Solicitation RFQ-10-20-009-MH
Contractor shall furnish Electronic Clearinghouse services for the Business Office Department, Health Information Management Department (HIM) and PRC Department at the Wind River Service Unit in Fort Washakie, WY. Contract performance shall be according to the requirements contained in this statement of work.
The contract resulting from this solicitation shall:
Provide revenue cycle management for the validation and routing of electronic health care Medicare transaction claims submission between the Wind River Service Unit and Novitas Solutions, ensuring that established hospital policy guidelines are adhered to, while keeping abreast of current changes in government regulations, collection laws, FTC ruling,third party payer procedures and internal procedures that affect the Medicare claims transmission.
Knowledge of ICD-10-CM and CPT/HCPCS coding terms in order to interpret and resolve problems based in information derived from system monitoring reports and the UB 92 and HCFA 1500 billing forms submitted to Novitas Solutions.
Providing scalability for unlimited users and Medicare Contractor connections for the growing demand of Medicare transactions.
