San Diego County Ivalua #BPM013201

San Diego County Medi-Cal Billing Consulting Services for Behavioral Health

San Diego County's Department of Behavioral Health Services is seeking a contractor to provide Medi-Cal Billing Consulting Services for specialty mental health and substance use disorder programs. - Government Buyer: - County of San Diego, Department of Behavioral Health Services - Department of Purchasing and Contracting - Services Requested: - Comprehensive consulting to optimize Medi-Cal billing accuracy, compliance, efficiency, and audit readiness - Development and updating of best practices, tools, and training materials for billing - Technical assistance and ad hoc billing support for County staff and over 200 contracted providers - Recommendations for technology and artificial intelligence solutions to automate workflows and maximize revenue - Proposal of a Revenue Cycle Management (RCM) model with clarified workflows and staffing - Audit readiness support and ongoing updates to deliverables - Notable Requirements: - Certified coder expertise with nationally recognized credentials - Demonstrated experience in behavioral health Medi-Cal billing, especially for California DHCS and federal requirements - Consultant will work with de-identified or limited datasets, focusing on process and revenue optimization - Primary EHR system is SmartCare (via CalMHSA), but direct EHR system work is not required - No specific OEMs or vendors are named in the solicitation - Estimated contract value: $4.25 million to $5 million over five years - Contract covers one base year plus four option years, with possible incremental extensions

Description

The County of San Diego is seeking proposals from firms to provide Medi-Cal Billing Consultant Services. The contract term includes an initial one-year period with four one-year options, with an anticipated maximum contract value between $4.25 million and $5 million over five years. The services include optimizing Medi-Cal billing accuracy, compliance, efficiency, and audit readiness, developing best practices and training, providing ad hoc billing support, recommending technology and AI solutions, and proposing a Revenue Cycle Management model. The County intends to award one contract for these services.

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