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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