Inpatient and Outpatient Claims Coding, Billing and Collection Services

The West Virginia government authority needs a USA-based vendor to perform offsite, comprehensive inpatient and outpatient claims coding, billing, and collection services for state-owned and operated psychiatric hospital facilities. The selected vendor must abstract claims data from the facilities' clinical systems before submission to the clearinghouse. Additional responsibilities include providing all necessary materials, equipment, and personnel, maintaining required staffing levels with monthly reporting, providing administration access to the clearinghouse eligibility system, maintaining audit logs, and holding a credential lifecycle plan. The buyer also requires the vendor to maintain cyber liability and errors and omissions insurance. The vendor assumes responsibility for any reimbursements, fines, or penalties caused by improper coding or billing, unless the facilities supply inaccurate medical information. The buyer seeks proposals to establish the budget. The provided text contains no information regarding evaluation criteria or key dates.