RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract #23-560-1 with Firm Revenue Cycle Management Services, Inc., a corporation, in an amount not to exceed $120,000, for billing services to process out-of-state Medicaid and commercial insurance claims, for the period from February 1, 2016 through January 31, 2017.
FISCAL IMPACT:
This contract is funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
Under Contract #23-560-1, the Contractor will provide billing services to process out-of-state Medicaid Claims on behalf of the County, including review claims for accuracy, rebill, request appeals, follow-up inquiries and prepare documentation, through January 31, 2017.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the Department will not receive funding and claim solutions for denied, unpaid or underpaid medial insurance claims.
|