o Assignment Days: 60 days from first claim date o Balance Threshold: Inpatient: $100.00 - $2,500.00 Outpatient: $50.00 - $2,500.00 o All payers are included (Commercial, Medi-Cal, Medi-Cal Managed Care, Medicare, Medicare Managed Care) Exclusions: Excludes Legal referrals, accounts in Arbitration, Transplant, TPL/WC o Will send all <$2500 inventory to be worked, regardless of age to start. Then recurring files/accounts going forward once implemented. All file transmissions must be secured per UCDH security standards. o Vendor must obtain separate UserIDs for each staff member assigned to UCDH. UserID sharing is prohibited. o Vendor staff members must comply with HIPPA standards and comply with UCDH system access processes and credentials for provisioning and deprovisioning. o Vendor must perform monthly Quality Assurance audits with pre-agreed upon criteria. UCDH will select 5 account samples to be audited for each assigned UserID. o Regular operation meetings will be scheduled to provide status updates, review complex accounts and exchange critical information. o Detailed weekly and/or monthly reports showing (not exhaustive): Paid accounts/collection rate Adjusted accounts broken out by adjustment reason/adjustment rate Remaining A/R inventory broken out by age from date of account assignment, date of service, and last worked date Most recent Quality Assurance results
