USA (Texas) EMS Billing and Collection Services

We are based in Texas, USA and we are requesting proposals from experienced service provider (From USA Only), for EMS Billing and Collection Services. Initially the contract will be for 12 months and can be renewed further for four annual periods, only at our discretion.

[A] Notice Type: RFP (Request for Proposal)

[B] Budget: Looking for Proposals

[C] Scope of Service:

(1) Service Provider will need to use the necessary forms for the routine billing and collecting of Ambulance and Emergency Medical Services (EMS) fees from the following various types of payers: a) Self Pay (patient pays the bill); b) Commercial Insurance, including Medicare Supplements & Replacements; c) Medicare; d) Medicaid; e) Workers’ Compensation; f) Personal Injury Protection/Medical Payments (Auto Insurance) and g) Our Subscription Member (member prepaid; balance to be billed to any other insurance provider listed above, if applicable). Service Provider shall be responsible for maintaining the Ambulance Subscription List. The list will be provided each February from Fire Dept. The subscription program runs for a calendar year.
(2) Any programming costs incurred by Service Provider in relation to the downloading of the patient records into its billing system will remain the responsibility and cost of Service Provider.
(3) Service Provider must be able to accept electronic records from us in the NEMSIS format.
(4) Service Provider is required to be aware of and able to abide by the billing requirements dictated by Health Committee Finance Administration for Medicare Patients, National Heritage Insurance Company for Medicaid patients, T.W.C.C. for Workers Compensation Patients, Health Insurance Portability and Accountability Act (HIPAA), and all Red Flag rules (regulations).
(5) Provider may authorize self-pay patients to liquidate any balance on the installment method. Min. payment on installments shall be 25 USD a month. No interest shall be charged to patients.
(6) Should we hire another firm for the collection of delinquent accounts, Service Provider shall provide all delinquent accounts (those uncollected 60 days after transport) and related account information, in a manner deemed acceptable by us, to us or other firm.
(7) Sample monthly reports typically provided shall be included with the proposal response. Other reports may be requested as needed and be provided to us at no additional cost.
(8) All instructions for payment issued by Service Provider shall indicate that payments will be made to Service Provider, not to us. NOTE: All fees for this service shall be included in the percentage of collection. No other separate fees are acceptable.
(9) Service Provider shall maintain adequate records of services performed, invoicing, statement and dunning letter processing, and such records shall be available for audit by us at any time.
(10) Service Provider shall have a toll free local phone number to answer any questions regarding the bills or other services provided by Service Provider during regular business hours.
(11) Service Provider agrees to accept payment by major credit cards and shall be responsible for any related fees.
(12) OPTIONAL SERVICE: Please quote on the ambulance/EMS delinquent fees collection service.

[D] Eligibility:
Onshore (USA Only)
Interested Vendors are requested to submit proposals on or before June 23, 2010 via post, courier or hand delivery only.

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