SOURCES SOUGHT
R -- ICD-10 Implementation and Program Management
- Notice Date
- 9/3/2014
- Notice Type
- Sources Sought
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- HHSM-CMS-DBSC-SBSS-15-257
- Archive Date
- 10/3/2014
- Point of Contact
- Charles Robert Brewer, Phone: 410-786-5170, Charles Littleton, Phone: 410-786-3291
- E-Mail Address
-
charles.brewer1@cms.hhs.gov, charles.littleton@cms.hhs.gov
(charles.brewer1@cms.hhs.gov, charles.littleton@cms.hhs.gov)
- Small Business Set-Aside
- N/A
- Description
- ICD-10 Implementation and Program Management This is a SOURCES SOUGHT NOTICE. This SOURCES SOUGHT NOTICE is to determine the availability of potential small businesses (e.g., 8(a), service-disabled veteran owned small business, HUBZone small business, small disadvantaged business, veteran-owned small business, and women-owned small business). This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding the availability and capability of qualified businesses, that can provide enterprise-wide project management, risk management, implementation, and executive reporting for ICD-10 and other federal administrative simplification mandates, targeted campaign strategies, specialized industry training, and end-to-end systems-testing capabilities. The information from this market research will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. An organization that is not considered small business under the applicable NAICS code 541611 should not submit a response to this notice. BACKGROUND The Health Insurance Portability and Accountability Act requires Centers for Medicare & Medicaid Services (CMS), along with the U.S. health care industry, to transition to the International Classification of Diseases (ICD) 10th Edition (ICD-10) code set from the current ICD 9th Edition (ICD-9) code set. On January 16, 2009, a final rule was published in the Federal Register adopting the ICD-10-CM and ICD-10-PCS code sets. The ICD-10 final rule modified the standard medical code sets for coding diagnosis and inpatient hospital procedures by concurrently adopting the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding. These new codes will replace the International Classification of Diseases, 9th Revision, Volumes, 1 and 2 for diagnosis and Volume 3 for inpatient hospital procedures. The International Classification of Diseases, 10th Revision, Clinical Modification and the International Classification of Diseases, 10th Revision, Procedure Coding System (collectively, ICD-10). On April 1, 2014, the President signed the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93), which states that the Secretary may not adopt ICD-10 before October 1, 2015. The U.S. Department of Health and Human Services (HHS) released a final rule on July 31, 2014, that requires the use of ICD-10 beginning October 1, 2015. The rule also requires HIPAA-covered entities to continue to use ICD-9-CM through September 30, 2015. Section 1104 of the Patient Protection and Affordable Care Act (ACA) amends the Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191) (HIPAA) Administrative Simplification. Section 1104 mandates the Secretary of the U.S. Department of Health and Human Services (HHS) adopt standards, operating rules, an identifier, and a compliance certification program for certain transactions to enable health information to be exchanged electronically, and to achieve greater uniformity in the transmission of health information. Electronic data interchange enables providers and payers to process financial and administrative transactions faster and at a lower cost than paper transactions. Their use results in an overall decrease in health care administrative costs. These requirements are foundational for healthcare reform and support CMS' E-Health Initiative to achieve better care, better health, and lower costs through greater interoperability, ease of data sharing, and lower costs through operational efficiencies created by bridging clinical health care data with administrative health care data. In order to meet national program missions and strategies as well as legislative mandates (Affordable Care Act, HIPAA), CMS conducts enterprise-wide project management, risk management, implementation, and executive reporting for ICD-10 and other federal administrative simplification mandates, targeted campaign strategies, specialized training, and end-to-end systems-testing capabilities. REQUIREMENTS OVERVIEW The following provides potential responders with an overview of the types of support that would be required of the contractor. Note that although this is an extensive list, it is not meant to be all inclusive. • Conduct enterprise-wide ICD-10 project management dashboards and project plans identifying all milestones, supporting tasks, dependencies, risk, cost, linkages, and critical paths, including timely and accurate status. • Monitor testing and certification of compliance throughout all CMS systems impacted by ICD-10 and HIPPA Administrative Simplification programs. For example, evaluate and monitor CMS systems and State Medicaid Agency system flow dependencies to ensure all systems are ready for ICD-10 and administrative simplification deployment. • Conduct strategic and tactical planning and execution that addresses all aspects of the ICD-10 and HIPPA Administrative Simplification implementation (including end-to-end testing and testing certification), and review impact analysis to identify program gaps and develops solutions for those gaps. • Conduct Risk Planning and Monitoring to identify risks in the ICD-10 and ICD-9 impact analysis and strategic and tactical plans, and develop tactical plans to address identified risks and resolve issues. • Research and identify payer, clearinghouses, providers, vendors, and other payment strategies to understand how ICD-10 segments are implementing ICD-9 and ICD-10. Work closely with industry partners to identify barriers and identify, test, and document solutions. Identify, capture, and evaluate new and existing best practices, use-cases, and lessons learned for ICD-10 and Administrative Simplification. • Provide ICD-10 implementation technical assistance and training sessions aligned with CMS' ICD-10 phases of implementation to small physician practice groups, primary care, rural health, and specialities covering CMS selected areas. A small physician practice is defined by CMS as having 10 employees or less. Training to be performed by a certified biller coder, physician, or other trainer as determined by CMS. CAPABILITY STATEMENT INFORMATION • Demonstrate expertise and experience with ICD-9 and ICD-10 code sets and their uses for coding diagnoses and hospital inpatient and outpatient procedures; and expertise with X12, HL7, CORE and NCPDP standards, operating rules, and enumeration for electronically conducting certain health care administrative transactions between certain covered health care entities. • Demonstrate expertise and experience in CMS and State Medicaid Agency claims processing and system flow dependencies to continually monitor and evaluate the systems to ensure all systems are ready for ICD-10 and HIPPA Administrative Simplification deployment. • Demonstrate expertise and experience in strategic and tactical planning and execution that addresses all aspects of the ICD-10 and HIPPA Administrative Simplification implementation (including end-to-end testing and testing certification • Demonstrated expertise and experience of certified project managers (PMP) responsible for developing and maintaining project management dashboards, evaluating status, and certifying ICD-10 and HIPPA Administrative Simplification readiness to meet required government standards, an agency-wide policy and systems integrated project plan showing all milestones, supporting tasks, dependencies, risk, cost, linkages, and critical paths, including timely and accurate status. • Demonstrates expertise and experience of benchmarking readiness, environmental scans, evaluating and monitoring research and industry surveys. • Demonstrates expertise and experience and builds upon the risk identified in the impact analysis and strategic and tactical plans to develop viable and vetted options for Executive Management review and approval, and institute regular reporting of risks and develops tactical plans to address risks and resolve issues. • Demonstrates expertise and experience in financial stewardship by developing, executing, monitoring, reporting, and meeting enterprise-wide program requirements. • Demonstrates expertise and experience in of ICD-9 and ICD-10 coding and HIPPA Administrative Simplification for operating rules and transaction standards. • Demonstrates expertise and experience in developing an on-site provider training and technical assistance curriculum and deployment of training by a certified-. • Demonstrates expertise and experience in developing provider-specific tools and resources to assist with their transition to ICD-10 and HIPPA Administrative Simplification, or similar projects of size, scope, and system complexities. • Demonstrate expertise and experience in developing and administering specialized technical assistance and training sessions to the health care industry, specifically providers. • Demonstrated expertise and experience in developing and executing post-implementation plans for evaluation, monitoring, and reporting. • Demonstrated expertise and experience in identifying, capturing, and evaluating new and existing best practices, use-cases, and lessons learned for large-scale policy and system implementation efforts. ADDITIONAL INFORMATION REQUESTED: Interested parties having the capabilities necessary to perform this requirement may submit capability statements via email to Charles Brewer ( Charles.Brewer1@cms.hhs.gov ). CAPABILITY STATEMENTS MUST DEMONSTRATE THE MINIMUM REQUIREMENTS OUTLINED ABOVE. Please address each in order listed above under "Capability Statement Information." Capability statements shall also include the following information: (Capability Statements shall be limited to 15 pages and shall designate any/all teaming arrangements and the work proposed to be performed by each team member.) Business Information -- a. DUNS b. Tax ID c. Company Name d. Company Address e. Company Point of Contact, Phone and Email address f. Current GSA Contracts 1. Schedule 2. 8(a) STARS GWAC 3. Vets GWAC g. Do you have a Government approved accounting system? If so, please identify the agency that approved the system. h. Business Size Status (e.g., small business, 8(a), woman owned small business (WOSB/EDWOSB), veteran owned, etc.) as validated via the Central Contractor Registration (CCR) for the applicable NAICS code (i.e. 541611 ). All offerors must be registered in the CCR located at http://www.ccr.gov/index.asp. Please provide WOSB/EDWOSB certificates/certifications. i. Point of Contact, Phone and Email address of individuals who can verify the demonstrated capabilities identified in the responses. Responses must be submitted no later than September 18, 2014 by 2:00 pm EST. Capability statements will not be returned and will not be accepted after the due date. This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed to allow the Government to determine the organization's qualifications to perform the work. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. After a review of the responses received, a pre-solicitation synopsis and solicitation may be published in Federal Business Opportunities. However, responses to this notice will not be considered adequate responses to a solicitation. Confidentiality. No proprietary, classified, confidential, or sensitive information should be included in your response. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s). Questions concerning submission requirements may be directed to Charles Brewer, Contract Specialist, 410-786-5170 or Charles.Brewer1@cms.hhs.gov. CMS will not entertain questions related to contracting strategy.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/HCFA/AGG/HHSM-CMS-DBSC-SBSS-15-257/listing.html)
- Place of Performance
- Address: CMS, Central Office, Baltimore, Maryland, 21244, United States
- Zip Code: 21244
- Zip Code: 21244
- Record
- SN03493296-W 20140905/140903235639-5742533f5cda727a85769a2e45dfd486 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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