ESBD_384444_1736523596668_Addendum 2 RFP 774-194166068 Collection Agency MPIP FINAL 01.10.2025.pdf
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- Attached to
- RFP 774-194166068 Collection Agency MPIP
- Solicitation number
- 774-194166068
- Issued by
- El Paso County, El Paso City, Texas
About this file
This file is Addendum 2 to RFP #774-194166068 from Texas Tech University Health Sciences Center at El Paso (TTUHSC EP) for Collection Agency services for their Medical Practice Income Plan Office. The RFP seeks collection agency services for patient self-pay accounts, with proposals due January 24, 2025 at 12:00 PM MST. The contract is estimated to begin September 1st, 2025, and TTUHSC EP plans to award contracts to two vendors. The service involves handling approximately 4,000 invoices monthly, with accounts being placed the first four Tuesdays of each month. Accounts are referred at 60 days old, after TTUHSC EP sends two statements to patients.
The current incumbents are DSI and CRI, who achieve recovery rates between 3.1% and 4.5%, with TTUHSC EP seeking a goal of 5-6% recovery. Current vendor fees are net 17-18% for first placements, with monthly payments averaging $8,000 to $10,000. The average account balance is $250, with monthly placements averaging $700K to $1 million. Approximately 45% of accounts have email addresses on file. The contract requires a performance bond of $125,000. Notable restrictions include no credit reporting allowed, settlements only permitted by TTUHSC EP, and no second placements. The institution uses Athena IDX as their host system and will provide referrals via secure file transfer.
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Collection Agency MPIP
RFP # 774-194166068
Addendum 2
Questions Submitted to TTUHSC El Paso Responses
Request for Proposal (RFP) # 774-194166068
Due Date: January 24th, 2025 at 12:00 P.M. MST Proposals must be time stamped by the Texas Tech University Health
Sciences Center at El Paso Purchasing Office before the hour and date specified for receipt of proposals.
Document Available at: https://www.txsmartbuy.gov/esbd/774-194166068
And https://bids.sciquest.com/apps/Router/PublicEvent?CustomerOrg=TexasTech (Registration Required) https://www.txsmartbuy.gov/esbd/774-194166068 https://bids.sciquest.com/apps/Router/PublicEvent?CustomerOrg=TexasTech
The following responses to participant questions are fully incorporated into the Request for Proposal # 774-194166068.
Question 1
Who are the incumbents providing these services?
Answer 1
DSI and CRI
Question 2
What is the collection success rate (recovery rate/liquidation percentage) of the current incumbents?
Answer 2
Rate has varied between 3.1% and 4.5%
Question 3
What is/are the current rates being charged for the services by the current incumbent(s), including legal fees? (At a minimum, please provide a range).
Answer 3
Net 17% - 18% for first placements
Question 4
How much were the current incumbents paid by TTUHSC EP in the last Fiscal Year?
Answer 4 estimated $8,000 to $10,000 monthly
Question 5
Please confirm the number of vendors the TTUHSC EP intends on selecting/awarding?
Answer 5
Estimating to award to 2 vendors
Question 6
Please describe/define the various accounts types designated for this collection project (i.e., patient balances for medical services (incl. Pure SP vs. SP after insurance), employee bonuses, employee loans, patient loans, etc.).
Answer 6
All patient self-pay accounts to include Pure SP vs. SP after insurance
Question 7
What is the anticipated volume, both dollar value and number count of accounts to be referred on a regular basis, broken down by debt type as listed in the previous question?
Answer 7
Monthly average 4,000 invoices
Question 8
What is the age of accounts at the time of referral (i.e., 120 days, 150 days, 180 days, etc.)?
Answer 8
60 days
Question 9
What is the average balance (by debt type) of these accounts?
Answer 9
$250.00
Question 10
Are there any backlog accounts or accounts residing with current vendors that would be referred to a new vendor?
a. If yes, what is the # and $ value of those backlog accounts?
b. What is the average age of those backlog accounts?
Answer 10
All accounts would be new accounts for new vendors.
a. -NA-
b. -NA-
Question 11
Please confirm how long the vendors keep the accounts?
Answer 11
-NA-
Question 12
How will the TTUHSC EP provide referrals to the agency (i.e., via secure file transfer, etc.)?
Answer 12 via secure file transfer
Question 13
With what frequency will the TTUHSC EP refer accounts (i.e., weekly, monthly, etc.)?
Answer 13
Accounts are place the first 4 Tuesdays of each month
Question 14
In what method/manner and with what frequency will the TTUHSC EP provide UPDATE & PAYMENT (for payments received directly by the TTUHSC EP) Files to the contractor?
Answer 14
Weekly payment/adjustment report emailed to the contractor every Friday thru secure email.
Question 15
What percentage of accounts will have a judgment in place at the time of referral, if any?
Answer 15
-NA-
Question 16
What collection activities take place on the accounts, by the TTUHSC EP, prior to referral to the agencies?
Answer 16
2 Statements are sent to the patients
Question 17
Will TTUHSC EP continue collection efforts on accounts referred to the agencies? If yes, please describe those efforts?
Answer 17
No
Question 18
Are legal services a part of this proposal? If yes, will we be permitted to submit legal fees?
Answer 18
No
Question 19
How many accounts were approved for, and did the incumbents pursue legal action within the last Fiscal Year?
Answer 19
-NA-
Question 20
What host system does the TTUHSC EP use to store, manage and process accounts (i.e., EPIC, etc.)?
Answer 20
Athena IDX
Question 21
RFP Page 4, “Submittal Checklist”: Is this for informational purposes only or are we required to submit with our proposal?
Answer 21
These should be checked off by the vendor.
Question 22
RFP Page 11, Section 3.6: Is there a mandatory HUB percentage for this contract? Since subcontracting is not probable under this contract and/or if we are not subcontracting, which of the HUB forms must we still complete and submit with our proposal?
Answer 22
You may indicate on the HUB forms that you will not be submitting any information and will not be participating on them.
Question 23
RFP Page 14, Section 4.8.6: Must form 1295 be completed and submitted with or prior to our proposal, or is this ONLY required upon contract award?
Answer 23
This form should be completed prior to the deadline on the indicated website.
Question 24
RFP Page 17, Paragraph #3 “Performance Bond”: Must this bond be submitted with our proposal or is this only required by awarded vendors?
Answer 24
Awarded vendors only.
Question 25
RFP Page 18, Section 5.3.1.3, under the “provide_” section: This first box asks for the number of accounts currently managed and serviced”. Please confirm if you are asking only about medical accounts here or similar accounts to this contract, as the next box asks for all accounts. It is unclear the specific category of account data being asked for in this first box/section. Please clarify.
Answer 25
All accounts are Physician Medical Billing.
Question 26
RFP Page 20, Section 5.4.9: Will the TTUHSC EP be providing interest/fees/penalties at referral of any account?
a. If yes, will the TTUHSC EP continue to accrue interest after referral to the agency? Or are the agencies required to accrue interest?
b. Will the TTUHSC EP provide updates to any changing interest, penalties, fees after the account is referred to the agency? If yes, with what frequency?
Answer 26
No
a. -NA-
b. -NA-
Question 27
RFP Page 26, Sample Collection Agreement: Please confirm if this agreement is for informational purposes only.
Answer 27
This is a sample only.
Question 28
RFP Page 34, Sample Collection Agreement: Paragraph 20 states that a $4M performance bond is required, yet Page 17 of the RFP States a performance bond of $125K is what is required. Please clarify which is correct?
Answer 28
$125,000 is the correct amount. The amount on page 34 is only intended as a sample.
Question 29
RFP Page 34, Sample Collection Agreement “Insurance Requirements: Are bidders required to submit an Insurance certificate with their proposal or is this only required upon contract award?
Answer 29
Upon contract award.
Question 30
RFP Page 48, Business Associate Agreement: Please confirm that this is for informational purposes only and is not required to be completed/submitted with our proposal.
Answer 30
Not required to be completed/ submitted/ filled out with proposal. This agreement will be used with awarded vendor(s).
Question 31
Section 5.2, Minimum requirements state " Proposer shall demonstrate evidence of certifications, permits, licenses and insurances as appropriate to perform Services as required. " Is it permissible to obtain surety bond, certificate of franchise tax, and certificate of good status from TX Comptroller upon award of the bid or should these be executed prior to proposal submission?
Answer 31
All vendors are required to obtain the necessary certificates prior to the proposal. Please refer to section 5.2, page 17.
Question 32
How old are the accounts when we get them?
Answer 32
60 days
Question 33
How many accounts are in the inventory?
Answer 33
Approximately 33,000 placed annually
Question 34
What is the dollar value of monthly or annual placements?
Answer 34
Monthly average of $700K to $1 Million
Question 35
What is the average balance size?
Answer 35
$250.00
Question 36
How long will the awarded vendor keep the accounts?
Answer 36
Considering a 6-to-9-month period
Question 37
Is credit reporting allowed?
Answer 37
No
Question 38
What are the past liquidation rates?
Answer 38
Rate has varied between 3.1% and 4.5%
Question 39
What is the expected liquidation rate?
Answer 39
Goal of 5 to 6% recovery
Question 40
Are settlements allowed?
Answer 40
Only by TTUHSCEP
Question 41
Are texting and email allowed?
Answer 41
Yes
Question 42
What percent of accounts that have email addresses on file?
Answer 42
Approximately 45%
Question 43
How many vendors are working the portfolio currently?
Answer 43
2 Vendors
Question 44
How many vendors are you looking to award the contract?
Answer 44
Estimating to award to 2 vendors
Question 45
What is the estimated date of award?
Answer 45
Estimated to start September 1st, 2025.
Question 46
How many collection agencies currently perform the required services for TTUHSC EP MPIP?
Answer 46
2 Vendors
Question 47
How many contracts do you expect to award?
Answer 47 estimating to award to 2 vendors
Question 48
3.6 (page 11) – Since subcontracting opportunities have been determined “not probable” for this RFP, must we still complete and submit a HSP with our response? How will HUB participation factor into proposal evaluation/scoring?
Answer 48
• RFP Page 11, Section 3.6: Is there a mandatory HUB percentage for this contract? Since subcontracting is not probable under this contract and/or if we are not subcontracting, which of the HUB forms must we still complete and submit with our proposal? You may indicate on the HUB forms that you will not be submitting any information and will not be participating on them.
Question 49
4.8.6 (page 14) and Appendix G (page 47) – Please confirm Form 1295 need not be completed prior to the RFP deadline, but can be completed upon award.
Answer 49
• RFP Page 14, Section 4.8.6: Must form 1295 be completed and submitted with or prior to our proposal, or is this ONLY required upon contract award? This form should be completed prior to the deadline on the indicated website.
Question 50
5.2 (page 17) – Please provide an example of the bond form or language required for the performance bond.
Answer 50
Please refer to your insurance broker/ agent for acceptable examples.
Question 51
5.2 (page 17) – Please confirm the amount of the performance bond is $125,000 and not $4,000,000 as indicated in the Contract Sample, #20 on page 34.
Answer 51
• RFP Page 34, Sample Collection Agreement: Paragraph 20 states that a $4M performance bond is required, yet Page 17 of the RFP States a performance bond of $125K is what is required.
Please clarify which is correct? $125,000 is the correct amount. The amount on page 34 is only intended as a sample.
Question 52
Pricing Schedule (page 23) – Is it TTUHSC EP’s expectation to have one fee cover both first and second placement tiers? Or may the Pricing Schedule be modified to allow separate rates for first and second placements?
Answer 52
There will be no second placements
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