SOW - MEDICAL CREDENTIALING ASSISTANCE SERVICES.pdf
PDF 122 KB Posted
- Solicitation number
- 75H70724Q00048-SS
About this file
This document is a sources sought notice for remote medical credentialing assistance services to be provided to the Ute Mountain Ute Health Center in Towaoc, Colorado. The Albuquerque Area Indian Health Service is conducting market research to determine if the requirement can be fulfilled through a 100% small business Indian firm set-aside or a 100% small business set-aside. Interested parties must be registered in the System for Award Management and should provide company information, size status pursuant to NAICS code 541611 for administrative management and general management consulting services, and responses to whether the business is a small business Indian-owned firm or small business by March 8, 2023. Capability statements, product brochures, and past performance information should also be submitted to demonstrate ability to provide the services described in the attached statement of work. Responses will help the agency determine the appropriate acquisition method.
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| File | Type | Posted |
|---|---|---|
| IHS IEE Representation Form_Jan 2022_508 Compliant.pdf |
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Text version
Statement of Work (SOW) Remote Medical Credentialing
Assistance Services
1. PROJECT TITLE: The Indian Health Service (IHS)/Albuquerque Area Office (AAO), Southern Colorado Ute Service Unit (SCUSU), Ute Mountain Ute Health Center (UMUHC) has a requirement for Medical Credentialing Assistance Services located in Towaoc, CO. This is remote work and the Contractor will provide assistance to the Clinic for Medical Credentialing Services. The Government contemplates to award a single award resulting from this solicitation.
2. BACKGROUND/PURPOSE: An effective, timely, and accurate credentialing service is a requirement for the Ute Mountain Ute Health Center to provide safe patient care and meet the requirements of CMS and private insurers for appropriate and timely payment for services.
3. SCOPE: The services sought include the appropriate credentialing and privileging of medical and professional staff which includes approximately 6 full-time staff, 8 contract subspecialists, and 30 telehealth providers. Services provided must meet the requirements specified in the clinical staff bylaws, Accreditation Association for Ambulatory Health Care (AAAHC) accreditation standards and all other applicable Federal, State and other regulatory agencies. Awardee must be familiar with credentialing and privileging requirements for Family Medicine, Pediatrician, and Internal Medicine Physicians, Advanced Practice Nurses, Dentists, Psychologists, Psychiatrists, and Telehealth Providers.
4. HOURS: This assistance will typically require 10 to 15 hours per week, but this can vary throughout the year.
5. APPLICABLE DOCUMENTS: SCUSU/Ute Mountain Ute Health Center Clinical Staff Bylaws; Governing Board Bylaws; AAAHC requirements; CMMS requirements
6. TASKS: The Contractor shall provide:
a. Knowledge and familiarity with electronic credentialing software programs, such as MD Staff
b. Clear communication on all credentialing activities with the facility
Clinical Director, Albuquerque Area Credentialing Consultant, and
CEO.
c. Coordinates the application process for all credentialed providers.
Initiates and accepts all applications and verifies education, training, licensure, specialty boards, National Practitioner Data Bank reports.
d. Ensures the privileges requested are consistent with education and training requirements of each specific position.
e. Assembles all verified information and prepares the credentialing file for the Medical Executive Committee, within the timeframes dictated by the bylaws of the organization.
f. Monitor and track the expiration dates of professional licensure, DEA licensure, prescribing licensure, basic life support certification and obtaining primary source verification on all initial applications, reappointment applications and upon renewal of license.
g. Notifies each credentialed staff member approximately 3 months before the expiration of the individual's term of appointment of the need to begin and complete the reappointment process.
h. Follows the Privacy Act and service unit bylaws, rules, and regulations pertaining to confidentiality and protection of the material and maintenance of the files.
7. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION: Because the work will be done remotely, there will be no Government-furnished equipment.
The Government will provide access to the credentialing software program. The contractor will provide any computer workstations necessary to complete the work.
8. PLACE OF PERFORMANCE: Specify whether the work will be performed at the contractor's site or at a Government site. Provide exact address if possible.
Describe any local or long distance travel the contractor will be required to perform.
9. PERIOD OF PERFORMANCE: The period of performance is for a one-year base period, from May 1, 2024 to April 30, 2025, plus four one-year option periods if exercised.
10. SECURITY: The work stated in this SOW requires IT clearance for access to email and credentialing software program. The contractor does not need access to the facility or patient health information.
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