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Medical Billing Compliance Software Tools and Services

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Bid Information

Bid Alert No: 00000419123

Bid Title: Medical Billing Compliance Software Tools and Services

Agency Bid No. Title: SSO-2

Received Date: 11/17/2015

Close Date: 12/14/2015

Purchase Type: Not Stated

Delivery Point: University of Texas, Austin, Texas

Delivery Date: Not Stated

Special Notices: Questions Due By 11/25/2015 05:00 PM, Pre-Bid Conference Optional 11/23/2015 01:00 PM, Bidder Preregistration


Specifications include, but are not limited to:UT System wishes to acquire software tools that will: Automate and simplify audit-related administrative tasks, including, but not limited to, audit case selection, the timing of conducting audits, services to be included in audit cases, etc.; Permit auditing of professional, technical and research charges, including the ability to capture professional, hospital, research services and entire hospital stays in a single audit, generate audits by billing area (e.g., division, department) or internal service code, and capture all universal modifiers for professional, hospital and research services; Allow seamless and effective data integration from the involved institutions billing software systems to the auditing software tool(s), including the ability to generate dashboards; Allow UT System, with the input of the various health institutions, to establish the timing (e.g., 12:00 a.m. each Sunday morning) and frequency (e.g., weekly) of data transfers from the involved institutions billing software systems to the auditing software tool(s), as well as provide electronic notices (through e-mail) of the success or failure of the scheduled data transfers; Permit real-time monitoring of the status of pending and/or active audits; Capture audit data/results/findings in a central repository; Offer the capability to produce detailed audit reports, including the options to extract/export reports to other Microsoft Office-based programs (e.g., Excel) and to produce graphs/charts/tables; Employ a risk-based scheduling methodology, configurable by each institution, that allows for higher-risk individuals, units and/or departments to be reviewed more often than individuals, units and/or departments with better audit results; Allow flexibility to customize audit selection based on payer(s), high-risk areas, high volume, and/or high reimbursement/top dollar services; Use a consistent audit-scoring and audit-finding methodology and, thus, provide more uniform responses and analyses of results across the health institutions; Offer the ability to extract both retrospective and prospective charge data, permitting a comprehensive view of billing risks; Offer a comprehensive package of audit-result reporting templates/customizable management, and audit reports that can be manipulated easily by the end-user

Product Codes: 20800, 20810

Agency Information

Issuing Agency: University of Texas System

State: Texas

Agency Type: State and Local

Contact: 601 Colorado, Austin, Texas, 78701



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