Sources Sought -Outpatient Prospective Payment System (OPPS) Pricer Software
Closed Pre-Solicitation Posted
- Solicitation number
- HT001525RFI0002
- Agency
-
Defense Health Agency
Department of Defense
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 513210 Software Publishers
- PSC
- Not on record
- Place of performance
- Jbsa Ft Sam Houston, Texas 78234, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Defense Health Agency (DHA) intends to award a sole source contract to 3M for the licensing of a mainframe version of a TRICARE-specific Outpatient Prospective Payment System (OPPS) Pricer software. The OPPS Pricer software, along with 3M's Outpatient Code Editor (OCE) software, are required to edit, process, and price hospital outpatient claims for TRICARE eligible beneficiaries. The TRICARE Health Plan is mandated to follow the Centers for Medicare and Medicaid Services (CMS) reimbursement rules, and 3M's software has been authorized by CMS. The contract will have a base period of performance from December 22, 2024, to December 21, 2025, with two one-year option periods. Interested sources are requested to submit capability statements and authorized letters from the manufacturer demonstrating their authority to provide the required software by November 15, 2024.
This opportunity is not set-aside, and there are no incumbent contractors identified. The notice does not provide any information on the potential award value or budget range. The key numerical details provided are the contract's base period and option periods.
Notice text
The Defense Health Agency (DHA), Ft Sam Houston, TX intends to issue a sole source contract award to 3M for Software (SW) with a base period of performance beginning 22 December 2024 – 21 December 2025, and Two (2) one (1) year options.
The 3M Outpatient Code Editor (OCE) Software, edits and processes hospital outpatient claims and the TRICARE Pricer Software, determines how to price claims based on the output from the TRICARE OCE which coincides with that of the Centers for Medicare and Medicaid Services (CMS).
TRICARE Health Plan (THP) is responsible for editing and processing hospital outpatient claims for TRICARE eligible beneficiaries. The fundamental functionality required by THP is for the licensing of a mainframe version of a TRICARE specific Outpatient Prospective Payment System (OPPS) Pricer. Both, 3M’s OCE and Pricer, are compatible with the 3M mainframe and licensing PC software currently used by THP which sanctions the auditing and verification of accuracy of payment for hospital outpatient claims. Additionally, THP is statutorily mandated to follow CMS’ reimbursement rules, and 3M’s OCE and Pricer software have been authorized by CMS.
All interested sources may submit a capability statement that identifies business size, along with authorized letter from the manufacturer with detailed information and convincing evidence that clearly demonstrates the authority to provide the software as outlined above.
Files
| File | Type | Posted |
|---|---|---|
| Sources Sought 3M.pdf |
Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Pre-Solicitation | |
| Notice of Intent -Outpatient Prospective Payment System (OPPS) Pricer Software | Special Notice |
Similar open opportunities
| Opportunity | Agency | Set-aside | Responses due |
|---|---|---|---|
| TRICARE Medicare Eligible Program Second Generation (TMEP2) | Defense Health Agency | No set-aside |
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