MB-10436 - USA (Texas) - EMS Billing and Revenue-Cycle Management Services - Deadline October 1,2026

(1) Vendor needs to provide EMS billing and revenue–cycle management services. – to provide complete, compliant, transparent, patient–centered emergency medical services (EMS) billing and revenue–cycle management.– The intent is to maximize lawful net revenue, reduce preventable revenue leakage, improve payer and patient account resolution, strengthen financial controls, and provide management information that allows the agency to evaluate EMS cost recovery by payer, service type, and service area.• Provide a detailed implementation plan, project manager, timeline, interface testing, payer enrollment review, historical A/R conversion strategy, and go–live readiness checklist.• Interface (obtain access to our web based CAD/ePCR and other approved systems using secure methods and minimize manual duplicate entry.• Reconcile all transferred historical accounts and provide a transition report identifying exceptions.• Perform CAD–to–ePCR–to–billing reconciliation so every incident is accounted for as billable, non–billable, pending documentation, canceled, refusal/non–transport, mutual aid, special event, or other approved disposition.• Maintain coding quality assurance and document coding changes.• Never direct clinical personnel to alter a medical record solely to increase reimbursement.• Perform automated and manual payer discovery before classifying an account as self–pay.• Track accounts initially identified as self–pay that are subsequently converted to insured status and report the associated recovered revenue.• Comply with all payer timely–filing requirements.• Correct clearinghouse or payer rejections promptly.• Work all actionable denials and rejected claims through resolution.• Appeal inappropriate denials and underpayments using payer–specific procedures.• Track denial reason, dollars denied, dollars appealed, dollars recovered, aging, and root cause.• Provide daily deposit/payment files sufficient for independent agency reconciliation to bank activity and the general ledger.• Identify credit balances and overpayments and process refunds only under agency–approved controls.• Maintain a complete audit trail for all adjustments, transfers, refunds, reversals, and write–offs.• Generate clear patient statements after applicable payer processing.• Provide a toll–free customer–service number, secure electronic communication capability, and an online patient portal.• Provide payment options and administer agency–approved payment plans.• Provide language–access capability appropriate to the service population.• Provide cost–reporting and supplemental–payment data needed by the agency and its advisors.• Support unit–hour cost, fully burdened cost–of–service, transport/non–transport cost, and service–line analyses when requested.• Provide a secure, documented workflow for intake, verification, tracking, fulfillment, and closure of requests for EMS patient–care records, billing records, itemized statements, payment histories, and related account documentation.• Provide the agency and its auditors access to account–level records, claims, remittances, adjustment history, call notes, reports, and supporting documentation.(2) All the questions must be submitted no later than September 23, 2026.