Specifications include, but are not limited to: PWHC medical services is soliciting bids for revenue cycle management in collaboration with PWHC intake and billing personnel for no more than 2.0% of total monies collected/revenue earned. PWHC utilizes Point and Click Solutions for all practice management information and billing tasks. Revenue cycle management expectations include a) claims tracking, b) EOB/ERA, c) accounts receivable management and denials (including requests for additional information (RAIs), d) optionally credentialing, and e) overall, ongoing quality improvement and assessment of the revenue cycle. As part of its obligations, the selected vendor will (i) assist with claim rejections and denials; (ii) communicate with third party payers on PWHC’s behalf; (iii) identify and target specific payer and provider challenges with accompanying mitigation solutions; and (iv) provide education to improve reimbursement, including accurate documentation and coding updates, streamlined process suggestions and fee schedule recommendations. All services will be in a secure and HIPAA-compliant manner. Vendor will execute a business associate agreement with UAF in a form acceptable to UAF at UAF’s request. Vendor will adhere to all applicable federal, state and industry laws and regulations governing billing, coding, documentation, and privacy in health care.
