Q_and_A - 75H70726Q00027.xlsx

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Amendment 0001 - Remote Medical Coding, Billing & AR - Taos-Picuris Service Unit - Taos, NM
Solicitation number
75H70726Q00027
Issued by

About this file

This is a Questions and Answers document for RFQ 75H70726Q00027, a follow-on contract for Remote Medical Coding, Billing, and Accounts Receivable services for the Taos-Picuris Health Center in Taos, New Mexico. The incumbent contractor is DT-Trak under contract 75H70721D00008 valued at $2,222,851.97. The scope of work encompasses coding, claims processing, posting, accounts receivable follow-up, and point-of-sale (POS) rejection management, with monthly historical averages of 35,000 coding actions, 15,000 billing claims, 10,000 posting transactions, 30,000 AR actions, and 20,000 POS rejections. All billing and coding functions are performed within RPMS and IHS EHR platform, with access to ABILITY and AVAILITY clearinghouse portals.

Contractors must provide their own equipment and connectivity for remote work using VPN and remote desktop access with required PIV cards; the government will provide assistance with both. Microsoft Teams is the designated communication platform for provider and staff training. Background checks average two months for completion. Contractors must submit signed SF-18 forms and IHS Buy Indian Act Indian Economic Enterprise Representation Forms, with copies of certifications required. Pricing shall be submitted on a unit-price basis per visit, claim, action, and other service units rather than hourly rates, and timecards will not be required. The solicitation is set-aside as a total Indian Small Business Economic Enterprise (ISBEE) concern, with quotes due by January 30, 2026 at 5:30 pm MST.

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Questions

#Solicitation Document TitleSection #/TitlePage #QuestionAnswer
1N/AN/AN/AWill the government please please clarify whether this requirement is a new contract requirment or a follow-on to an existing contract.Follow-on
2N/AN/AN/AIf a follow-on contract, will the government please provide the incumbent contractor name, contract number and contract value?DT-Trak,75H70721D00008, $2,222,851.97
3RFQ_No._75H70726Q00027-.pdfSection C - Contract Clauses10Will the Government provide any equipment needed for remote performance (e.g., computers/laptops, monitors, phone/headset, MFA token/PIV reader), or should the Contractor assume all equipment/connectivity is Contractor-furnished?Gov't will not provide equipment for remote work
4RFQ_No._75H70726Q00027-.pdfSection C - Contract Clauses10If Contractor equipment is used, are there minimum cybersecurity standards (device encryption, patching cadence, AV/EDR requirements, MDM, logging requirements)?non minimum since required access is VPN
5RFQ_No._75H70726Q00027-.pdfSection B2What is the approved remote access method for Contractor personnel (e.g., VPN/VDI/Citrix/remote desktop), and are there any required security components (MFA token, PIV/CAC, endpoint security standards)?VPN/remote desktop and PIV cards will be required. We will assist with both
6RFQ_No._75H70726Q00027-.pdfSection 5. Statement of Work/Coding/POS Rejections5Please confirm the specific systems the Contractor will be required to access, including RPMS modules, EHR platform, third-party billing package name/version, POS platform, and Pharmacy Benefit Manager portals used for pharmacy billing.All billing and coding functions are performed within RPMS and IHS EHR platform. ABILITY and AVAILITY clearinghouse portals.
7RFQ_No._75H70726Q00027-.pdfSection 5. Statement of Work/Reporting Requirements8How does TPSU anticipate Contractor technicians will communicate and/or provide training to providers and staff (e.g.,WebEx, Microsoft Teams, Zoom, phone), and are there any required or prohibited platforms?possibly and Microsoft Teams would be the platform
8RFQ_No._75H70726Q00027-.pdfSection 5. Statement of Work/ Reporting Requirements8The SOW requires monthly submission of timecards (hours and staff names) for Business Office Manager certification; however, pricing and invoicing are based on unit-priced services (visits/claims/actions). Please clarify the Government’s expectations for timecard reporting (purpose, required format/content) and how timecards will be used in relation to unit-based invoicing.timecards will not be required.
9RFQ_No._75H70726Q00027-.pdfSection 3. Pricing Summary2Will the government please provide the monthly historical average for Coding, Claims Processing, Posting, AR/Follow-Up and POS Rejections?Coding: 35,000; Billing: 15,000; Posting: 10,000; A/R: 30,000; POS rejections: 20,000
11RFQ_No._75H70726Q00027-.pdfSection F. Instructions, conditions, and Notice to Quoters18Do the additional required documents get rolled into Volume 3, or should they be included in a stand-alone volume?

Additional Required Documents

• Signed SF-18 (first page only is acceptable).

• Signed IHS Buy Indian Act Indian Economic Enterprise Representation Form (IEE Form).

• Signed and acknowledged amendments, if any.Additional documents can either get rolled into Volume 3 or a stand-alone volume.
12RFQ_No._75H70726Q00027-.pdfSection 6. Special Contract Requirements9Please provide typical processing timelines for Level I and /or Level II background checks.Background checks are averaging 2 months
13Is there an incumbent contractor currently performing these services? If so, please provide the contract number.75H70721D00008
14Patient Calling & StatementsIs patient calling and statement work included, as it is mentioned only indirectly under non-beneficiaries?Post COVID not seeing non-beneficiaries
15Claims Form 2017What is the expected scope and goal of working from the Claims Form 2017?We are all electronic filing
16POS RejectionsCan you please clarify the scope and responsibility related to POS rejections?See pg 4 of SOW: process all rejections, work with Pharmacy and HIM staff to make corrections, re-submit the claim
17EnrollmentsAre we required to handle new provider enrollments?No
18Does this also include ERA and EFT enrollments?N/A
19Please confirm whether individual resumes or copies of certifications are required to be submitted with the quotation, or if this requirement may be satisfied through a narrative description of staffing qualifications and certifications in Volume I – Technical Qualifications.Copy of certifications
20Do you have the dollar amounts for the fillable table?For pricing, we are looking for unit price per visit, claim, etc.

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