Vendors to provide ambulance billing collection, financial reporting and analytical services for ambulance services rendered by the city Fire Department for Advanced Life Support ("ALS"), Basic Life Support ("BLS"), and nontransport calls as per local ordinance.
- Services
1. Provide all personnel, materials, and services necessary to perform and accomplish all requirements for this proposal.
2. Provide a full-time program manager for the duration of the contract.
3. Please provide the span of control the individual assigned would have within the company, identifying the number of clients the individual would manage.
4. Ensure all required documentation and agreements with payers are properly filed and maintained on behalf of the Village.
5. Obtain pre-approval from the Village of all forms used in the execution of this contract.
6. Provide samples of all paperwork to be used including, but not limited to forms, invoices and correspondences utilized in the billing process.
7. Upon receipt of the ambulance report data, review, prepare and mail invoices according to the rates established by the Village of Oak Brook to the patient within 3 business days. This mailing shall include all necessary forms for payment processing, along with a return envelope.
8. Upon receipt of patient claim information, if required, electronically submit Medicare, Medicaid, and insurance claims within 3 business days. Manual submission of claims is acceptable only if electronic submission is not available.
9. Utilize current diagnostic coding to ensure compliance with federal, state and local regulations.
10. Ensure proper security and confidentiality of patient information and records, including, but not limited to executing a business associate agreement as required by the Health Insurance Portability & Accountability Act of 1996 (HJPAA), as amended.
11. Resubmit or resolve denied or disallowedclaims.
12. Accept responsibility for patient billing inquiries and complaints during regular business hours.
13. Provide tracking of submitted claims to ensure timely payments.
14. Provide monthly statements to allow patients to be aware of outstanding balances.
15. Maintain generally accepted accounting procedures and practices for the reconciling of all financial transactions.
16. Facilitate the daily posting of revenues and provide daily document retrieval through a lock-box arrangement with the Village's banking institute. Deposit all funds collected directly into the Village's account on a daily basis, followed by invoicing the Village for the amount applicant claims it is owed by the Village for the fixed fee for its services.
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