DOCUMENT
R -- THIRD PARTY COLLECTIONS - Attachment
- Notice Date
- 8/11/2011
- Notice Type
- Attachment
- NAICS
- 561440
— Collection Agencies
- Contracting Office
- Department of Veterans Affairs;James E. VanZandt VA Medical Center;Acquisition Office (90);2907 Pleasant Valley Blvd;Altoona PA 16602-4377
- ZIP Code
- 16602-4377
- Solicitation Number
- VA24411RQ0325
- Response Due
- 8/19/2011
- Archive Date
- 9/2/2011
- Point of Contact
- JENNIFER.HOOVER@VA.GOV
- E-Mail Address
-
ATION
- Small Business Set-Aside
- N/A
- Description
- STATEMENT OF WORK THIRD PARTY ACCOUNTS RECEIVEABLE FOLLOW-UP AND COLLECTION 1. Contractor's work will be performed between the award date and February 29, 2012. 2. Contractor will provide follow-up and collection services on open third party health insurance claims assigned to the Contractor by Altoona VAMC (to be known as VA in this SOW). Claims will be at least 60 days old beginning with the date the claim became active in VA's VistA software. 3. Contractor will perform services in a manner that achieves optimum collection on each claim referred to the Contractor. 4. Contractor will perform services by telephonic, electronic, and/or written communication, as deemed appropriate by the Contractor. 5. Contractor will perform services using VA's VistA system, including reports, bill comments, approved adjustment reason codes, and decrease adjustments. 6. Contractor will release medical information to health insurance carriers in support of the claims, as appropriate; and, will follow federal laws and VA policies regarding release of medical information. 7. Contractor will work toward resolution of issues that prevented VA from receiving rightful payment of claims, including payments made to another VA or to a patient in error and payments being held for patient information. 8. Contractor will allow a grace period of 10 calendar days for payments received at VA within 10 calendar days of the claim being forwarded to the Contractor. 9. Contractor will not bill for or receive payment for any claims that had no Contractor follow-up services initiated. 10. Contractor will not charge for and VA will not pay for work performed that resulted in no payment to VA. 11. Contractor will reduce billing to VA by the full amount of any valid refunds VA makes on collections resulting from the Contractor's efforts. VA will provide the Contractor with documentation that substantiates the validity of VA's refund to the health insurance carrier. 12. Contractor will return claims requiring clinical appeal to VA after documenting bill comments that explain the reason for the appeal. 13. Contractor will bill and VA will pay according to the payment schedule included in the contract. 14. Contractor will maintain at least weekly communications with the Contracting Officer's Technical Representative (COTR) to discuss, for example, workload status, processes and/or concerns. 15. Contractor will provide VA with the names and phone numbers of a primary and an alternate contact person for the duration of the contract. 16. Contractor will instruct all health insurance carriers to remit payment to: VAMC Altoona (503) Agent Cashier 2907 Pleasant Valley Blvd. Altoona PA 16602 17. Contractor will submit monthly detailed statements to: VAMC Altoona (503) Revenue Coordinator 2907 Pleasant Valley Blvd. Altoona PA 16602
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/AlVAMC503/AlVAMC503/VA24411RQ0325/listing.html)
- Document(s)
- Attachment
- File Name: VA-244-11-RQ-0325 VA-244-11-RQ-0325_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=230995&FileName=VA-244-11-RQ-0325-000.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=230995&FileName=VA-244-11-RQ-0325-000.docx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- File Name: VA-244-11-RQ-0325 VA-244-11-RQ-0325_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=230995&FileName=VA-244-11-RQ-0325-000.docx)
- Place of Performance
- Address: JAMES E VANZANDT VA MEDICAL CENTER;2907 PLEASANT VALLEY BLVD;ALTOONA, PA
- Zip Code: 16602
- Zip Code: 16602
- Record
- SN02531308-W 20110813/110812000157-9d4358b4016330cbd56e65fab6b403f0 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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