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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