VA-25-00010161 Health Information Coding, Billing, and Auditing (HICBA) VistA Integration, Reporting and Revenue (VIRR)   2

Background
The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) is seeking a software solution for Health Information Coding, Billing, and Auditing (HICBA) that integrates with the Veterans Health Information Systems and Technology Architecture (VistA). This initiative aims to enhance the coding, billing, and auditing processes for healthcare encounters involving over nine million veterans annually. The solution must comply with VHA Directive 1233, which mandates an enterprise-wide Encoder software solution that includes reporting and revenue workload management functions.

Work Details
The contractor will provide a suite of solutions that interface in real-time with the HICBA Encoder software. Key tasks include:
- Providing multiple electronic code books and coding references to support accurate code lookup for various care settings.
- Offering instructions and guides to assist coding professionals in making accurate coding choices while ensuring compliance with legal and regulatory standards.
- Supporting VHA management, HIM coding, revenue operations, and clinical documentation integrity professionals in coding and billing healthcare encounters accurately.
- Ensuring the solution meets the requirements for code assignment using active ICD10-CM, ICD-10-PCS, CPT, and HCPCS codes as necessary.
- Facilitating timely coding processes with weekly reporting on patient care services to ensure all data impacting VHA corporate data collection is coded promptly.

Period of Performance
The contract will be performed over a specified period as outlined in the solicitation documents but is not explicitly stated in the provided text.

Place of Performance
Department of Veterans Affairs Technology Acquisition Center, 23 Christopher Way, Eatontown NJ 07724.