MB-5878 - USA (Alaska) - Psychiatric Billing and Coding Services - Deadline December 3,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5878

Government authority located in Alaska; USA based organization looking for expert vendor for psychiatric billing and coding services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide psychiatric billing and coding services for inpatient diagnosis coding and electronic claims processing software.
- Provide a certified coder to work directly with API to accurately review medical records, enter diagnostic codes, provide reports related to work accomplished and missing data/issues in completion of coding encounters/documents, and assist in resolving error reports associated with the billing process.
- Will utilize software to process claims electronically with minimal manual intervention.
- Software must be compatible with API’s ‘meditech behavioral healthcare suite’ electronic medical record system, and compliant with Health and Human Services adopted standards for HIPAA transactions.
- Coders will need to directly update the diagnosis coding within the EMR. Claims and remit data must be stored a minimum of three years with immediate accessibility.
- Data must be available even in catastrophic events. Online retention may be stored securely in archives under the vendor’s control and access; data beyond the online retention period must also be available if necessary.
- Work in conjunction with the Meditech electronic health records in use at API.
- Provide, electronically and to API leadership, a workload reports each week indicating the number of inpatient events coded for the prior week.
- Assist in resolving error reports associated with the billing process.
- Keep abreast of regulation changes affecting coded information from the Center for Medicare and Medicaid Systems (CMS), and other State and regulatory agencies as appropriate.
- Perform in a professional manner; behavior must be respectful and compliant with all applicable hospital policies and procedures.
- Employ only experienced, qualified individuals to conduct coding audits.
- Provide API with the audit results of all reviewers and all records.
- Allow hospital to control user access and security internally.
- Provide an interface to review claims based on payer, alpha, dollar, type, etc.
- Provide exact representation of billing forms in user-friendly (intuitive with online help) format for working claims.
- Provide electronic claim submission to payers and/or clearinghouse functionality.
- Provides claim error reports in summary and detail formats to allow for trending, training and communication within the revenue cycle.
- Provides eligibility and claim status reports that can be printed or posted to the main HCIS preferable.
- Provides billed claim summary reports for productivity as well as trending of clean claim percentages.
(2) All questions must be submitted no later than November 28, 2021.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Friday, 3 December, 2021

Question Answer Deadline : Sunday, 28 November, 2021

Category : Medical Billing and Coding, Software, System and Application

Country : USA

State : Alaska

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