Indian Health Service (IHS), Phoenix Area Office is conducting this Sources Sought to identify contractors who could provide: Service and support for Chargemaster Services for the Phoenix Indian Medical Center (PIMC). This will be for PIMC for a base year and (4) one (1) year periods.
The Phoenix Indian Medical Center (PIMC) is seeking a system that will help optimize legitimate reimbursements through efficient and accurate billing and clean claims. The Chargemaster is a mechanism to capture charge data by CAN or Department on all patients through PCC data entry with the use of Tran Codes. The charge capture method allows you to bill out itemized facility charges for all payers. Within hospital based clinics, Chargemaster also allows the capture of ancillary facility charges that are allowed to be captured and reported to third party payers. The contractor provides accurate codes for the facility (CPT, Revenue, charge description and pricing). It allows accurate combinations of CPT/HCPCS, Modifiers, Revenue Codes, and prices to be stored and passed directly to Third Party Billing from the PCC Package. Please see the attached Statement of Work for additional information and compatibility requirements.
Under NAICS code 513210: Software Publishers: This industry comprises establishments primarily engaged in computer software publishing. Establishments in this industry carry out operations necessary for producing and distributing computer software, such as designing, providing documentation, assisting in installation, and providing support services to software purchasers. These establishments may design, develop, and publish, or publish only. These establishments may publish and distribute software remotely through subscriptions and downloads.
This is not a Request for Proposal (RFP). Indian Health Service is utilizing this tool as part of market research. Your responses will assist IHS in the development of its possible RFQ/RFP and in determining whether any type of small business set-aside is possible for this procurement or whether full and open competitive procedures should be utilized. Please respond identifying all of your socio-economic status in accordance with SBA size standard. Reference: Final Rule on Buy Indian Act. 100% Set aside for ISBEE (Indian Small Business Economic Enterprise)
Vendor/Contractor Must provide proof of Native American owned company to qualify for this Sources Sought.
Vendor/Contractor Must be able to accept payments via IPP (Invoice Processing Platform) The contractor may submit a request for an exception. See below for IPP, IPP helpdesk information and applicable Health and Human Services addendum clause.
INVOICING PROCESSING PLATFORM (IPP)
In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum Improving Government Efficiency and Saving Taxpayer Dollars through Electronic Invoicing directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests
IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury's Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.
The IPP website address is: https://www.ipp.gov
If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov
Note: Should an Offeror feel that use of the IPP would be unduly burdensome, the response to this solicitation should include an explanation of this position for a determination by the contracting officer.
HHSAR 352.232-71 Electronic Submission of Invoice Payment Requests (Feb 2022) will apply when this requirement is solicited and awarded. As stated:
- Definitions. As used in this clause Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), Content of Invoices and the applicable Payment clause included in this contract.
- Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.
- The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures.
- If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request.
(END OF CLAUSE)
The subcontracting limitations are outlined in FAR 52.219-3, 52.219-14, 52.219-27, 52.219-29, and/or 52.219-30, as appropriate.
Please send your response to Michele Lodge at Michele.Lodge@ihs.gov, subject title Chargemaster Services Sources Sought under SS-24-PHX-019 no later than 10:00 AM (Eastern Time) on 18 March 2024.
Background
The Indian Health Service (IHS), Phoenix Area Office is conducting a Sources Sought to identify contractors who could provide Chargemaster Services for the Phoenix Indian Medical Center (PIMC). The Chargemaster is a mechanism to capture charge data by CAN or Department on all patients through PCC data entry with the use of Tran Codes. The contractor provides accurate codes for the facility (CPT, Revenue, charge description and pricing) and allows accurate combinations of CPT/HCPCS, Modifiers, Revenue Codes, and prices to be stored and passed directly to Third Party Billing for reimbursement purposes.
Work Details
The contractor will need access to the Resource and Patient Management System (RPMS) in order to complete the tasks. The contractor shall provide departmental training to the Phoenix Indian Medical Center (PIMC) on Chargemaster (CM). The training will include an overview of the Chargemaster process, facility vs. professional billing and utilization of the new charge tickets/superbills. The contractor will assign senior level staff with no less than 10 years’ experience implementing Chargemaster due to the size and complexity of PIMC operations. They will conduct onsite departmental interviews, develop a site-specific tran code table, assist in forming a chargemaster team, conduct offsite work on development of transaction codes, charge capture tools, training materials, supply code list and download file, conduct onsite validation of charge capture process, review claims processing, conduct quarterly QA meetings for the review of Management Reports.
Period of Performance
The contract will have a base year and four one-year option periods.
Place of Performance
Phoenix Indian Medical Center
