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

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