246-22-Q-0033 Questions 12142021.docx

DOCX document 33 KB Posted

Attached to
CODING AND BILLING AUDIT SERVICES - OCAO IHS Federal contract opportunity
Solicitation number
246-22-Q-0033
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains questions and answers related to solicitation number 246-22-Q-0033 from the Indian Health Service seeking coding and billing audit services. The solicitation is set aside for small businesses under NAICS code 541611 with a size standard of $16.5 million. The period of performance is January 1, 2022 through March 31, 2022 with four optional one-year extensions. Auditors will conduct quarterly reviews of medical and billing records at IHS facilities and provide quarterly reports, with two visits annually required on-site and the remainder performed remotely. Pricing should be provided as a firm fixed price for the base period and each optional year. The incumbent contractor is McManis, Monsalve & Associates. Questions were due by December 15, 2021 and quotes are due December 22, 2021.

View the file

Other files for this federal contract opportunity

Other files attached to CODING AND BILLING AUDIT SERVICES - OCAO IHS, newest first.
File Type Posted
246-22-Q-0033 Questions 12152021.docx DOCX document
246-22-Q-0033 Questions 12102021.docx DOCX document
SOW - OCAO Coding and Billing Audit Services.docx DOCX document
Pt 12 solicitation clauses OCAO Coding and Billing Audit Services.docx DOCX document
ratings sheet.docx DOCX document

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Questions to Government December 15, 2021 Solicitation # 246-22-Q-0033

Questions – Coding and Billing Audit Services, OCAO IHS - Solicitation # 246-22-Q-0033 Submitted to: Edson.Yellowfish@ihs.gov

#
Question
1
Reference: SOW p. B-2, item 4.a: “The Quarterly Reviews shall include but not limited to the following: Coding/Data Entry: Each facility must have an independent or peer certified coder perform a quarterly review (by random sampling) of all coding/data entries. The sampling must be conducted by someone who did not do the original coding/data entry.”

Question: Is this sampling required to be done by auditors? Yes

2
Reference: SOW p. B-2, item 4.b

Question: Is there a preferred audit tool? There is a not a preference, but the tool should identify descrepancies

3
Reference: SOW p. B-3, item 5

Question: Will the A/R backlog begin from the date of the contract or whatever is outstanding? Whatever is outstanding

4
Reference: SOW p. B-3, item 6

Question: Are there specific Audit Guidelines to follow that would supersede traditional coding guidelines ie….Facility specific based on contractual obligations? Traditional Coding Guidelines should be used

5
Reference: SOW p. B-3, item 7

Question: Will the government provide the random audit pulls? No, Contractor will be given access to perform audit pulls.

6
Reference: SOW p. B-3, item 8

Question: Will the government supply a list of those services that are listed under the shared contract At that time they will.

8
Reference: SOW p. B-3, item 11.1.b

Question: How many per coder? At a minimum 10

9
Reference: SOW p. B-3, item 11.1.b

Question: Since an auditor will need to be on-site each month, please confirm that we can price travel costs separately. Auditors are not required to be on site each month, audits may be performed remotely

10
Reference: Pt. 12 Solicitation Clauses, A.11: Technical Capabilities and Qualifications

Question: The RFQ states that Technical Capabilities and Qualifications is an evaluation factor, but doesn’t provide any further info on what is to be provided to show technical capabilities. Is a Technical response explaining the offeror’s processes for accomplishing the work described in the SOW required in the proposal? And if so what is the page limit (if any). That is accurate, no page limit.

11
Reference: Pricing

Question: The SAM description states “Vendors are free to send pricing freely or on an SF 1449 form.” Will the Government provide a SF 1449 form? Yes.

12
Reference: Pricing

Question: The SAM description states “Vendors are free to send pricing freely or on an SF 1449 form.” Can the Government provide specific details on how to structure our pricing? Can you please provide more guidance on exactly what to submit for pricing. No.

13
Reference: Pricing

Question: The SAM description states “Vendors are free to send pricing freely or on an SF 1449 form.” Is the Government going to provide a template? Form

14
Reference: Technical

Question: The SAM description states: “(4) Qualification criteria for vendor and reviewers. It is the responsibility of the offeror to provide sufficient information/documentation demonstrating technical competence of vendor and key personnel. The Government is not responsible for locating or securing any information which is not identified in the offer.”

Is there a page limit on what is to be provided to demonstrate technical competence of vendor and key personnel? No Are resumes of key personnel who will perform the work sufficient to address this criteria? Yes

15
Reference: Resumes

Question: Can the Government specify the number and type of resumes that should be provided with the proposal? No

16
Reference: Business Associate Agreement

Question: Are offerors required to submit a completed business associate agreement with proposals? No, will be provided to winning bid.

17
Reference: PWS

Question: Can the reviews be completed remotely? Yes, but bi-annual site visits are required

18
Reference: PWS

Question: Can the education / training be conducted remotely? Yes, two quarters can be done remotely, but two quarters are to be on site.

19
Reference: PWS

Question: How many reviews per qtr or per facility? Reviews will be done quarterly for each site

20
Reference: PWS

Question: How does the quarterly report needs to be delivered? In person bi-annually and via secure email each quarter

21
Reference: PWS

Question: What kind of records need to be reviewed? Medical Records and Claims records

22
Reference: PWS

Question: What kind of billing record needs to be reviewed? Claim, EOB, Posting Transactions

23
Reference: PWS

Question: Will government provide laptops for contract staff? No

24
Reference: PWS

Question: Will the government provide office space for contract staff, if work needs to be performed in-person? Yes

25
Reference: PWS / Pricing

Question: Do we need to provide pricing per reviewed record? No

26
Reference: PWS / Pricing

Question: Do we need to provide pricing separately or quarterly report? Quarterly

27
Reference: PWS / Pricing

Question: Do we need to provide pricing education / training separately? No

28
Reference: PWS / Pricing

Question: Do we need to provide one price for the whole bid, per period of performance? Yes, itemized by facility

29
Reference: General

Question: Who is the incumbent contractor for this contract? McManis, Monsalve & Assoc

30
Reference: General

Question: Is the incumbent contract eligible to bid on the new contract? Yes

31
Reference: General

Question: What is the period of performance for the contract? 01/01/2022-03/31/2022 with 4 option years

Submitted by: Case-HCS Page 3 of 3

File details come from the government source that posted it. Updated .