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Patient Business Office and Denial Management Services, Phoenix Indian Medical Center

ID: RFQ-25-PHX-016 • Type: Solicitation

Description

The Department of Health and Human Services, the Phoenix Area Indian Health Service (IHS), is soliciting Patient Business Office and Denial Management Services for the Phoenix Indian Medical Center in Phoenix, Arizona.

This requirement is a 100% Set-aside for Indian Small Business Economic Enterprise (ISBEE)/Native American-owned Small Businesses.

SUBMISSION INSTRUCTIONS

Proposals must be submitted electronically via email on or before the solicitation closing date and time stated in the SAM.

The Government anticipates one (1) firm fixed-price award from this solicitation to the responsive, responsible offeror whose quote is conforming to the objective(s) and requirements specified stated in the statement of work (SOW) and this solicitation.

Quote(s) must be FOB destination, include all applicable discounts, and all required line items must have a price to be considered for award. Not providing prices for all CLINS items shall make your offer non-responsive to the solicitation. Quotes may be attached, in a vendor preferred format (e.g. PDF).

Offerors shall quote on all required items. The government will not split this requirement.

PHYSICAL LOCATION

Phoenix Indian Medical Center

5212 N 16th St.

Phoenix, AZ 85016-5319

REQUIREMENT

The price quote is to be submitted as an all-inclusive Firm Fixed Price quote.

  • See SOW for more information.

Note: IAW OMB memorandum M-21-07, The Office of Management and Budget (OMB) mandates that U.S. federal agencies use the Internet Protocol version 6 (IPv6). In November 2020, OMB issued memorandum M-21-07 "Completing the Transition to IPv6, which outlines the Federal government's strategic intent "to deliver its information services, operate its networks, and access the services of others using only IPv6". The IHS requires all new IT systems (hardware and software) to operate in a pure IPv6 network environment. This includes on-premises services or third-party hosted services that require network integration into the IHS network. The Offeror's solution shall comply with the IPv6 standards profile as defined by the NIST USGv6 Program: https://www.nist.gov/programs-projects/usgv6-program.

EVALUATION

  1. Technical:

Offerors shall provide brief description of technical characteristics and specifications of the items stated in this solicitation and attached documents, to include technical documentation to support equipment being offered. Technical proposals must speak to the objectives and requirements of the statement of work.

  1. Price:

The price(s) shall be specific, complete in every detail, and separate from the technical submission. Submit pricing for all; not submitting pricing for all items will make your quote non-responsive to the solicitation. Contractor shall state in their RFQ that the quote shall remain effective for 60 calendar days after close of solicitation.

Basis for Award:

In addition to price, best value will be utilized for this requirement. By submission of its offer, the Offeror accepts all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements. Failure to meet a requirement may result in an offer being determined technically unacceptable.

In order for an Offeror to be considered for award, the proposal must receive an Acceptable rating in every non-price factor. Any proposal receiving a rating of Unacceptable in any non-price factor will not be further evaluated.

Ratings for Technical:

Acceptable Proposal clearly meets the minimum requirements and/or salient characteristics outlined in the solicitation and SOW.

Unacceptable Proposal does not clearly meet the minimum requirements of the solicitation and SOW.

For the purpose of award, the Government shall evaluate offers based on the evaluation factors described below:

Factor 1 Technical Capability of the Item Offered:

Offerors shall provide brief description of technical characteristics and specifications of the items stated in this solicitation and attached documents, to include technical documentation to support equipment being offered. If equal categories are quoted, a crosswalk or detailed list of specifications need to be included that are same or similar those stated or listed in the SOW and/or Pricing Matrix.

Factor 2 Delivery (ARO)/Go-Live:

Service: Service must Go-Live within 30 days of Kick-off Meeting

Factor 3 Past Performance:

Offerors must submit past performance that is current and relevant as defined herein. Offerors may submit a maximum of 5 (minimum of 3) examples of their past performance with their offer to include prime contract and subcontracts. Past performance information should contain the following:

  • Project title;
  • Description of the project and equipment;
  • Contract number;
  • Contract amount;
  • Government Agency/Organization;
  • COR's & CO's name, address, and phone number;
  • Current status, e.g., delivery after award date; and
  • A brief narrative of why you deem the reference to be relevant to this effort.

Factor 4 Price:

Background
The Department of Health and Human Services, through the Phoenix Area Indian Health Service (IHS), is seeking to contract Patient Business Office and Denial Management Services for the Phoenix Indian Medical Center (PIMC) located in Phoenix, Arizona. This contract aims to address a significant backlog in accounts receivable, which exceeds $28 million, by improving patient access and denial management processes. The requirement is specifically set aside for Indian Small Business Economic Enterprises (ISBEE) or Native American-owned small businesses.

Work Details
The contractor will be responsible for providing comprehensive services including:

1. **Patient Business Office Tasks:**
- Conducting quarterly training sessions for current staff on patient demographics, referrals, and payer types.
- Assisting with maintaining annual certifications for existing staff and onboarding new staff through onsite training.
- Developing and maintaining a Patient Business Office dashboard with updated metrics.
- Creating a tracking mechanism for Patient Registration productivity/activity and providing weekly recommendations based on findings.

2. **Denial Management Tasks:**
- Working on aged accounts to reduce turnaround time for payments by addressing claim denials from all payers.
- Training staff on effective denial management processes following IHS policies and guidelines.
- Providing recommendations to management to enhance staff productivity tracking.

Period of Performance
The period of performance will be determined upon contract award but is expected to include ongoing training and support as well as immediate action on aged accounts.

Place of Performance
Phoenix Indian Medical Center, 5212 N 16th St., Phoenix, AZ 85016-5319

Overview

Response Deadline
Feb. 11, 2025, 4:00 p.m. EST (original: Feb. 5, 2025, 4:00 p.m. EST) Past Due
Posted
Jan. 22, 2025, 5:43 p.m. EST (updated: Feb. 6, 2025, 6:55 p.m. EST)
Set Aside
Buy Indian Set-Aside (HHS-only) (BICiv)
Place of Performance
Phoenix, AZ 85016 United States
Source
SAM

Current SBA Size Standard
$19 Million
Pricing
Fixed Price
Evaluation Criteria
Best Value
Est. Level of Competition
Average
Est. Value Range
Experimental
$500,000 - $2,000,000 (AI estimate)
Signs of Shaping
78% of obligations for similar contracts within the Indian Health Service were awarded full & open.
On 1/22/25 Indian Health Service issued Solicitation RFQ-25-PHX-016 for Patient Business Office and Denial Management Services, Phoenix Indian Medical Center due 2/11/25. The opportunity was issued with a Buy Indian Set-Aside (HHS-only) (BICiv) set aside with NAICS 541618 (SBA Size Standard $19 Million) and PSC R799.
Primary Contact
Name
Dekovan Cook   Profile
Phone
(602) 364-5018

Documents

Posted documents for Solicitation RFQ-25-PHX-016

Question & Answer

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Additional Details

Source Agency Hierarchy
HEALTH AND HUMAN SERVICES, DEPARTMENT OF > INDIAN HEALTH SERVICE > PHOENIX AREA INDIAN HEALTH SVC
FPDS Organization Code
7527-00247
Source Organization Code
100188047
Last Updated
Feb. 6, 2025
Last Updated By
dekovan.cook@ihs.gov
Archive Date
Feb. 26, 2025