Remote Coding Services for the Albuquerque Indian Dental Clinic

Amendment 0001 for Solicitation 75H70726Q00002 clarifies that the Request for Proposal (RFP) is for dental coding services only, not billing. The

The Indian Health Service (IHS) Albuquerque Area Office (AAO) is seeking proposals for remote professional billing and coding non-personal healthcare services for the Albuquerque Indian Dental Clinic (AIDC). This solicitation (75H70726Q00002) is for a firm-fixed-price contract with a 12-month base period and four 12-month option periods. The selected contractor must be certified, maintain a 95% accuracy rate, ensure a 24-48 hour turnaround for coding, and adhere to strict data privacy regulations like HIPAA. Key responsibilities include comprehensive review of clinical visits, assigning accurate diagnostic and procedural codes, handling billing errors, and managing accounts receivable. Contractors must complete annual background checks, security training, and comply with various federal and HHS acquisition regulations. Payments will be made monthly upon invoice submission through the Invoice Processing Platform (IPP). The total contract duration will not exceed five years.

The Indian Health Service (IHS) requires offerors to self-certify as an "Indian Economic Enterprise" (IEE) in accordance with the Buy Indian Act (25 U.S.C. 47) for solicitations, sources sought, RFIs, and resultant contracts. This certification must be maintained throughout the offer, award, and contract performance periods. Failure to meet IEE criteria during the contract requires immediate written notification to the Contracting Officer. Contracting Officers may request documentation for eligibility, and awards can be protested if eligibility is questioned. Successful offerors must also register with the System for Award Management (SAM). Providing false or misleading information is a violation of law, punishable under 18 U.S.C. 1001, with false claims during performance subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. The form requires the offeror to represent whether they meet the IEE definition with Indian Ownership, including spaces for the name of the 51% owner, certifying signature, print name, name of the federally recognized tribal entity, business name, and DUNS number.

The Indian Health Service's Past Performance Survey is a critical tool for evaluating contractor performance in government solicitations. It collects detailed information on past projects, including client data, contract specifics, and performance periods. The survey utilizes open-ended questions to assess project scope, complexity, and relevance, alongside a rating system (Excellent, Good, Acceptable, Marginal, Unacceptable) for various performance categories such as Quality of Service, Cost Control, Timeliness, Business Relations, and Customer Satisfaction. This comprehensive evaluation framework helps the government make informed source selection decisions by assigning points based on overall past performance ratings, ensuring contractors meet federal requirements and objectives.