Posted Date : December 01,2022
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6964
Government Authority located in Nebraska; USA based organization looking for expert vendor for emergency medical services billing service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide emergency medical services billing service a fully comprehensive and automated emergency medical services billing system include technical and administrative support as well as statistical reporting for the city’s ambulance and emergency medical services (EMS).
A. Billing
- The Vendor will commence billing the patient care reports with the start-up date established by the Vendor and the City.
- The Vendor will receive on a weekly basis the electronic billing data and other related billing information by way of an encrypted FTP file or batch filing process.
- The Vendor will be responsible for providing the appropriate software that will be compatible to interface with emergency reporting and ESO ePCR.
- Process claims within 5 business days of receipt of ePCR information.
- The Vendor will be responsible for reviewing each Patient Contact Report (PCR) for content and accuracy for billing purposes.
B. Invoicing
- All invoicing must be in accordance with the correct rates established by the city.
- All invoicing must be in accordance with the guidelines and procedures established by the vendor and the city.
- All invoicing must be in accordance with all applicable laws and regulations including those from medicare and medicaid services (CMS)
- All invoices shall also be billed in compliance with the Fair Debt Collection Practices Act.
- Electronic filing is the required method of filing primary Medicare, Medicaid, and commercial insurance claims. Electronic filing is the preferred method of filing to all other guarantors, if applicable. Otherwise, paper invoices may be issued directly to appropriate patient guarantors
C. Collections
- The vendor shall process all claims according to timelines agreed upon between the city and the vendor. The claims shall be divided into multiple revenue categories: Medicare, Medicaid, Commercial Insurance, Auto Insurance, Worker’s Compensation and Patient Pay.
- Claims shall be appropriately re-categorized after receiving payment from the primary payer. All denials shall be processed within three business days of receipt.
- Customer service shall be provided from 8:00 a.m. until 5:00 p.m. CST using a tollfree phone number. The telephone systems utilized by the Vendor must be able to accept voice mail messages and route incoming calls to the appropriate persons.
- The Vendor must make a good faith effort to make return contact to all customers within 24 business hours after initial contact from any customer has been received.
D. Accounting and Reporting
- The city reserves the right to audit the records of the vendor related to the city’s billing and collection efforts.
- Accounting for all billing pursuant to generally accepted accounting principles shall be provided on a daily, monthly, quarterly and annual basis, or as requested by the city.
- The Vendor shall provide a secured portal or similar for communication, reports, and patient information.
- Detailed below are reports required by the City to monitor the billing and collections process. The list is not all-inclusive. The reports noted below must be provided to the appointed City billing and collections contact by the time period specified. Reports should be submitted electronically either via e-mail or secure server.
E. Analytical Services
- At the beginning of the contract, the Vendor will be expected to meet with the City on a scheduled basis to review billing consistency, receivables performance, and other issues that have been encountered.
- The Vendor shall schedule regular meetings with the City to review performance.
- The Vendor shall be required to provide analysis and expertise in all issues related to ambulance billing and operations.
F. Technology Requirements
- Upon awarding of the bid, the Vendor shall evaluate the current data collection configuration of the City and shall be responsible to make recommendations to the City any reconfiguration that might be required to assure minimal interruption of the data stream.
- Emergency Reporting ePCR is the current data collection software utilized by the city.
G. Training of EMS Personnel
- The Vendor shall provide, at no additional cost, in-depth documentation compliance training of the complex Medicare and Medicaid regulations as they relate to the pre-hospital delivery of emergency medical care.
- The vendor shall provide, at a minimum, an initial training of the city’s EMS personnel two compliance and documentation sessions.
- The vendor shall provide any additional training as requested by the city and may include training sessions for any group or individual, at no additional cost to the city.
- The Vendor shall provide annual HIPAA compliance training to all employees d
[C] Eligibility:
- Onshore (US Only);
[D] Work Performance:
- Performance of the work will be Offsite.
Budget :
Deadline to Submit Proposals: January 12,2023
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6964
Government Authority located in Nebraska; USA based organization looking for expert vendor for emergency medical services billing service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide emergency medical services billing service a fully comprehensive and automated emergency medical services billing system include technical and administrative support as well as statistical reporting for the city’s ambulance and emergency medical services (EMS).
A. Billing
- The Vendor will commence billing the patient care reports with the start-up date established by the Vendor and the City.
- The Vendor will receive on a weekly basis the electronic billing data and other related billing information by way of an encrypted FTP file or batch filing process.
- The Vendor will be responsible for providing the appropriate software that will be compatible to interface with emergency reporting and ESO ePCR.
- Process claims within 5 business days of receipt of ePCR information.
- The Vendor will be responsible for reviewing each Patient Contact Report (PCR) for content and accuracy for billing purposes.
B. Invoicing
- All invoicing must be in accordance with the correct rates established by the city.
- All invoicing must be in accordance with the guidelines and procedures established by the vendor and the city.
- All invoicing must be in accordance with all applicable laws and regulations including those from medicare and medicaid services (CMS)
- All invoices shall also be billed in compliance with the Fair Debt Collection Practices Act.
- Electronic filing is the required method of filing primary Medicare, Medicaid, and commercial insurance claims. Electronic filing is the preferred method of filing to all other guarantors, if applicable. Otherwise, paper invoices may be issued directly to appropriate patient guarantors
C. Collections
- The vendor shall process all claims according to timelines agreed upon between the city and the vendor. The claims shall be divided into multiple revenue categories: Medicare, Medicaid, Commercial Insurance, Auto Insurance, Worker’s Compensation and Patient Pay.
- Claims shall be appropriately re-categorized after receiving payment from the primary payer. All denials shall be processed within three business days of receipt.
- Customer service shall be provided from 8:00 a.m. until 5:00 p.m. CST using a tollfree phone number. The telephone systems utilized by the Vendor must be able to accept voice mail messages and route incoming calls to the appropriate persons.
- The Vendor must make a good faith effort to make return contact to all customers within 24 business hours after initial contact from any customer has been received.
D. Accounting and Reporting
- The city reserves the right to audit the records of the vendor related to the city’s billing and collection efforts.
- Accounting for all billing pursuant to generally accepted accounting principles shall be provided on a daily, monthly, quarterly and annual basis, or as requested by the city.
- The Vendor shall provide a secured portal or similar for communication, reports, and patient information.
- Detailed below are reports required by the City to monitor the billing and collections process. The list is not all-inclusive. The reports noted below must be provided to the appointed City billing and collections contact by the time period specified. Reports should be submitted electronically either via e-mail or secure server.
E. Analytical Services
- At the beginning of the contract, the Vendor will be expected to meet with the City on a scheduled basis to review billing consistency, receivables performance, and other issues that have been encountered.
- The Vendor shall schedule regular meetings with the City to review performance.
- The Vendor shall be required to provide analysis and expertise in all issues related to ambulance billing and operations.
F. Technology Requirements
- Upon awarding of the bid, the Vendor shall evaluate the current data collection configuration of the City and shall be responsible to make recommendations to the City any reconfiguration that might be required to assure minimal interruption of the data stream.
- Emergency Reporting ePCR is the current data collection software utilized by the city.
G. Training of EMS Personnel
- The Vendor shall provide, at no additional cost, in-depth documentation compliance training of the complex Medicare and Medicaid regulations as they relate to the pre-hospital delivery of emergency medical care.
- The vendor shall provide, at a minimum, an initial training of the city’s EMS personnel two compliance and documentation sessions.
- The vendor shall provide any additional training as requested by the city and may include training sessions for any group or individual, at no additional cost to the city.
- The Vendor shall provide annual HIPAA compliance training to all employees d
[C] Eligibility:
- Onshore (US Only);
[D] Work Performance:
- Performance of the work will be Offsite.
Budget :
Deadline to Submit Proposals: January 12,2023
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$