14-Question Clarification 1.pdf

This is a clarification document issued by the University of Texas Health Science Center at San Antonio (UTHSA) Department of Purchasing regarding RFP 745-26-P12 for Zero-Balance Audit and Payment Compliance Review Services. The RFP solicits a qualified third-party vendor or consultant to perform a comprehensive zero-balance audit and payer payment compliance review focused exclusively on hospital billing operations. The selected vendor must enter payer contract payment terms into proprietary or licensed software to model expected payments for services rendered over the preceding twelve months, identifying discrepancies between expected and actual reimbursement from commercial and governmental payers to determine recoverable revenue opportunities. The questions close period is March 3, 2026, at 3:00 PM CST, with a deadline for submission of responses by March 18, 2026, at 3:00 PM CST.

The clarification document addresses initial bidder inquiries, specifically confirming that this RFP pertains to hospital billing services only and does not include physician billing operations. UTHSA does not solicit or guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this RFP or any resulting contract. The audit period will begin at the project start date and extend backward twelve months, with the analysis limited by payer-imposed retrospective review periods typically restricted to twelve months from the final payment or denial date.