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This Sources Sought opportunity was posted on October 23, 2015. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

REMOTE MEDICAL CODING

Closed
W81K04-16-RFI-MEDCODEFederal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541219
New
SLED
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Solicitation S-73000-00015373 is a project-specific contract for personal services issued by the Oregon Department of Transportation to obtain construction cost verification and audit services for the I-5 Rose Quarter Improvements CM/GC Contract. The primary objective is to perform audit and verification services to validate actual costs associated with the project, with a key deliverable being the Final Verification Report for Phase 1A. The anticipated period of performance for these services is from July 2025 through July 31, 2027, with construction notice to proceed expected in summer 2027. The award process is based on a ranking system combining technical scores and price evaluation, where the lowest total labor cost for primary staff receives the maximum 15 points. Selected contractors must provide key personnel with specific qualifications and are prohibited from reassigning these individuals without written agency consent. Compliance requirements include adherence to federal laws, Oregon state statutes regarding non-discrimination and workplace policies, and the payment of the higher of federal Davis-Bacon or state BOLI wage rates. Payment is processed via ACH within 45 calendar days of receiving a compliant invoice. Deliverables are subject to agency acceptance within 15 business days of submission and must be provided in both native and PDF formats.
Procurement

POSTED

about 12 hours ago

DEADLINE

in 28 days
NAICS: 541219
New
SLED
SD State Employee Health Plan Medical Claims Audit
Solicitation # 26RFP19878
The South Dakota Bureau of Human Resources and Administration is soliciting proposals under RFP#26RFP19878 to procure a vendor to conduct performance reviews and medical claims audits of Wellmark Blue Cross Blue Shield of South Dakota. Wellmark administers the State Employee Health Plans, which serve approximately 12,150 participants and their dependents across four plan options. For Fiscal Year 2026, these plans incurred approximately 160 million dollars in total costs, including 108 million dollars in medical claims. The selected auditor will be responsible for three distinct 12-month audit periods spanning Fiscal Years 2028 through 2030. The scope of work requires the auditor to verify Wellmark's procedures, controls, and negotiated network provider rates while measuring quality performance against claim processing and assessing the accuracy of claims data and self-reported performance guarantees. All audits must comply with GAGAS standards and HIPAA guidelines, and the vendor must execute a Non-Disclosure Agreement with Wellmark and a Business Associate Agreement with the State. Proposals are due by October 23, 2026, and will be evaluated on a 1,000-point scale using subjective judgment regarding technical requirements and organizational experience. Awardees must maintain commercial general liability insurance of at least 1 million dollars per occurrence.
South Dakota State Government

POSTED

1 day ago

DEADLINE

in 3 days

General Info

Agency

N/A

NAICS

541219 - Other Accounting Services

Place of Performance

TBD, TBD, USA

Set-Aside

NONE

Documents

0

No documents available

Documents will appear here when they are available.

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Uniform Contract Format

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Timeline

PhaseClosed
Posted

Sources Sought

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyN/A
Contacts2 people available
OfficeN/A
Organization / Agency
N/A
Office AddressN/A
Contacts
Quina S. GarrettContracting Specialist
Pamela R. RichmondContract Specialist

Full Description

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THIS IS A REQUEST FOR INFORMATION (RFI) ONLY. This RFI is issued solely for information and planning purposes - it does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. This request for information does not commit the Government to contract for any supply or service whatsoever. Further, the Army Medical Command Health Readiness Contracting Office is not at this time seeking proposals and will not accept unsolicited proposals. Interested parties are advised the U.S. Government will not pay for any information or administrative costs incurred in response to this RFI; all costs associated with responding to this RFI will be solely at the interested party's expense. Not responding to this RFI does not preclude participation in any future RFP, if any is issued. If a solicitation is released, it will be synopsized on the Federal Business Opportunities (FedBizOpps) website. Potential responders are responsible for monitoring this site for additional information pertaining to this requirement. Background/Purpose: The United States Army Medical Command (MEDCOM) is considering an enterprise-wide, remote coding contract for outpatient clinical encounters (no surgeries, emergency medical services/department, or inpatient records). The objective of the contract would be to code those outpatient records that go beyond the coding capability of the designated Health Readiness Platform's (HRP), formerly known as Medical Treatment Facility (MTF), coding staff. The Statement of Objectives is attached to announcement for reference. RFI (Capability) Response: Interested parties should provide feedback/input to this RFI by submitting the following information via email to Ms. Kathleen Henderson, Kathleen.d.henderson2.civ@mail.mil, not later than 2 November 2015, 12:00 pm, Central Standard Time: 1. Company name 2. Company address 3. DUNS 4. POC information (name, title, phone number, email address, etc.) 5. Brief Company response statement addressing the following items: a. The MEDCOM seeks feedback on your optimal process/business perspective regarding creation of an enterprise-wide, outpatient remote coding contract. Feedback should include how you would provide and manage outpatient remote (off-site) coding at 23 different MEDCOM-designated Health Readiness Platform (HRP) coding office locations. The optimal process/business perspective should also include how you could meet the coding accuracy rate of 97% with a decrement for inaccuracy with the auditing conducted by the applicable MEDCOM HRP and how records could be coded accurately within 72 hours. b. The MEDCOM seeks input regarding method, frequency, and information technology considerations to remotely code approximately 4 million outpatient encounters annually at 23 different MEDCOM locations via the DoD-specific Application Virtualization Hosting Environment (AVHE), accessed through a Citrix client. What computer hardware and software do you envision could adequately support a large data set, remote coding operations, common access card (CAC) smart card reader, and DoD certificates? c. What risks do you identify in your business approach and how would they need to be mitigated in order to successfully perform the enterprise-wide outpatient remote coding services? d. What prior experience can you offer for similar services for a medical organization? e. Business type (large business, small business, small disadvantaged business, 8(a)-certified small disadvantaged business, HUBZone small business, woman-owned small business, very small business, veteran-owned small business, service-disabled veteran-owned small business) based upon North American Industry Classification System (NAICS) code 541219 Other Accounting Services. Please limit your documentation to the following Page Size, Font Type and Size, Spacing and Page Numbering. Responses shall be submitted using a Microsoft Word document with page size 8.5 by 11 inches. Font type shall be Times New Roman, size 10-12 using standard tabs and indent software features with no less than single spacing between lines. Responses are limited to no more than five (5) pages for the entire RFI response statement. All transmitted information marked proprietary shall be treated as such. Therefore, businesses should identify any proprietary information in their responses. Proprietary materials will neither be distributed, nor discussed with, any other organization. Information submitted in response to this will be used at the discretion of the Government. Further, the information submitted will remain confidential insofar as permitted by law, including the Freedom of Information and Privacy Acts.

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