Hosptial and Professional Coding Audits
Closed State & local contract opportunity
- Solicitation number
- 66000-2526-219
- State
- California
- Responses due
Opportunity facts
- Jurisdictions
- NIGP codes
- 46560 Monitoring Systems, All Types (Hospital And Patient)
- 47554 Medical Documentation Forms, Charts, Labels, Etc.
- 91858 Governmental Consulting
- 92022 Data Preparation And Processing Services (Including Bates Coding)
- 94610 Accounting And Billing Services (Including Payroll Services, 3Rd Party Reimbursement For Medicare, Medicaid, Private Insurance, Etc)
- 94620 Auditing
- 94843 Health Information Services
- 95360 Liability, Public Official/Government
- Point of contact
-
- SMMC Contracting smmc_contracting@smcgov.org (650) 573-2222
Opportunity details come from procurement.opengov.com. Updated .
About this opportunity
San Mateo County is seeking proposals for Hospital and Professional Coding Audits through Request for Proposals (RFP) No. 66000-2526-219 for San Mateo Medical Center (SMMC), a public hospital and clinic system. The procurement aims to secure a provider to conduct coding auditing reviews on government-reimbursed discharges, with comprehensive services including consultation with Compliance and Health Information Management departments, monitoring government regulations related to clinical documentation, and performing audits on Professional Fee billing for physicians. Proposers must ensure all auditors are certified by either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). The RFP was released on October 10, 2025, with proposals due on November 14, 2025 at 1:00 pm, and the contract term is five years. The evaluation will be points-based across five criteria: Project Approach (30 points), Firm Qualifications (25 points), Team Qualifications (20 points), Price (25 points), and Preferential Points (10 points).
The procurement includes local business preference opportunities, with potential additional points for local small or micro businesses and non-profits. Contractors must comply with several county requirements, including Section 504 Rehabilitation Act compliance, HIPAA Business Associate regulations, and the Living Wage Ordinance, which mandates a minimum wage starting at $14.00 per hour in January 2017 and incrementally increasing to $17.00 per hour by July 2019. Contractors will be subject to various administrative requirements, including intellectual property rights assignments, fingerprinting certifications for employees with child contact, and adherence to vendor/contractor access policies. While no specific budget range is explicitly stated, the RFP suggests the contract is substantial, with the Sample Service Agreement template indicating potential agreements over $200,000. The county reserves the right to accept offers other than the lowest-priced and to reject non-responsive proposals, emphasizing a comprehensive and flexible approach to vendor selection.
Opportunity text
San Mateo Medical Center (SMMC) is a public hospital and clinic system fully accredited by The Joint Commission. SMMC operates outpatient clinics throughout San Mateo County, an acute-care hospital, and long-term care facilities in San Mateo and Burlingame. San Mateo Medical Center serves the health care needs of all residents of San Mateo County, with an emphasis on education and prevention, and without regard for ability to pay.
The County of San Mateo is seeking proposals for Hosptial and Professional Coding Audits.
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