50023-000558.pdf

This is a Scope of Work document for Professional Billing and Collection Services issued by the State of Louisiana. The document outlines services required for billing and collection operations, including accounts receivable management, claims processing, patient billing, insurance follow-up, and collection activities. The scope specifies performance standards for claim submission timelines, denial management, and revenue recovery. The contract requires the selected vendor to maintain compliance with state and federal regulations, implement quality assurance procedures, and provide detailed monthly reporting on collections performance, aging accounts, and recovery rates. The service provider must be capable of handling high-volume billing transactions and maintaining confidentiality of sensitive patient and financial information throughout the billing and collection process.

The document establishes performance metrics and service level agreements as primary evaluation criteria, with emphasis on collection rates, cost per claim processed, and days sales outstanding reduction. The contract will be awarded to a qualified vendor demonstrating expertise in healthcare or government billing operations with proven track records in similar scope environments. Pricing is to be submitted based on transaction volumes and collection activities, with reimbursement structured around performance outcomes. The contract term and renewal options, specific funding sources, and budget allocation details are referenced in accompanying procurement documents. All vendors must meet Louisiana state licensing and bonding requirements for collection services prior to contract execution.