SLED Opportunity · CALIFORNIA · COUNTY OF RIVERSIDE
AI Summary
County of Riverside seeks qualified vendors for Revenue Recovery and Zero-Balance Account Audit Services to identify and recover lost healthcare revenue, improve billing accuracy, and enhance revenue cycle processes for Riverside University Health System.
The County of Riverside Purchasing Department, on behalf of Riverside University Health System (RUHS), is requesting proposals from qualified vendors to provide Revenue Recovery and Zero-Balance Account Audit Services for Ambulatory Care and Community Health Services. The selected contractor shall provide a data-driven audit and recovery platform, supported by qualified industry professionals, to identify lost or underpaid revenue and recommend corrective actions. Services shall include the review of closed or zero-balance patient accounts to detect underpayments, billing discrepancies, and reimbursement errors, and to assist RUHS in recovering all eligible revenue. The ideal contractor will demonstrate a proven track record of successfully recovering underpayments from commercial and government payers, including Medicare and Medi-Cal, and must be able to provide root-cause analysis, reporting, and training recommendations designed to improve RUHS internal revenue cycle processes and prevent future revenue loss. Vendors must be authorized to conduct business in the State of California. Preference may be given to vendors with an established business presence within California. The Revenue Cycle Departments seeks to secure full reimbursement for all zero balance accounts with a vendor to capture previously unidentified short pays that will result in increased revenue for the hospital.
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
SamSearch Platform
AI-powered intelligence for the right opportunities, the right leads, and the right time.