SOLICITATION NOTICE
R -- Billing and Collection Services for White Earth, MN IHS Health Center
- Notice Date
- 1/24/2006
- Notice Type
- Solicitation Notice
- NAICS
- 561499
— All Other Business Support Services
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Aberdeen Area Office, Federal Building, 115 4th Avenue SE, Aberdeen, SD, 57401
- ZIP Code
- 57401
- Solicitation Number
- RFP06-04
- Response Due
- 3/13/2006
- Archive Date
- 3/28/2006
- Description
- R--The Bemidji Area IHS is soliciting for a contractor interested in providing a revenue producing program through state-of-the art systems for the Indian Health Service White Earth Service Unit located in Ogema, Minnesota. The contractor would implement a billing process that substantially lowers billing days, assures maximization of billing and collection efforts to within the medical billing industry standards, development of an improved billing documentation process, implementation of a current fee schedule to assure proper billing and accounting for all allowable services and supplies, assistance in becoming facility participating network (providers for private insurance plans), education and training of clinic staff (coder, Provider) in proper documentation and coding to assure appropriate payment, and implement the Indian Health Service accounts receivable (A/R) policy. Appropriate billing documents will be established to qualify third party coverage programs in accordance with the Indian Health Service "Right to Recovery? law. All reimbursement amounts will be collected by the Service Unit, and the Contractor shall insure proper accounts receivable records in accordance with current accounting principles. All billing documents will be retained at the service unit. Reports of work accomplished, barriers to billing optimization, potential compliance issues, etc. shall be reported to administration by the contractor on a regular basis. The contractor shall work with clinic staff to optimize billing and collections. The goal of the White Earth Service Unit is to optimize collections by timely billing, collection, posting and follow-up. The offeror must have prior experience in ICD-9 and CPT-4 coding including employment of certified coding staff; billing of outpatient visits in accordance with IHS ?Rights to Recovery? law; knowledge and experience with Medicare, Medicaid, Federal Medical Care Recovery Act (FMCRA), USPHS Commission Corp, and Minnesota State Grant (SAGE Program) reimbursement methodologies requiring the Contractor to comply with administrative rules for billing IHS reimbursement methodologies; knowledge and ability to interpret the OIG Compliance standards; experience in capturing ?bad debt?; successful experience with process improvement in the restructuring and development of clinical billing and collection systems; knowledge and experience in use of the RPMS clinical, registration, billing, and A/R systems as well as electronic interfaces; compliance with HIPAA transaction code standards; knowledge of reimbursement methodologies; maximization of Medicare and private insurance billing and collection. The contractor must have two (2) years of demonstrated knowledge of the operations and mission of the Indian Health Service; at least two (2) years of experience working with the IHS Third Party Billing and Accounts Receivable packages; at least two (2) years of experience working in aged claims collection experience; and at least two (2) years of experience working with pharmacy billing packages. The period of performance will be for a 12???? month base year, with four additional option years. If you are a contractor capable of providing these services, based on the agency established schedule, and have the professional qualifications to provide services, you are requested to respond in writing to the address listed above or you may telefax your request to 605-226-7669. Requests for copies of RFP 06-04 will be available approximately 15 days after publication. Offer closing date is tentatively scheduled for March 13, 2006. Request for the RFP must be in writing referencing subject RFP 06-04.
- Place of Performance
- Address: White Earth IHS Health Center, 40520 - CTY HWY 34, Ogema, MN
- Zip Code: 56569
- Country: US
- Zip Code: 56569
- Record
- SN00971915-W 20060126/060124211812 (fbodaily.com)
- Source
-
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