SAM #75H70926BAO-39-SS

Medicare Claims Management and Revenue Cycle Management Services for Fort Peck Service Unit

This procurement seeks Medicare Claims Management and Revenue Cycle Management (RCM) services for the Fort Peck Service Unit (FPSU) under the Indian Health Service (IHS). - Government Buyer: - Indian Health Service (IHS), Fort Peck Service Unit, managed by the Billings Area Indian Health Service office - OEMs and Vendors: - Inovalon Provider Inc. is specified as the required software solution provider for online claims management and insurance eligibility verification - Products/Services Requested: - Online claims management and eligibility verification software solution - Real-time and batch insurance eligibility checks for Medicare, Medicaid, VA, and commercial payers - Centralized billing, claims validation, correction, and daily Medicare AR reporting - Secure data exchange, HIPAA compliance, and Section 508 accessibility - Training and support for staff - Medicare Claims Management and Revenue Cycle Management (RCM) services - Focus on reducing claim denials and staff overtime - Compliance with IHS OIT mandates and the Privacy Act - Unique or Notable Requirements: - Software must be provided by Inovalon Provider Inc. - Contractor must be an Indian Small Business Economic Enterprise (ISBEE) or Indian Economic Enterprise (IEE) with majority Indian ownership and control, per the Buy Indian Act - Compliance with HIPAA, Section 508, and IHS-specific IT mandates is mandatory - Demonstrated experience in Medicare Claims Management/RCM and past performance required - Place of Performance: - Fort Peck Service Unit, 107 H. Street, Poplar, MT 59255 (via online access) - Contracting managed from Billings Area Indian Health Service, 2900 Fourth Ave. North, PO Box 366, Billings, MT 59107

Description

Service Contract to provide Medicare Claims Management services to allow FPSU to bill medicare claims.

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