TCRS Questions for Interested Parties ORGANIZATION NAME.docx

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TRICARE CLAIMS REVIEW SERVICE (TCRS) DRAFT RFP
Solicitation number
HT9402-21-R-0002
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TCRS Questions for Interested Parties:

1. Starting from contract award, what is the minimum time necessary to complete start-up and begin claims review operations for this requirement?

2. What is the optimum amount of time you would prefer to have for transition-in/start-up in terms of schedule, costs and performance for this requirement?

3. How does a shorter transition-in timeline impact your costs, schedule and performance?

4. What are industry norms for transition-in on this type of requirement? What are the industry benchmarks?

5. If a contractor is not NIST compliant, what costs are associated with becoming compliant, and will this affect the transition-in timeline?

6. DHA is considering the NAICS codes below for this requirement. Which does your company recommend and why? Is there a NAICS code not listed that is more suitable? Why?

a. 541611, Administrative Management and General Management Consulting Services (Medical office management consulting services or consultants)

b. 813920, Professional Organizations (Peer review boards, professional standards review boards, professional standards review committees)

7. The compliance review process requires manual adjudication of claims to make payment determinations. Does industry have or have access to an experienced workforce to manually adjudicate claims?

8. Due to the timing of varying compliance reviews and the complex scheduling of multiple deadlines, does industry anticipate staffing issues to address fluctuations in workloads?

9. Is the Excel term “networkdays” commonly accepted by industry to determine due dates (as opposed to calendar days or business days)?

10. What electronic solution(s) does industry currently utilize for document management systems (DMS) in relation to the viewing and storing of documents?

11. What type of compliance system or program do you use to safeguard protected health information (PHI), personally identifiable information (PII), or other sensitive information?

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