REVENUE RECOVERY SERVICES

The County of Riverside is seeking a vendor to provide revenue recovery services, including a data-driven audit and recovery platform, to identify lost or underpaid revenue and recommend corrective actions. The ideal contractor will have a proven track record of successfully recovering underpayments from commercial and government payers. The services will include review of closed or zero-balance patient accounts to detect underpayments, billing discrepancies, and reimbursement errors, and to assist the County in recovering all eligible revenue. The contract is expected to be for a period of four years, from July 1, 2026, to June 30, 2030. Some key points to consider: • The County is looking for a vendor with experience in medical facilities and a proven track record of recovering underpayments. • The vendor will be required to provide a data-driven audit and recovery platform. • The contract will be for a period of four years, with the option to renew for up to four additional years. • The County reserves the right to reject any or all proposals, to waive any formalities in the RFP process, and to cancel or amend the RFP at any time prior to the execution of the written agreement. • The vendor will be required to comply with the Health Insurance Portability and Accountability Act (HIPAA) and the County's HIPAA Business Associate Addendum.