The contractor will prepare service proposal that will provide billing and continual receipt of payments with the following factors in section: 4.1 All claims information shall be valid and accurate. 4.2 All billing and payment receipts recorded shall be timely. 4.3 Revenues billed and payments received shall be maximized. 4.4 Insurance and Medicare/Medicaid claims shall be maximized through accurate coding and compliance with rules and time constraints. 4.5 Proposed services shall be carried out with limited City maintenance, reconciliation, or key entry requirements. 4.6 The system shall meet the Federal requirements for Health Insurance Portability and Accountability Act (HIPAA) compliance assuring patient confidentiality. It shall include password and security protection as well as patient health information (PHI) accounting disclosure tracking. 4.7 Compliance with Nevada state reporting codes and requirements, as well as future updates. 4.8 CCFD currently utilizes ImageTrend Elite for patient care reporting and billing documentation. Outline of Authorized Work and Contractor Participation 4.1.1 The Independent Contractor will perform billing and coding services, claims scrubbing, payment posting, overpayment monitoring, which are reasonably necessary to invoice on behalf of the City. 4.1.2 Refund determinations will be processed by the Independent Contractor and presented to Carson City Fire on a monthly basis, Carson City Fire will process and remit refund checks. 4.1.3 The Independent Contractor will be responsible for soft collection services and patient payment plan initiation and monthly collections.
