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FBO DAILY ISSUE OF NOVEMBER 30, 2011 FBO #3658
MODIFICATION

99 -- Third Party Billing Services

Notice Date
11/28/2011
 
Notice Type
Modification/Amendment
 
NAICS
561110 — Office Administrative Services
 
Contracting Office
Department of Health and Human Services, Indian Health Service, Albuquerque Area Office, 5300 Homestead Road, NE, Albuquerque, New Mexico, 87110
 
ZIP Code
87110
 
Solicitation Number
12-242-SOL-00006
 
Point of Contact
Bradley Platero, Phone: 505.248.4557, Veronica Zuni, Phone: 505.248.4565
 
E-Mail Address
bradley.platero@ihs.gov, veronica.zuni@ihs.gov
(bradley.platero@ihs.gov, veronica.zuni@ihs.gov)
 
Small Business Set-Aside
N/A
 
Description
Modification No. One (1) is hereby issued to add the following to the Scope of Work: Using the Accounts Receivable (A/R) package (IHS-RPMS), complete payment posting and follow-up on unpaid claims. Communicates new billing requirements and any issues found on follow up with Patient Registration, Visit coding or medical documentation with Business Office Manager. Maintains identified corrective action received from the third party payers to be shared or communicated with the Business Office Manager for review, possible consideration and appeal for payment. Ensures that all applicable forms are submitted and adequately reflect the services rendered. Maintains current documentation and files for all third party utilization review activities in appropriate files, binders, etc. Is responsible for timely posting of payments and nonpayment adjustments received from insurance claims filed. Ensure filing of all Explanation of Benefits (EOB's) in chronological order, and posting to the correct patient accounts. Generates correspondence on appeals and denials. Will maintain compliance with Third Party Internal Controls policy Add to Deliverables: Generate reports on outstanding accounts on a quarterly basis, and upon request Prepares billing and collection reports when requested by facility departments and administration thru the project officer.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/IHS/IHS-ALB/12-242-SOL-00006/listing.html)
 
Place of Performance
Address: Taos-Picuris Service Unit (TPSU), Business Office, P.O. Box 1946, 1090 Goat Springs Road, Taos, New Mexico, 87571, United States
Zip Code: 87571
 
Record
SN02629174-W 20111130/111128233811-8af24fe636361b986d37e42d8f7c4f4e (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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