Riverside County Publicpurchase #MCARC-367

Revenue Recovery and Zero-Balance Account Audit Services for Riverside University Health System

This opportunity seeks qualified vendors to provide revenue recovery and zero-balance account audit services for Riverside University Health System (RUHS) Ambulatory Care and Community Health Services. - Government Buyer: - County of Riverside Purchasing Department, on behalf of RUHS - Services Requested: - Revenue recovery and zero-balance account audit services - Data-driven audit and recovery platform - Review of closed or zero-balance patient accounts for underpayments, billing discrepancies, and reimbursement errors - Assistance in recovering eligible revenue from commercial and government payers (including Medicare and Medi-Cal) - Root-cause analysis, reporting, and training recommendations to improve internal revenue cycle processes - Vendor Requirements: - Proven track record of recovering underpayments from commercial and government payers - Ability to provide actionable reporting and process improvement recommendations - Must be authorized to conduct business in California; preference for vendors with an established business presence in the state - No specific OEMs, product part numbers, or hardware/software products are mentioned, as this is a service-based solicitation.

Description

The County of Riverside Purchasing Department, on behalf of Riverside University Health System (RUHS), is soliciting proposals for Revenue Recovery and Zero-Balance Account Audit Services for Ambulatory Care and Community Health Services. The contractor will provide a data-driven audit and recovery platform to identify lost or underpaid revenue, review closed or zero-balance patient accounts for underpayments and billing discrepancies, and assist in recovering eligible revenue. The ideal vendor will have experience recovering underpayments from commercial and government payers, including Medicare and Medi-Cal, and provide root-cause analysis, reporting, and training to improve internal revenue cycle processes. Vendors must be authorized to conduct business in California, with preference given to those with an established presence in the state.

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