Competitive contract third party biller EMS/EMS collection services

The City of Cape May in Cape May County, New Jersey is seeking an independent contractor to provide comprehensive third-party billing and collection services for its emergency medical services (EMS) through a competitive contract bid. The procurement seeks a vendor to handle patient accounting, billing, and collection for the city's four Basic Life Support ambulances, with a base transport rate of $850 and additional fees for supplementary services. The successful contractor must file claims with Medicare, Medicaid, Worker's Compensation, and private insurance while maintaining strict compliance with HIPAA regulations. Key deliverables include electronic patient reporting software, monthly and annual reports detailing account activities, collection rates, and patient categorizations. The bid opportunity (CC# 24-17) allows vendors to respond for third-party billing services, collection services, or a combination of both, with contract services anticipated to commence around September 1, 2024. The bid is scheduled for opening on July 16, 2024, at 11:00 AM, and interested vendors can contact technical support at 1-800-835-4603 option #2 for assistance with submission.

The bid documents do not specify explicit set-aside designations or restrictions on respondent types. Historical collection data indicates the potential contract's scope, with 85 accounts totaling $41,740.95 in 2022 and 80 accounts totaling $46,313.88 in 2023, suggesting a moderate volume of billing and collection activity. While no incumbent vendor is specifically mentioned, the city requires the new contractor to provide comprehensive integration capabilities, including electronic reporting systems and seamless claims management across multiple insurance platforms. The contract is structured as a five-year agreement, providing long-term stability for the selected vendor. Though exact budget ranges are not explicitly stated, the historical account totals and base transport rate of $850 suggest a potential annual contract value in the $50,000 to $75,000 range, depending on collection performance and service utilization.