Revenue Cycle Management/Billing Services

The Capital Area Human Services District (CAHSD) in Louisiana is seeking proposals through a competitive procurement process to establish a comprehensive Revenue Cycle Management and Billing Service system. The goal is to manage the entire outpatient clinic client engagement process, from initial eligibility assessment to the final payment for behavioral health services. The contractor will be responsible for all activities related to revenue cycle management, including timely and accurate claim filing or refiling within 2 to 7 days of service or rejection, achieving at least a 90% acceptance rate on first claim submissions to the clearinghouse, maintaining an error rate of 5% or less, and reducing bad debt to at least 5% below the national average. Exclusions from this procurement include residential/inpatient services and private (non-insurance) contracts or grants, which may be negotiated separately at a later date. The solicitation, titled "Revenue Cycle Management/Billing Services," was posted on February 10, 2025, with a response deadline of March 12, 2025. The project is valued between $500,000 and $2,000,000 and is designated under NAICS code 621330, which pertains to outpatient care centers. The contract aims to enhance billing efficiency and financial performance for outpatient behavioral health services provided by CAHSD, ensuring compliance with performance metrics and reducing financial losses. Interested parties can find more details and submit proposals via the provided online link.