Services shall include but not be limited to: (1) preparing and submitting initial and secondary claims and bills for University to insurers and others responsible for payment; (2) performing reasonable and diligent routine collection efforts to secure payments from primary and secondary payers and clients or other entities,(as contractor, in its sole discretion deems appropriate); (3) issuing up to three client statements for all unpaid balances; and (4) referring accounts which have not been collected during the contractor’s normal billing cycle to an outside collection agency only when directed by the University. Contractor is responsible for creating and maintaining applications/processes to automate the ongoing integration of transactions between the Medical Billing & EHR systems. I Medical Billing • Medical Billing service provided shall be compatible with Electronic Health Record systems and related Practice Management Systems designed to support Speech, Language, and Hearing; and Applied Behavior Analysis clinics. o Medical Billing service shall be compatible with offeror’s proposed EHR for CSLH. o Medical Billing service shall be compatible with the PC’s EHR – ReThink Autism. • Contractor will provide assistance and guidance to the University to maintain Medicare and Medicaid eligibility and support. This includes completing and submitting applications and all other required paperwork for Medicare and Medicaid. University will provide all necessary information needed to ensure accurate and timely completion of required forms and related paperwork, e.g. required signatures from an authorized representative of the FMU CSLH or FMU PC respectively...
