Mandatory Specification a) Provide a narrative that thoroughly describes the specifications such as a mission statement and include the proposed approach the Offeror will utilize in providing the necessary services.
Mandatory Specification. STAT Medical Consulting, Inc. is capable of handling the volume, specialty specifications, billing requirements and is able to provide added value services to the Nevada’s Health And Human Services Department of Health Program for a long association. We offer our extensive knowledge and expertise in Pediatric, Internal Medicine, Obstetrics and all medical billing specialties. We have extensive knowledge in all other specialties including Preventative Care, Injections, Family Planning, Primary care and Immunization billing. In addition we have knowledge of the coding and billing requirements of Ancillary providers, such as Occupational, Physical Therapy, and Behavioral Health. We are familiar with the Title X coding and billing requirements specific to the program requirements, specifically of who Qualifies and which visits are allowed per year and per month by each child eligible for the program, according to the guidelines published in the HHS Department Guidelines and Standards Policy Manual. We have also become familiar with the ICD-10 approved diagnosis list that are “acceptable” billable codes needed to get claims paid under the clinical services divisions. We provide 24 hour turnaround on claim submissions. We are familiar with the weekly and monthly billing and reporting requirements outlined in the RFP requirements and we have no problem to adhere to that schedule. Currently we have many clients that we obtain data from a multitude of other platforms both manually and electronically. We have the capability of learning new software with ease and can adapt to accommodate the requirements set forth to meet the specific needs of the clients. We are accustomed to having data in simultaneous platforms and this does not present a problem for our company. IF the CCHHS would like our company to perform the billing using the E- Clinical Works Practice Management Software we can do so with ease. Our IT department can work with the E- Clinical Works team Information data system to work on any electronic format available and our company is flexible to work within any parameters. Many of our past projects have involved re-keying data from paper and we still get the job done. We are fully electronic nationwide and utilize Trizetto as our clearinghouse for claims submissions. We are pro-active in our follow up efforts, resulting in increases in cash flow. Our follow up begins at 21 days. We have a proven track record of increased collections and reimbursement. I...
