GENERAL SERVICES ADMINISTRATION



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GENERAL SERVICES ADMINISTRATION

Federal Supply Service

Authorized Federal Supply Schedule Price List

Schedule for Multiple Award Schedule(MAS)

FSC Group: Professional Services Product Service Code: R704

Contract Number: 47QRAA19D007Y

Price list current as of Modification #PA-0004 effective August 26, 2020

Contract Period: May 10, 2019 through May 9, 2024

Contractor: PABLO X, INC. DBA Express Claims, Inc

5105 Route 33 Unit I and G

Wall Township, NJ 07727-4003

Business Size: Small Business

Telephone: 855-593-2455

FAX Number: 732-244-0444

Web Site:

E-mail: PaulTriolo@

Contract Administration: Paul Triolo, M.D.

For more information on ordering from Federal Supply Schedules

click on the FSS Schedules button at

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order is available through GSA Advantage!™, a menu-driven database system. The INTERNET address for GSA Advantage!™ is:

CUSTOMER INFORMATION:

1a. Table of Awarded Special Item Number(s) with appropriate cross-reference to page numbers:

|Awarded SINs |Awarded Recovery SINs |SIN Description |

|541214 |541214RC | Outsourcing Recurring Commercial Activities for Financial Management Services|

|OLM |OLMRC |Order-Level Materials |

1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply. Not Applicable

1c. If the Contractor is proposing hourly rates a description of all corresponding commercial job titles, experience, functional responsibility and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item. Not Applicable

2. Maximum Order: $1,000,000.00

3. Minimum Order: $100.00

4. Geographic Coverage (delivery Area): Domestic Only

5. Point(s) of production (city, county, and state or foreign country): Same as company address

6. Discount from list prices or statement of net price: Government net prices (discounts already deducted).

7. Quantity discounts: Yes

Quantity/Volume Discounts of 2.0% on revenue earned on single task orders exceeding $250,000

Quantity/Volume Discounts of 3.0% on revenue earned on single task orders exceeding $500,000

8. Prompt payment terms: Net 30 days. Information for Ordering Offices: Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions.

9a. Notification that Government purchase cards are accepted up to the micro-purchase threshold: Yes

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: Yes

10. Foreign items (list items by country of origin): None

11a. Time of Delivery (Contractor insert number of days): Specified on the Task Order

11b. Expedited Delivery. The Contractor will insert the sentence “Items available for expedited delivery are noted in this price list.” under this heading. The Contractor may use a symbol of its choosing to highlight items in its price list that have expedited delivery: Specified on the Task Order

11c. Overnight and 2-day delivery. The Contractor will indicate whether overnight and 2-day delivery are available. Also, the Contractor will indicate that the schedule customer may contact the Contractor for rates for overnight and 2-day delivery: Specified on the Task Order

11d. Urgent Requirements. The Contractor will note in its price list the “Urgent Requirements” clause of its contract and advise agencies that they can also contact the Contractor’s representative to effect a faster delivery: Contact Contract Administrator

12. F.O.B Points(s): Destination

13a. Ordering Address(es): Paul Triolo, M.D., President and CEO

5105 Route 33 Unit I and G

Wall Township, NJ 07727-4003

Cell: 732-267-5368

Fax: 732-970-6338

Email: PaulTriolo@

13b. Ordering procedures: For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3.

14. Payment address: Express Claims Inc.

5105 Route 33 Unit I and G

Wall Township, NJ 07727-4003

15. Warranty provision: Contractor’s standard commercial warranty.

16. Export Packing Charges (if applicable): Not Applicable

17. Terms and conditions of Government purchase card acceptance (any thresholds above the micro-purchase level): Contact Contract Administrator

18. Terms and conditions of rental, maintenance, and repair (if applicable): Not Applicable

19. Terms and conditions of installation (if applicable): Not Applicable

20. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if applicable): Not Applicable

20a. Terms and conditions for any other services (if applicable): Not Applicable

21. List of service and distribution points (if applicable): Not Applicable

22. List of participating dealers (if applicable): Not Applicable

23. Preventive maintenance (if applicable): Not Applicable

24a. Special attributes such as environmental attributes(e.g.,recycled content, energy efficiency, and/or reduced pollutants): Not Applicable

24b. If applicable, indicate that Section 508 compliance information is available on Electronic and Information Technology (EIT) supplies and services and show where full details can be found (e.g. contactor’s website or other location.) The EIT standards can be found at: : Contact Contract Administrator

25. Data Universal Numbering System (DUNS) number: 165770293

26. Notification regarding registration in System for Award Management (SAM) database: Registered

27. Final Pricing:

The rates shown below include the Industrial Funding Fee (IFF) of 0.75%.

Pricing

Base Period

|SIN |Awarded Labor Category |Site |Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |

Service Contract Labor Standards:  The Service Contract Labor Standards (SCLS), formerly known as the Service Contract Act (SCA), is applicable to this contract as it applies to the entire Schedule and all services provided.  While no specific labor categories have been identified as being subject to SCLS/SCA due to exemptions for professional employees (FAR 22.1101, 22.1102 and 29 CRF 541.300), this contract still maintains the provisions and protections for SCLS/SCA eligible labor categories.  If and/or when the contractor adds SCLS/SCA labor categories to the contract through the modification process, the contractor must inform the Contracting Officer and establish a SCLS/SCA matrix identifying the GSA labor category titles, the occupational code, SCLS/SCA labor category titles and the applicable WD number.  Failure to do so may result in cancellation of the contract.

|Pablo X, Inc. DBA Express Claims, Inc. Service Descriptions |

| | |

|Service |Detailed Description |

|Medical Billing Services |Daily processing of patient superbills, posting of payments by Electronic Remittance Advice and |

| |manually, communication with insurance companies with regard to unprocessed bills, communication|

| |with patients to address open invoices and consulting with clients to wind down outstanding |

| |accounts. |

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Company Profile

Express Claims, Inc., a division of Pablo X, Inc., provides a complete menu of healthcare revenue cycle management services for hospitals, healthcare facilities, and large groups of physicians through individual providers. Our workforce is entirely based in the United States of America and provides highly skilled employment opportunities for our country while fulfilling the needs of the medical facilities we serve. Founded in 1997 by physicians, our company has processed and billed out millions of claims over the last 20 plus years of dedication to the healthcare industry. Our mission is to successfully resolve outstanding accounts receivable while preserving and enhancing patient good will.

Management and Structure

Our executive physician management oversees a hierarchy of billing managers, billing representatives, accounts receivable specialists, and data processors while also coordinating with independent accounting, collections, statement printing and legal support teams. This structure enhances mission-essential services, allows for expert level coding and billing, and provides unparalleled precision across all healthcare disciplines. We maintain several professional association memberships including active membership in the Healthcare Business and Management Association() since 2007.

Revenue Cycle Management Services

Time proven protocols and methodologies executed by a highly trained team of professionals are the backbone of our company. Our workflow has been vetted over several decades and results in revenue enhancement through efficiency and timely focus. We provide a complete menu of accounts receivable management tools and process billing data on a daily basis without delay. Our team utilizes the essential reference tools of our industry including the International Classification of Diseases v10(ICD-10), the Current Procedure Terminology(CPT), the Healthcare Common Procedure Coding System(HCPCS) and other references to process and manage electronic data interchange 837 and 835 transaction sets in the transmission of medical claim information. Strictly adhering to the Healthcare Insurance Portability and Accountability Act of 1996(HIPAA) compliance and confidentiality mandates, we also submit CMS1500 and UB04 claim data forms to all medical insurance carriers including the Centers for Medicare and Medicaid Services(CMS) and Tricare. Our patient dedicated call center is always aware that we represent our clients as an extension of their facility, thereby, we will improve your patient contact experience driving up collections rates while maintaining your duty of care. With the realization that total transparency is essential to our industry, we keep your finger on the financial pulse of your facility by providing time sensitive customized reports and consultation. At Express Claims, Inc. we provide diligent denial follow-up, process patient billing up to the level of sending pre-collections notices, and will vigorously provide support to our clients defending them against onerous audits and appeals.

Advantages of Outsourcing

Our goal is to expand your revenue stream and provide cost effective, efficient, and integrated accounts receivable management. We allow for the complete outsourcing of your billing functions and removal of oversight responsibility eliminating provider patient billing interaction. Our skilled and expertly trained billing associates are committed to quality accounts receivable follow-up and will integrate and coordinate with your existing office personnel to efficiently manage and wind down your accounts receivable.

Poised for Growth

Our company is prepared and excited for continued expansion into the federal healthcare environment through the GSA. We have secured multiple lines of credit to fund this expansion and have expanded facilities and office space pending the execution of committed lease agreements. We maintain strong ties with training institutions for medical billers, medical coders, and healthcare support staff and we have laid the groundwork for ramping up our personnel and infrastructure within the framework of our defined corporate chain of command.

Corporate Philosophy

At Express Claims, Inc. we value honesty, hard work, professionalism and maintaining the highest standards of ethics and integrity. Our call center representatives are knowledgeable and conduct their work in a professional and respectful manner. We dedicate unique client account managers to respond to your needs and provide transparent custom reports delivering critical financial information in a seamless manner. At Express Claims, Inc. it is our honor to serve you.

Healthcare Disciplines We Serve: Ophthalmology

Addiction Medicine Oral Surgery

Allergy and Immunology Orthopedic Surgery

Ambulance Services Otolaryngology

Ambulatory Care Centers Pain Management

Anesthesia Pathology

Assistant Surgeons Pediatrics

Burn Centers Physical Medicine and Rehab.

Cardiothoracic Surgery Physician Assistants(PA)

Cardiology Plastic Surgery

Chiropractic Care Podiatry

Colorectal Surgery Prosthetics

Critical Care Medicine Psychiatry

Dermatology Psychology

Diagnostic Testing Facilities Pulmonary Disease

Dialysis Centers Radiation Oncology

Durable Medical Equipment Suppliers(DME) Radiation Therapy Centers

Emergency Medicine Radiology Facilities

Endocrinology Radiology, Diagnostic/Interventional

Family Medicine Registered Nurse First Assist(RNFA)

Gastroenterology Rehabilitation Facilities

General Practice Rheumatology

General Surgery Sports Medicine

Geriatric Medicine Surgery

Hand Surgery Surgical Centers

Hematology Surgical Oncology

Hospice Care Thoracic Surgery

Hospital Inpatient Care Transport Services

Hospital Outpatient Care Trauma Centers

Hospitalists Urgent Care Centers

Infectious Diseases Urology

Intensive Care Medicine Vascular Surgery

Internal Medicine Wound Care Centers

Interventional Cardiology

Maxillofacial Surgery

Medical Transport Services

Nephrology

Neurology

Neurosurgery

Nuclear Medicine Contract Administrator

Nurse Practitioners Paul Triolo, M.D., President and CEO

Nursing Care Centers 5105 Route 33 Unit I and G

Nursing Homes Wall Township, NJ 07727-4003

Obstetrics and Gynecology Cell: 732-267-5368

Oncology Fax: 732-244-0444

Email: PaulTriolo@

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