Medical Revenue Cycle Management, Medical Billing, Coding, Insurance Follow-Up Collections and Accounts Receivable Management Services

The Vendor is required to provide medical revenue cycle management, medical billing, coding, insurance follow-up collections and accounts receivable management services will be performed remotely (off site); thus, contractor will need to demonstrate secure connectivity and structure as this involves protected health information (PHI) data.
- Core services
• Local, regional and national academic health insurance billing and collections experience.
• Demonstrate the ability, through its professional staff expertise, organizational systems, programs, and proven experience to have effectively managed a third party, full service medical revenue cycle management program of coding, billing, insurance follow-up, collections, denials, and accounts receivable management for professional fees.
• Experience with standard of care determinations and clinical fee-for-service billing for multiple specialties in both inpatient and outpatient academic physician practice settings is required.
• Services described herein are expected to be included in the contractor’s proposed percentage (%) of net collections unless otherwise identified by the respondent.