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FBO DAILY - FEDBIZOPPS ISSUE OF JANUARY 06, 2018 FBO #5888
DOCUMENT

Q -- Coding Auditing Services for VHA CBI - Attachment

Notice Date

1/4/2018
 

Notice Type

Attachment
 

NAICS

#541219 — Other Accounting Services
 

Contracting Office

Department of Veterans Affairs;Network Contracting Office 5
 

Solicitation Number

36C24518Q9004
 

Response Due

1/11/2018
 

Archive Date

3/12/2018
 

Point of Contact

James A Whisner
 

E-Mail Address

326-7984<br
 

Small Business Set-Aside

N/A
 

Description

Veterans Health Affairs, Network Contracting Office 5, is issuing this request for information/sources sought notice in order to identify sources that have the resources and capabilities to provide external coding auditing services for the Veterans Health Administration s Compliance and Business Integrity Office. Description of Work The Veterans Health Administration (VHA) Office of Compliance and Business Integrity (CBI) is seeking a contractor to conduct coding audits of VHA inpatient and outpatient encounters, both unbilled and billed to third party payers; and/or claims billed to the VA through the VA Community Care Program. There will be approximately 6,000 to 7,000 coding encounters to be audited per year and all necessary records will be made available to the contractor in electronic format. Upon completion of each audit, the contractor will prepare a final audit report in the English language detailing all necessary and relevant information pertaining to the scope and objectives provided; the methodology; findings and recommendations of the auditor and other contract personnel. Each report will include, at a minimum, analysis of the accuracy of all coder (and possibly non-coder) supported codes within the claims, use of all modifiers, and the percentage of claims likely to be denied for payment due to any of these inaccuracies. Reports will also include any other analyses, identified trends, or opinions that the reviewers, auditors, or other staff find relevant and useful to the government. Report results, analysis, opinions, observations, etc., should be based upon the scope of the audit as discussed with CBI. Technical Requirements Contractor must possess the necessary licenses, certifications. Auditors shall hold a current/active American Health Information Management Association or American Academy of Professional Coders credential. Acceptable credentials are: American Health Information Management Association credentials as a Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialist, and Certified Coding Specialist Physician, or American Academy of Professional Coders as a Certified Professional Coder or Certified Professional Coder Hospital. Contract auditors must be able to obtain and maintain access to VA electronic health records systems and other necessary VA systems. Interested & Capable Responses NCO 5 is seeking responses from businesses that are interested in this procurement and consider themselves to have the resources and capabilities necessary to provide these services. Please respond with your: Business name, business type, socio-economic status (e.g., Veteran-Owned, Woman-Owned, Disadvantaged Small Business, 8(a), etc.), and person of contact (including telephone number & email address). GSA contract number, if applicable, including the contract s ultimate completion date inclusive of all remaining option periods. Capability statement and summary of previous experience conducting coding auditing services for VHA and other entities. Approximate cost estimate to perform the work described per year, assuming the maximum (7,000) audits are provided. Likewise, you are encouraged to suggest a CLIN structure that should be used in the future contract (e.g., unit price per inpatient audit, unit per outpatient audit). Responses must be submitted by 11:00 AM (EST) January 11, 2018. Responses to the information requested above may be submitted (1) via email to james.whisner@va.gov, or (2) via postal mail to: Department of Veterans Affairs Network Contracting Office 5 Attn: Contracting (90C), James Whisner 1 Med Center Drive Clarksburg, WV 26301 This request for information/sources sought notice is for planning purposes ONLY. The results of this market research will assist in the development of (1) the requirement, and (2) the acquisition strategy (e.g., small business set-aside, full and open competition, etc.). VA assumes no responsibility for any costs incurred associated with the preparation of responses submitted as a result of this notice.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/ClVAMC540/ClVAMC540/36C24518Q9004/listing.html)
 

Document(s)

Attachment
 

File Name: 36C24518Q9004 36C24518Q9004.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3999702&FileName=36C24518Q9004-000.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3999702&FileName=36C24518Q9004-000.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN04781276-W 20180106/180104230804-c1d111e87e23a03ba985aac1c291576a (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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