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Emergency Medical Billing Service

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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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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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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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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