25.15 The system must have pre-billing and advanced billing capabilities. 25.16 The system must be able to bill physicians using CMS 1500. 25.17 The system must allow users the ability to place notations in patient billing files and produce notes on patient bills, generate automatic statements, and generate collection letters for accounts that are past due. 25.18 The system must allow billing personnel to submit 3rd party billing on Uniform Bill form for institutional healthcare providers (UB04), CMS1500, and VA 10-5588 forms. 25.19 The system must have the ability to calculate third (3rd) party contractual allowances, i.e., how much an insurer or other third party pays for services provided to a patient. 25.20 The system must be able to bill residents by line item and by item number. 25.21 The system must be able to separate residents that qualify for VA per diem from those that do not for billing purposes. 25.22 The system must have reimbursement tables that can be modified and/or validated electronically. 25.23 The system must allow designated users to populate Mississippi Medicaid levels of care and Medicare levels of care with current reimbursement amounts and allow this
25.15 The system must have pre-billing and advanced billing capabilities. 25.16 The system must be able to bill physicians using CMS 1500. 25.17 The system must allow users the ability to place notations in patient billing files and produce notes on patient bills, generate automatic statements, and generate collection letters for accounts that are past due. 25.18 The system must allow billing personnel to submit 3rd party billing on Uniform Bill form for institutional healthcare providers (UB04), CMS1500, and VA 10-5588 forms. 25.19 The system must have the ability to calculate third (3rd) party contractual allowances, i.e., how much an insurer or other third party pays for services provided to a patient. 25.20 The system must be able to bill residents by line item and by item number. 25.21 The system must be able to separate residents that qualify for VA per diem from those that do not for billing purposes. 25.22 The system must have reimbursement tables that can be modified and/or validated electronically. 25.23 The system must allow designated users to populate Mississippi Medicaid levels of care and Medicare levels of care with current reimbursement amounts and allow this
3783-rfp.docx