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Medicare Billing Services

Overview


Financial, Legal, HR & Staffing
Boise, Idaho, United States; Pocatello, Idaho, United States; Lewiston, Idaho, United States; Post Falls, Idaho, United StatesPosted: September 10, 2026Deadline: October 13, 2026

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SUMMARY


The contractor will provide comprehensive Medicare billing, consolidated billing, claims support, audit assistance, and appeals services for long-term nursing care facilities. A pre-bid meeting is scheduled for September 16, 2026, with questions due September 24, 2026.

KEY REQUIREMENTS


CONTRACT DURATION


72 months

TIMELINE


Pre-proposal meeting: September 16th, 2026

Deadline to submit questions: September 23rd, 2026

Closing date: October 13th, 2026

Public opening date: October 13th, 2026

QUESTION DEADLINE


September 23, 2026

CONTACTS


Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

Issuing Agency


Idaho Division Of Purchasing

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DESCRIPTION


The contractor will provide comprehensive Medicare Part A and Part B billing services for all applicable types of Medicare in accordance with Medicare requirements. Services will include Medicare Consolidated Billing, Part A and Part B billing, and third-party insurance billing for long-term nursing care.

The contractor will establish mutually agreed timelines consistent with CMS Consolidated Billing requirements for billing submissions and the provision of required information by the participating homes. Responsibilities will also include retrieving billing-related information, including census data, as needed, and providing hands-on assistance with complex claims, pending resident certifications, and funds held by third parties.

The contractor will assist the homes with Medicare billing reviews, audits, and claim appeals, including RAC, UPIC, SMRC, TPE, and MAC audits. A pre-bid meeting is scheduled for September 16, 2026, and questions must be submitted by September 24, 2026.

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Frequently asked questions


When is the submission deadline?
Submissions are due October 13, 2026. Questions must be submitted by September 23, 2026.
Who issued this RFP?
It was issued by Idaho Division Of Purchasing. The work is located in Boise, Idaho, United States; Pocatello, Idaho, United States; Lewiston, Idaho, United States.
Who is a good fit for this opportunity?
  • Medicare billing and revenue cycle management firm
  • Expertise in Medicare Part A, Part B, consolidated billing, and third-party insurance
  • Experience supporting long-term care and nursing home facilities
  • Proven capability handling complex claims, audits, and appeals
  • Familiarity with RAC, UPIC, SMRC, TPE, and MAC review processes

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