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
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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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