Posted Date : April 14,2022
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : SW-55700
Government Authority located in Louisiana; USA based organization looking for expert vendor for web-based Medicaid claiming and related services and reporting software.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide web-based Medicaid claiming and related services and reporting software for documenting therapy services for speech pathology, occupational therapy, and physical therapy that would also bill for Medicaid.
- Identify Medicaid eligible students.
- Identify students who have signed parental consent form for billing Medicaid.
- Determine which students to pursue securing parental consent.
- Identify students who have current medical prescriptions for therapy.
- Document therapy schedule via a calendar which would also facilitate log entries and billing.
- Generate therapy progress notes reflecting IEP goals or objectives and student progress.
- identify IDEA compliance via reports, graphs, charts, etc.
- Provide reports that would assist therapists in being IDEA compliant as well as to accurately document Medicaid billing for services. The reports should assist the therapists with their workload and student data. Reports should be exportable.
- Provide necessary documentation and information to defend Medicaid billing during an audit.
- Blackout dates according to the school calendar.
- Daily import of student data from SIS system.
- Prepare revenue analysis information on what claims have been submitted, paid, denied, etc. This information should include the tracking by service area, individual provider, school sites, provider area, etc.
- Provide information and assistance on Medicaid billing including CPT codes, rules, regulations, etc. Notify the district of changes in the Medicaid billing when it occurs. Notify district of any state or federal law changes
- Capability to import files for nursing and 504 plans. Should have ability to claim services for both nursing, 504 and service plans.
- Provide assistance in addressing changes needed to correct denials if possible.
- Identify providers who are eligible for billing.
- Must be compliant with current and future state and federal law and must meet all state and federal reporting requirements.
- Support one roster file imports.
- Must provide training and support offered at implementation and throughout the contract period along with any extensions.
- Provide Technical support available through various channels.
- Maintain backup of files, provide data protection and recovery plan of data. Must include conversion of previous data and import of existing data.
(2) All questions must be submitted no later than May 6,2022.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: May 13,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : SW-55700
Government Authority located in Louisiana; USA based organization looking for expert vendor for web-based Medicaid claiming and related services and reporting software.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide web-based Medicaid claiming and related services and reporting software for documenting therapy services for speech pathology, occupational therapy, and physical therapy that would also bill for Medicaid.
- Identify Medicaid eligible students.
- Identify students who have signed parental consent form for billing Medicaid.
- Determine which students to pursue securing parental consent.
- Identify students who have current medical prescriptions for therapy.
- Document therapy schedule via a calendar which would also facilitate log entries and billing.
- Generate therapy progress notes reflecting IEP goals or objectives and student progress.
- identify IDEA compliance via reports, graphs, charts, etc.
- Provide reports that would assist therapists in being IDEA compliant as well as to accurately document Medicaid billing for services. The reports should assist the therapists with their workload and student data. Reports should be exportable.
- Provide necessary documentation and information to defend Medicaid billing during an audit.
- Blackout dates according to the school calendar.
- Daily import of student data from SIS system.
- Prepare revenue analysis information on what claims have been submitted, paid, denied, etc. This information should include the tracking by service area, individual provider, school sites, provider area, etc.
- Provide information and assistance on Medicaid billing including CPT codes, rules, regulations, etc. Notify the district of changes in the Medicaid billing when it occurs. Notify district of any state or federal law changes
- Capability to import files for nursing and 504 plans. Should have ability to claim services for both nursing, 504 and service plans.
- Provide assistance in addressing changes needed to correct denials if possible.
- Identify providers who are eligible for billing.
- Must be compliant with current and future state and federal law and must meet all state and federal reporting requirements.
- Support one roster file imports.
- Must provide training and support offered at implementation and throughout the contract period along with any extensions.
- Provide Technical support available through various channels.
- Maintain backup of files, provide data protection and recovery plan of data. Must include conversion of previous data and import of existing data.
(2) All questions must be submitted no later than May 6,2022.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: May 13,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$