3rd Party Medical Billing Svcs
| Agency: | Clemson University |
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| State: | South Carolina |
| Type of Government: | State & Local |
| Category: |
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| Posted: | Apr 18, 2024 |
| Due: | May 2, 2024 |
| Solicitation No: | 185468595 |
| Publication URL: | To access bid details, please log in. |
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Bid Information
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Contact Information
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Bid Documents
Bid Attachments
| File Name | Description | File Size | ||||
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185468595 Scope of Work 3rd Party Medical Billing Services.pdf |
Scope of work | 126 KB | ||||
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Clemson University Standard Bidding Terms effective November 15, 2020.pdf |
Standard Bidding Terms | 261 KB | ||||
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IMPORTANT TAX NOTICE.doc |
Withholding Requirements for Payments to Nonresidents. | 29 KB | ||||
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Clemson University Standard Terms of Purchase effective November 15, 2020.pdf |
Standard Terms of Purchase | 331 KB | ||||
Attachment Preview
3rd Party Medical Billing Services
Rev.0
Revenue IFB# 185468595
Scope of Work
I. Scope of Solicitation
II. Instructions to Offerors
III. Scope of Work / Specifications
IV. Terms and Conditions – Special
I. SCOPE OF SOLICITATION
Clemson University’s Fire & Emergency Medical Services (CUFD-EMS) is seeking
proposals from Qualified Medical Services to develop and provide Accounts Receivable
Management and Customer Invoicing for services rendered. The successful Offeror shall
perform other related services defined in this Scope of Work.
This service intends to provide timely patient invoicing, direct billing of private
insurance, Medicare, and Medicaid, and proper management of collected funds.
Clemson University Fire & EMS provides basic and advanced life support response,
treatment, and ambulance transportation to various customers including students,
faculty, staff, visitors, and surrounding community residents. CUFD-EMS typically
responds to approximately 550 EMS incidents annually, averaging 50% transport by
EMS and 45% treatment–release. Approximately 50% of patients encountered are
currently enrolled students of Clemson University. CUFD-EMS currently utilizes First
Due for Department NEMSIS – Patient Care Reports.
Clemson may expand the scope to include service to other University Departments in
the future but may also bid out those scopes separately if they choose.
II. INSTRUCTIONS TO OFFERORS
Regardless of the requirements below or in this document, Offerors must submit their
proposal electronically through the Clemson University online bidding system. To do so,
you must log in (registering first) at https://clemson.ionwave.net/login.aspx and follow
specific instructions for this solicitation. You should register several days before the bid
closing date to be approved and log in on time to submit a response.
Technical Proposal to include:
a) Billing and Collection procedures Terms or Service.
b) The fee structure is based on the percentage (%) of REVENUE
collected monthly.
c) Representative samples of forms and reports.
d) Experience in EMS billing with references.
e) Internal accounting and reconciliation procedures.
f) Methods and procedures for receiving, documenting, and remitting
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revenue generated from the provider’s accounts.
g) Specific recommendations that the Offeror may wish to implement to
improve data collection, efficiency and effectiveness in managing the
provider’s account.
Price Proposal
Offerors must enter a PERCENTAGE (%) amount on line 1 in the online bidding system.
The Percentage (%) is based on the dollar volume collected. The dollar amount of $80,000
will be used as a baseline to multiply the percentage (%) fee per Offeror’s proposals to
calculate an estimated annual cost to Clemson University for this service.
III. SCOPE OF WORK / SPECIFICATIONS
1. The successful Offeror shall develop and facilitate continued provider enrollment in approved
preferred provider programs including Medicaid and Medicare.
2. The successful Offeror shall develop and implement procedures, systems, and accountability for:
a. Receiving and managing incident data from the provider via an automatic interface
between the department’s ePCR software to extract data needed for processing claims
b. Establishing and managing accounts for and providing timely insurance billing and
customer invoicing to patients treated and/or transported by CUFD-EMS.
c. Tracking and managing University student accounts for internal recovery by university
student receivables when indicated.
d. Receiving and managing revenue from the provider’s accounts.
e. Documenting and reporting to the provider account status, activity, and revenue monthly,
quarterly, and annually. Reports should include monthly aging, individual patient account
activity, and revenue received.
f. Reports are preferred to be user-friendly and easily manipulated by the provider (i.e.,
Excel, CSV spreadsheets).
3. The successful Offeror will work closely with the provider to maintain all accounts in a current
status.
4. The successful Offeror will receive approval before moving accounts to collection status and
shall identify their collection practices or if collections are subcontracted to a third party.
5. The successful Offeror shall provide coordinated training to the provider’s staff on field data
collection and documentation to increase efficiency and within the provider’s documentation
standards.
6. The successful offeror shall provide the purchaser a web portal or methodology to review claims
and processing status and verify account balances of active accounts.
7. The successful Offeror shall be fully compliant with the Health Insurance Portability and
Accountability Act of 1996 (HIPAA-Public Law 104-191) and the Family Educational Rights
and Privacy Act (FERPA-20 U.S.C & 1232G; 34 CFR Part 99) as well as all other applicable
Federal, State and Local Laws. Business relationship contracts shall be provided by the vendor
to the provider.
8. The successful Offeror shall at no time intentionally or unintentionally initiate or participate in
an unethical, fraudulent, or illegal practice.
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9. The successful Offeror shall agree to a right-to-audit clause to comply with the University’s
Internal Auditing Compliance Practices.
10. The provider’s accounts shall be kept separate from the Offeror’s operating accounts.
11. The successful Offeror shall continue to process incident data and claims submitted by the
purchaser up to and through the last date of the contract, for up to 6 calendar months following
the termination of the contract.
12. Willing to obtain training and login information for the Student Health Service system for billing
at Red Fern Clinic at Clemson University for collecting bills if needed.
13. Provide a direct contact line, independent of the customer service line, for the department to
contact the Offeror to manage issues.
14. Provide replies to any customer requesting assistance with their bill within 2 business days via
phone or email.
IV. TERMS AND CONDITIONS - SPECIAL
An award will be made to one offeror who is responsive and responsible and provides the most
advantageous percentage (%) for Clemson University.
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For more information, please visit the Publication URL Web page.
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