36C25524Q0510.pdf

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Attached to
Clinical Documentation Federal contract opportunity
Solicitation number
36C25524Q0510
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This document is a Sources Sought Notice for Clinical Documentation Improvement (CDI) training services for the Kansas City VA Medical Center (KCVA) and its associated Community-Based Outpatient Clinics (CBOCs).

The KCVA is seeking a one-year contract for online and in-person CDI training for its physician providers, CDI specialists, and nursing informatics champions. The training should cover topics such as ICD-10-CM coding guidelines, common diagnoses that require documentation clarification, best practices for provider queries, and the impact of accurate coding on reimbursement. The contractor must provide customized training for both large and small groups, as well as reference materials like pocket guides. Performance will be evaluated, and follow-up training may be provided to reinforce objectives. The training is to be delivered at the KCVA facilities in Kansas and Missouri, with a period of performance of one year from the contract award date, with four optional one-year extension periods.

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Sources Sought Notice

*= Required Field Sources Sought Notice

SUBJECT* Clinical Documentation Training

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE* 66048

SOLICITATION NUMBER* 36C25524Q0510

RESPONSE DATE/TIME/ZONE 08-05-2024 10:00am CENTRAL TIME, CHICAGO, USA

ARCHIVE 45 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS N

SET-ASIDE

PRODUCT SERVICE CODE* U009

NAICS CODE* 611430

CONTRACTING OFFICE ADDRESS Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048

POINT OF CONTACT*

Contracting Officer Denise Maynard denise.maynard@va.gov 913-946-1978

PLACE OF PERFORMANCE

ADDRESS Kansas City VA Medical Center

4801 East Linwood Blvd.

Kansas City, MO 64128-2226

DESCRIPTION

*ALL ITEMS HEREIN THAT MENTION BRAND NAME PRODUCTS MAY BE SUBSTITUTED

FOR A LIKE OR SIMILAR ITEM*

Contract Title

Clinical Documentation Improvement (CDI) training for the Kansas City VAMC Physician Providers, Clinical CDI Specialists and Nursing Informatics Champions.

Background

This statement of work is for the purchase of training for Clinical Documentation Improvement (hereby referred to as CDI) for Kansas City VAMC Hospital and CBOC facilities within Kansas and Missouri. Kansas City VAMC HIMS Department is proposing the purchase of an online and face-to face comprehensive CDI training curriculum for CDI Specialists and.

The KCVA is seeking training for one year through online comprehensive and face to face CDI Provider, CDI Specialist and Nursing Informatics training curriculum.

4. Scope

Clinical Documentation Improvement (CDI) is a process where the health record is manually reviewed either concurrently or retrospectively for ambiguous, conflicting, incomplete, or nonspecific provider documentation. A Clinical Documentation Improvement Program requires specialized training to review health records for completeness and appropriate documentation.

Training should include the ongoing access for a period of one year. This will be required to allow staff the ability to take the online CDI training curriculum on their own time and whenever new staff are hired at the facilities.

With the purchase of the CDI training curriculum, the attendee (CDI Coder Specialists & Nursing Informatics) should be able to:

• Understand and apply the ICD-10-CM Official Guidelines for Coding and Reporting from a CDI perspective

• Identify diagnoses frequently in need of documentation clarification to support accurate code assignment

• Understand best practices associated with VHA, CMS and TJC compliant query process’s

• Learn and understand tips for working, communicating and educating Providers to improve clinical documentation

• How to recognize the important clinical indicators for diagnoses across major body systems

• Understand MS-DRG assignment is calculated and the impact of diagnosis assignment

• Understand how correct code assignment impacts reimbursement

• Assessment of documentation workflow practices

STATEMENT OF WORK (SOW)

5. Specific Requirements

• Customized specialty education for large and/or small groups

• Pocket Guides for Inpatient and Outpatient Coding Rules and Regs

6. Performance Monitoring

• Provide follow-up training to reinforce CDI objectives

• Contractor work will be evaluated upon completion by the KCVA HIMS Management staff, along with assigned COR to ensure contract requirements are completed.

• Process assessment

7. Specific Requirements

VA attendees will have access to web-based training curriculum.

11. Place of Performance

VISN 15 589 Kansas City VAMC

12. Period of Performance

Start date: Upon award

End date: One year from award

Option Years: 4 Documentation Improvement Resources Propel CDI Online education platform 1-year access

• CDI Pocket Guide (inpatient or outpatient) – The latest edition of the CDI pocket Guide will be provided to all specialists and physician leaders. This resource is the most recognized item for CDI staff and is a standard resource across all health systems. (30 Copies)

• Corporate ACDIS Memberships: Access to www.acdis.org for selected CDI and HIM staff

• Coding Clinic review calls: Conducted four times per year with your CDI education specialist, these calls discuss relevant changes and updates from Coding Clinic and are targeted to your organizational focus

• IPPS analysis: Detailed review of the IPPS Final Rule and how changes may affect your patient population and documentation needs

• CDI education webinars: Quarterly calls that provide custom CDI focused education on topics identified in collaboration with your organization, ranging from compliance reviews to denial prevention

• Problem-solving discussion calls: Twice per year, your CDI education specialist will provide personalized advice, coaching, or education on top-of-mind issues identified by your team, such as http://www.acdis.org/ medical record review, coding, and CDI dispute resolution, and other pain points in between

Medical Coding Propel

Through focused evaluations and continuing conversations, the PROPELCoding staff will help identify your top professional needs and develop a personalized plan for addressing them. Synced with your shifting priorities, this dynamic road map will help you navigate your benefits, chart your progress toward training and compliance goals, and maximize your membership’s value.

• Regular Calls with Coding Experts: Through a combination of customized problem-solving discussions, recorded members-only webinars, and live analysis calls, your PROPEL experts will provide tailored coding advice, coaching, or education on a monthly basis. Call topics include updates to Coding Clinic and the CPT Assistant guidance and annual ICD-10-CM/PCS and CPT® codes and guidelines, as well as top-of-mind issues chosen in collaboration with your team.

• Regulatory Tracking Reports: To further your interactive training journey, your PROPEL experts will prepare quarterly reports highlighting the latest coding regulatory updates, their significance, and the membership resources that can promote continued compliance amid change.

• On-Call Access to Leading Industry Experts (12 hours): Send pressing coding questions to PROPEL experts as they arise and receive personalized, best practice–informed responses.

• JustCoding’s Essential Skills Online Learning Library: With expert developed curricula on ICD- 10-CM, ICD-10-PCS, CPT, and anatomy and physiology coding, this comprehensive online learning pathway builds a strong knowledge foundation and supports an effective teamwide coding approach.

• JustCoding Platinum: Available for your entire team, this top-tier membership to the industry’s premier continuing education destination includes round-the-clock access to hundreds of coding tools; targetedICD-10-CM/PCS, CPT, and HCPCS guidance; weekly quizzes, news, and analysis;

continuing education opportunities and credit tracking; a clinical condition look-up tool; and lively networking forums.

• 2 seats to Advanced Specialty Coding & Compliance Symposium

• Coding E-learning Included with Propel Coding– (Unlimited Access)

JustCoding’s Essential Skills Online Learning Library - Four libraries specifically designed for coders to train on the code sets they use. Each library offers comprehensive, hands-on courses to help facilities train staff on the basics of each system as well as more complicated conditions and procedures. Coding libraries included: ICD-10-CM, ICD-10-PCS, CPT, Anatomy & Physiology.

a) JustCoding’s Essential Skills for ICD-10-CM Coding - The 12 courses in JustCoding’s Essential Skills for ICD-10-CM Coding walk coders through the ICD-10-CM diagnosis codes, providing an overview of disease processes, associated signs and symptoms, diagnostic and treatment http://hcmarketplace.com/just-coding-essential-skills-online-learning-library options, and specific coding guidelines—while highlighting important information coders should look for in documentation.

b) JustCoding’s Essential Skills for ICD-10-PCS Coding - The nine courses in JustCoding’s Essential Skills for ICD-10-PCS Coding walk coders through the ICD-10-PCS procedure codes, detailing how codes are created and what each character means, as well as pointing out specific coding guidelines. The modules also highlight what information must be present in the documentation for appropriate code assignment.

c) JustCoding’s Essential Skills for CPT Coding - The 12 courses in JustCoding’s Essential Skills for CPT Coding provide a basic overview of how CPT codes are arranged and how to apply them according to the CPT® Manual. The courses review specific coding guidelines and how to report specific challenging procedures. Students also receive an overview of HCPCS Level II coding.

d) JustCoding’s Essential Skills for Anatomy and Physiology - The 16 in-depth courses in JustCoding’s Essential Skills for Anatomy and Physiology provide an overview of important anatomical details and disease processes crucial for training coders and HIM staff. The courses, created by physicians, are divided by body system, and include detailed illustrations for added context. By understanding medical terminology, anatomy and physiology, and disease processes, coders and HIM staff will better understand physician documentation, aiding their coding and querying efficiency.

*ALL ITEMS HEREIN THAT MENTION BRAND NAME PRODUCTS MAY BE SUBSTITUTED FOR A LIKE OR SIMILAR ITEM*
Contract Title
Clinical Documentation Improvement (CDI) training for the Kansas City VAMC Physician Providers, Clinical CDI Specialists and Nursing Informatics Champions.
Background
This statement of work is for the purchase of training for Clinical Documentation Improvement (hereby referred to as CDI) for Kansas City VAMC Hospital and CBOC facilities within Kansas and Missouri. Kansas City VAMC HIMS Department is proposing the p...
The KCVA is seeking training for one year through online comprehensive and face to face CDI Provider, CDI Specialist and Nursing Informatics training curriculum.
4. Scope
Understand and apply the ICD-10-CM Official Guidelines for Coding and Reporting from a CDI perspective
Identify diagnoses frequently in need of documentation clarification to support accurate code assignment
Understand best practices associated with VHA, CMS and TJC compliant query process’s
Learn and understand tips for working, communicating and educating Providers to improve clinical documentation
How to recognize the important clinical indicators for diagnoses across major body systems
Understand MS-DRG assignment is calculated and the impact of diagnosis assignment
Understand how correct code assignment impacts reimbursement
Assessment of documentation workflow practices
5. Specific Requirements
Customized specialty education for large and/or small groups
Pocket Guides for Inpatient and Outpatient Coding Rules and Regs
6. Performance Monitoring
Provide follow-up training to reinforce CDI objectives
Contractor work will be evaluated upon completion by the KCVA HIMS Management staff, along with assigned COR to ensure contract requirements are completed.
Process assessment
7. Specific Requirements
VA attendees will have access to web-based training curriculum.
11. Place of Performance
VISN 15 589 Kansas City VAMC
12. Period of Performance

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