1. Hospital Information: a. Facility Name: University Medical Center of Southern Nevada (UMC) b. Location: Las Vegas, NV i. University Medical Center of Southern Nevada 1800 W. Charleston Blvd. Las Vegas, NV 89102 Bed Size: 500 ii. University Medical Center of Southern Nevada – Physicians Services 1800 W. Charleston Blvd. Las Vegas, NV 89102 c. Gross Patient Revenue: i. UMC: $ 3,214,598,473 d. Net Patient Revenue: i. UMC: $649,511,610 e. Average Monthly Referral Volume (#; $): i. Gross: 107 accounts $ 2,077,686.75 f. Patient Accounting System: EPIC i. Daily note files will be required from COMPANY. 1. COMPANY must utilize standard EPIC extracts for referrals, updates, transactions, and any other applicable information that needs to be recorded in EPIC. ii. COMPANY must be able to accept an average of 837 transaction files daily. 2. HOSPITAL’s Vendor Requirements: a. COMPANY must have experience working with EPIC; HOSPITAL shall train a super user in EPIC. COMPANY shall be responsible for training their staff after receiving training from HOSPITAL. b. COMPANY must have all licenses necessary to comply with state and federal legal/regulatory requirements in Clark County, Nevada, USA as a billing and collections agency. c. COMPANY must work accounts at minimum based on the following: i. HOSPITAL will assign all accounts for patients residing outside of the USA to COMPANY upon discharge and coding, and will seek to obtain reimbursement on these accounts through any of the following avenues: 1. Provider enrollment. 2. Billing. 3. Follow-up and collection activities related to the accounts. 4. Engage in required third party billing agreements as necessary for the billing services related to various payers and intermediaries. ii. To ensure HIPAA compliance, HOSPITAL’s accounts will be maintained separately from any other client accounts handled by COMPANY. iii. HOSPITAL will be allowed to recall any account they deem necessary according to a mutually agreed upon process between COMPANY and HOSPITAL. iv. COMPANY will staff and manage a remote billing center to handle the billing, tracking, follow-up and collection efforts related to the accounts referred to COMPANY. 1. Remote team must be made up of professionals versed in various international insurance plans, travel policies, and a wide range of health coverage to ensure HOSPITAL is in compliance with and reimbursed properly for all services rendered by HOSPITAL.
