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FBO DAILY - FEDBIZOPPS ISSUE OF NOVEMBER 22, 2015 FBO #5112
SOLICITATION NOTICE

R -- Medical Claims Ajudication

Notice Date
11/20/2015
 
Notice Type
Presolicitation
 
NAICS
524291 — Claims Adjusting
 
Contracting Office
Department of Justice, Bureau of Prisons, Acquisitions Branch, 320 First Street, NW, Washington, District of Columbia, 20534
 
ZIP Code
20534
 
Solicitation Number
RFPP0700NAS1600833
 
Archive Date
6/1/2016
 
Point of Contact
Donna K Grube, Phone: 202-616-6150
 
E-Mail Address
dgrube@bop.gov
(dgrube@bop.gov)
 
Small Business Set-Aside
N/A
 
Description
Contracting Office Address Department of Justice, Bureau of Prisons, National Acquisitions and Systems Section, 320 First Street, NW, Washington, D.C. 20534 Description PRE-SOLICITATION NOTICE: The Federal Bureau of Prisons, National Acquisitions and Systems Section, Washington, D.C. is seeking proposals from qualified and responsible sources having the ability to provide medical claims adjudication. The request for proposal will be available on or about December 23, 2015. The closing date for receipt of proposal will be on or about January 19, 2016. The primary objective of medical claims adjudication services, for healthcare service providers/contractors (healthcare providers) paid under Medicare-based rate structures, is to ensure compliance with Medicare Claims processing guidelines/manual in conjunction with the National Correct Coding Initiative edits; for fee schedule healthcare providers, the objective is to ensure compliance with the applicable negotiated fee schedule. In both cases, key considerations include avoidance of duplicate claims payments, erroneous claims and allowing the Bureau of Prisons to meet compliance requirements of the Prompt Payment Act and Statements of Federal Financial Accounting Standards (SFFAS). Medical services rendered to all federal inmates are governed by federal law, BOP policies/procedures, the Joint Commission on Accreditation of Healthcare Organization (JCAHO), Health Insurance Portability and Accountability Act (HIPAA) and American Corrections Association (ACA) standards. Primary care is provided by BOP staff physicians and mid-level practitioners. Only institutions with Comprehensive Medical Services (CMS) contracts will participate in claims adjudication. Each institution has separate and unique contract(s) with healthcare providers in their area. The Performance Period for this requirement is for a five month base period to begin April 1, 2016 and 4 option periods as follows: Base: April 1, 2016 through March 31, 2017 Option Period 1: April 1, 2017 through March 31, 2018 Option Period 2: April 1, 2018 through March 31, 2019 Option Period 3: April 1, 2019 through March 31, 2020 Option Period 4: April 1, 2020 through March 31, 2021 The following represent estimated quantities only. Actual quantities may vary. Base Year: 80,000 claims Option Year 1: 80,000 claims Option Year 2: 80,000 claims Option Year 3: 80,000 claims Option Year 4: 80,000 claims The request for proposal will be available on or about December 23, 2015. The closing date for receipt of proposal will be on or about January 20, 2016. All information regarding this solicitation will be distributed solely through the General Services Administration's Federal Business Opportunities web site http://www.fedbizopps.gov. Hard copies of the proposal will not be available. The site provides downloading instructions. Faith-Based and Community-Based Organizations can submit offers equally with other organizations for contracts for which they are eligible. All future information about this acquisition, including amendments, will be distributed solely through this site. Interested parties are responsible for monitoring this site to ensure that they have the most up-to-date information about this acquisition. Questions concerning this Pre-Solicitation Notice should be directed to Donna K. Grube, Contracting Officer, by email to dgrube@bop.gov. Please reference RFQP0700NAS1600833 in the subject line.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/DOJ/BPR/PPB/RFPP0700NAS1600833/listing.html)
 
Record
SN03952235-W 20151122/151120234925-472f2c7a137625e187e5e6fcdd3d4ac6 (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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