Medical billing

This contracting opportunity is for comprehensive medical billing and revenue cycle management services for the Commonwealth of Massachusetts. The procurement is being led by the Suffolk County Sheriff's Department (SCSD) and is available on the COMMBUYS website. The scope of work includes claims submission, payment posting, accounts receivable management, denials management, and reporting. Vendors must demonstrate strong technical capabilities, past performance, and competitive pricing. The contract term is for 3 years with 2 optional 1-year renewal periods, for a total estimated value of $25 million. A mandatory bidder's conference is scheduled for April 15, 2023, and proposals are due by June 30, 2023, with an anticipated award date of August 15, 2023.

The Commonwealth has not indicated any set-aside designations or restrictions on the types of organizations that can respond. The current services are being performed by Department staff, and the successful contractor will be responsible for challenging any claims to ensure proper billing. No information was provided about incumbent vendors or current contractors. Vendors interested in this opportunity must complete the required Commonwealth forms, including the Contractor Authorized Signatory Listing, Prompt Pay Discount Form, and Massachusetts Substitute W-9 Form.