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MB-3745 - USA (South Carolina) - Emergency Medical Billing Services - Deadline January 30,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3745

Government Authority located in South Carolina; USA based organization looking for expert vendor for emergency medical billing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide emergency medical billing services,
- The claims shall be divided into multiple revenue categories: Medicare, Medicaid, Private Insurance and Private Pay,
- The Firm will commence billing the patient care reports upon the date,
- The Firm shall assign and identify a dedicated client representative to the County EMS account,
- The Firm and all billers dedicated to the account shall maintain certification,
- The firm shall be able to prepare invoices according to: the rates established by the county, guidelines and procedures established by the firm, all applicable laws and regulation including those from Medicare and medicaid services
- The firm shall also bill all non-emergency transports according to all applicable laws established by Medicare, Medicaid and other applicable agencies,
- The firm shall also bill all non-emergency transports according to all applicable laws established by Medicare, Medicaid and other applicable agencies,
- Electronic filing is the required method of filing primary Medicare and Medicaid claims and is the preferred method of filing to all other guarantors, if applicable, Otherwise, paper invoices may be issued directly to appropriate patient guarantors,
- The firm shall pre-screen all claims to confirm compliance with guarantors’ guidelines,
- The firm shall verify insurance eligibility utilizing available resources and commercial databases prior to the submission of any patient claim for reimbursement,
- The firm shall make a good-faith attempt to call each patient when verification of insurance eligibility cannot be obtained by any other manner to ensure accurate guarantor responsibility information,
- The billing software of the firm must configure billing export and import setup and should be familiar with processing claims from this software vendor,
- The Firm shall evaluate the current data collection configuration of the County and shall be responsible to make recommendations to the County any reconfiguration that might be required to assure minimal interruption of the data stream,
- The Contractor shall be responsible for all pre-billing review, verification for proper documentation, insurance information, appropriate patient signatures and data entry from the ePCR,
- ePCRs will be electronically transmitted to the Contractor on a daily or mutually agreeable schedule for processing,
- The Contractor is responsible for ensuring the accuracy and completeness of all data items
on the ePCR for billing and all related insurance information for Medicare, Medicaid,
Tricare and all private insurers,
- The Contractor shall complete, verify and correct all ePCR patient information by using
available resources such as the insurance providers' data base, the vendor's billing data
base, and direct contact with medical facility personnel, the patient, family member or
responsible party.
(2) All the questions must be submitted no later than January 21, 2020

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Thursday, 30 January, 2020

Question Answer Deadline : Tuesday, 21 January, 2020

Category : Medical Billing and Coding

Country : USA

State : South Carolina

Cost to Download This RFP Document : $ 5

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