University Health Texas #RFP-226-01-061-SVC

University Health Revenue Cycle Management Clearinghouse Solution RFP

University Health's Patient Billing Department is seeking a clearinghouse partner to provide Revenue Cycle Systems and Management Services for its healthcare facilities. - Government Buyer: - University Health, Patient Billing Department (San Antonio, TX) - Scope of Work: - Provide a clearinghouse solution for revenue cycle management, claims processing, and reimbursement accuracy - Support integration with Epic EHR system - Standardize data exchange and enhance interoperability with payers and providers - Ensure compliance with HIPAA, CMS, and other healthcare regulations - Enable scalability for future facilities and support analytics and value-based care initiatives - Products/Services Requested: - Revenue Cycle Systems and Management Services (clearinghouse solution) - Integration with Epic EHR required - Unique/Notable Requirements: - Solution must reduce administrative burdens and improve patient experience - Vendors must complete and submit Business Associate Agreements, privacy/security questionnaires, and cybersecurity terms and conditions - Contract Details: - Three-year base contract with two one-year renewal options - No specific OEMs are named, but Epic EHR compatibility is mandatory

Description

University Health is seeking a clearinghouse partner to support its expanding healthcare facilities, including new hospitals opening in 2023 and 2027. The partner will provide a clearinghouse solution that integrates with Epic EHR to standardize data exchange, improve claims processing, enhance interoperability, and ensure compliance with healthcare regulations. The contract is for three years with two one-year renewal options, aiming to improve revenue cycle management, reduce administrative burdens, and support future analytics and value-based care. Prime contractors may subcontract but retain oversight responsibility.

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