
16. Software shall allow for and have the ability to bill insurance companies and produce reports based on the ?rendering physicians and the billing physicians.
This is an on shore and off site tender. Interested service providers are requested to contact no later than May, 24, 2010, 2:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
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Thursday, May 13, 2010
Medical Coding Service
Type: Tender
ID: 1006761
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for Medical Coding Service.
Scope:
1. Service Provider shall provide International Classification of Diseases, 9th Revision (ICD9) and Current Procedural Terminology (CPT) coding, abstracting and data input services to the Medical Center as needed, including, but not limited to, the following patient types:
a. Inpatient
b. Outpatient (Same Day Surgery, Observation, etc.)
c. Emergency (ER)
d. Long Term Care
e. Clinic
2. On an ongoing basis, Service Provider will be responsible for coding approximately 100 ER patient visits per day. Coding will be done remotely by on-line access to our electronic emergency department patient record.
3. Other coding support will be provided on-site, on an as needed basis.
4. Additional opportunities to provide remote coding support will be possible as we continue adoption of electronic medical records.
5. Service Provider shall be able to provide professional fee coding support as needed.
6 Approximate weekly volumes by patient type are:
a. Inpatient: 70
b. Outpatient: 100
c. Emergency (ER): 700
d. Long Term Care: 10
e. Clinics (including Primary Care, OB/GYN, Pediatric, Medical & Surgical Specialties): Up to 3500
7. Service Provider shall be proficient in lCD9 and CPT coding for both hospital and professional fee billing.
8 Records should be coded within 5 days of their being made available for coding.
9 Service Provider should not exceed a five percent (5%) coding error rate.
10. Service Provider shall conduct and document ongoing evaluation of coding accuracy.
This is an on and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Want to Apply for this
ID: 1006761
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work:
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for Medical Coding Service.
Scope:
1. Service Provider shall provide International Classification of Diseases, 9th Revision (ICD9) and Current Procedural Terminology (CPT) coding, abstracting and data input services to the Medical Center as needed, including, but not limited to, the following patient types:
a. Inpatient
b. Outpatient (Same Day Surgery, Observation, etc.)
c. Emergency (ER)
d. Long Term Care
e. Clinic
2. On an ongoing basis, Service Provider will be responsible for coding approximately 100 ER patient visits per day. Coding will be done remotely by on-line access to our electronic emergency department patient record.
3. Other coding support will be provided on-site, on an as needed basis.
4. Additional opportunities to provide remote coding support will be possible as we continue adoption of electronic medical records.
5. Service Provider shall be able to provide professional fee coding support as needed.
6 Approximate weekly volumes by patient type are:
a. Inpatient: 70
b. Outpatient: 100
c. Emergency (ER): 700
d. Long Term Care: 10
e. Clinics (including Primary Care, OB/GYN, Pediatric, Medical & Surgical Specialties): Up to 3500
7. Service Provider shall be proficient in lCD9 and CPT coding for both hospital and professional fee billing.
8 Records should be coded within 5 days of their being made available for coding.
9 Service Provider should not exceed a five percent (5%) coding error rate.
10. Service Provider shall conduct and document ongoing evaluation of coding accuracy.
This is an on and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country: United States
Want to Apply for this
Friday, April 23, 2010
Medical Billing Service
Type: Tender
ID: 1006645
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work: 2 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for medical billing service for county. The duration of the contract is 2 years with the possibility of further extension for 1 year.
Scope:
1. Provide Medical Billing Services for approximately 18900000 USD in patient services rendered.
2. Have ability to perform the following:
a. ICD-9 Coding b) Electronic and Paper Claims Filing, c) Post Payments, d) Primary, Secondary, and Tertiary Claims Filing, e) Rejected Claim Resolution 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 , 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 no later than the following work day or by computer media
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.
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.
17. Guarantee the ability to define EMS specific general ledger accounts for cash, accounts receivable, general adjustments, bad debt, write offs, etc.
This is an on shore and off site tender. Interested service providers are requested to contact no later than May, 4, 2010, 1:45 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country:United States
Want to Apply for this
ID: 1006645
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work: 2 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for medical billing service for county. The duration of the contract is 2 years with the possibility of further extension for 1 year.
Scope:
1. Provide Medical Billing Services for approximately 18900000 USD in patient services rendered.
2. Have ability to perform the following:
a. ICD-9 Coding b) Electronic and Paper Claims Filing, c) Post Payments, d) Primary, Secondary, and Tertiary Claims Filing, e) Rejected Claim Resolution 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 , 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 no later than the following work day or by computer media
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.
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.
17. Guarantee the ability to define EMS specific general ledger accounts for cash, accounts receivable, general adjustments, bad debt, write offs, etc.
This is an on shore and off site tender. Interested service providers are requested to contact no later than May, 4, 2010, 1:45 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country:United States
Want to Apply for this
Thursday, April 15, 2010
Electronic Medical Billing
Type: Tender
ID: 1006376
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for electronic medical billing service. The duration of the contract is 3 years.
Scope:
1. Ability to receive ambulance transport documentation on paper and electronically
2. Ability to set financial categories
3. Screening each document for completeness of data and level service
4. Ability to interpret ambulance document for proper and accurate billing
5. Transmission of billing data electronically to all payers accepting electronic claim submission
6. Process payments, adjustments, receipts and correspondence
7. Providing nationwide toll-free telephone lines to accommodate billing inquires from patients and other responsible parties
8. Handling all telephone calls and correspondence in a timely, professional and courteous manner
9. Ability to track subscriber memberships and bill and/or write-off accounts according to the County policy and produce reports detailing these accounts
10. Ability to customize billing forms and follow-up letters/notices per County requirements
11. Verify the receipt of these documents and return confirmation of receipt to the County
12. Provide a multi-lingual staff for communication with patients and other responsible parties
13. Provide printed revenue and accounting reports to the County on a monthly, quarterly and annual basis.
This is an on shore and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country:United States
Want to Apply for this
ID: 1006376
Category: Medical Billing Services
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for electronic medical billing service. The duration of the contract is 3 years.
Scope:
1. Ability to receive ambulance transport documentation on paper and electronically
2. Ability to set financial categories
3. Screening each document for completeness of data and level service
4. Ability to interpret ambulance document for proper and accurate billing
5. Transmission of billing data electronically to all payers accepting electronic claim submission
6. Process payments, adjustments, receipts and correspondence
7. Providing nationwide toll-free telephone lines to accommodate billing inquires from patients and other responsible parties
8. Handling all telephone calls and correspondence in a timely, professional and courteous manner
9. Ability to track subscriber memberships and bill and/or write-off accounts according to the County policy and produce reports detailing these accounts
10. Ability to customize billing forms and follow-up letters/notices per County requirements
11. Verify the receipt of these documents and return confirmation of receipt to the County
12. Provide a multi-lingual staff for communication with patients and other responsible parties
13. Provide printed revenue and accounting reports to the County on a monthly, quarterly and annual basis.
This is an on shore and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meetings or briefings. Please refer the attachment for more details.
Country:United States
Want to Apply for this
EMS Billing Service
Type: Tender
ID: 1006499
Category: Medical Billing Services
Title: EMS Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Billing Services. The duration of the contract is 3 years.
Scope:
1. Be able to set up financial categories (e.g. Medicare, Medi-Cal, HMO’s, Private Pay, Insurance, etc) as required by us for a minimum of 6 individual entities (ambulance response areas).
2. Have the ability to receive, ambulance transport documentation on paper and electronically.
3. Obtain patients’ or guardian’s signature and authorizations as required.
4. Research accounts with inadequate billing information.
5. Be able to interpret documents for accurate billing to responsible party or insurance company.
6. Send insurance claims to payers either electronically or via mail (to those who accept hard copy submissions only). Claims must be submitted to the correct address for claim submission.
7. Mail initial invoices to self-pay accounts with no 3rd party information, requesting 3rd party information, or payment in full.
8. Verify eligibility for 3rd party payer prior to claim submission (e.g. Workers’ Compensation, etc).
9 Appeal all inaccurately, denied or down-coded claims from Medicare, Medi-Cal, Workers’ Compensation and insurance carriers. Request Appeal Hearing or Lien Conference.
10 Produce and mail notices and make calls on all open accounts, to collect amounts due to us.
11. Send “cross-over” and balance billings to responsible parties as necessary.
12. Process payments, adjustments, receipts and correspondence.
13. Forward accumulated revenue to us on a weekly basis.
14. Forward refund requests and associated back-up documentation, to us for processing.
15. Review all accounts deemed delinquent before transferring to us for further action.
16. Provide nationwide toll-free telephone line(s) to accommodate billing inquires from patients and other responsible parties. Provide a multi-lingual staff for communication.
17. Provide revenue, accounting or other requested reports on a monthly, quarterly and annually.
18. Have the ability to track subscriber memberships and bill and/or write-off accounts according to our policy and produce reports detailing these accounts.
19. Provide electronic access to all records/reports to our authorized staff.
20. Comply with Workers’ Compensation Rules and regulations as lien holder.
21. Comply with all County, State and Federal (including HIPPA and Identity Theft) laws, policies, standards, and guidelines regarding the release of any data pertaining to patients or us.
22. Coordinate with the existing service provider to transition current accounts with minimal disruption to service.
This is an on shore and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meeting or Briefings.
Country: United States
Want to apply for this
ID: 1006499
Category: Medical Billing Services
Title: EMS Billing Service
Clients Approx Budget: Need Best Proposals
Volume of Work: 3 Years Contract
Description: We are US based looking to outsource our requirement of Medical Billing Service. We are looking for EMS Billing Services. The duration of the contract is 3 years.
Scope:
1. Be able to set up financial categories (e.g. Medicare, Medi-Cal, HMO’s, Private Pay, Insurance, etc) as required by us for a minimum of 6 individual entities (ambulance response areas).
2. Have the ability to receive, ambulance transport documentation on paper and electronically.
3. Obtain patients’ or guardian’s signature and authorizations as required.
4. Research accounts with inadequate billing information.
5. Be able to interpret documents for accurate billing to responsible party or insurance company.
6. Send insurance claims to payers either electronically or via mail (to those who accept hard copy submissions only). Claims must be submitted to the correct address for claim submission.
7. Mail initial invoices to self-pay accounts with no 3rd party information, requesting 3rd party information, or payment in full.
8. Verify eligibility for 3rd party payer prior to claim submission (e.g. Workers’ Compensation, etc).
9 Appeal all inaccurately, denied or down-coded claims from Medicare, Medi-Cal, Workers’ Compensation and insurance carriers. Request Appeal Hearing or Lien Conference.
10 Produce and mail notices and make calls on all open accounts, to collect amounts due to us.
11. Send “cross-over” and balance billings to responsible parties as necessary.
12. Process payments, adjustments, receipts and correspondence.
13. Forward accumulated revenue to us on a weekly basis.
14. Forward refund requests and associated back-up documentation, to us for processing.
15. Review all accounts deemed delinquent before transferring to us for further action.
16. Provide nationwide toll-free telephone line(s) to accommodate billing inquires from patients and other responsible parties. Provide a multi-lingual staff for communication.
17. Provide revenue, accounting or other requested reports on a monthly, quarterly and annually.
18. Have the ability to track subscriber memberships and bill and/or write-off accounts according to our policy and produce reports detailing these accounts.
19. Provide electronic access to all records/reports to our authorized staff.
20. Comply with Workers’ Compensation Rules and regulations as lien holder.
21. Comply with all County, State and Federal (including HIPPA and Identity Theft) laws, policies, standards, and guidelines regarding the release of any data pertaining to patients or us.
22. Coordinate with the existing service provider to transition current accounts with minimal disruption to service.
This is an on shore and off site tender. Interested service providers are requested to contact no later than April, 30, 2010, 5:00 PM by courier, post or email. Service providers may have to visit our premises for meeting or Briefings.
Country: United States
Want to apply for this
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