Medicare Cost Reporting Services
ID: 75H70424R00011Type: Combined Synopsis/Solicitation
Overview

Buyer

HEALTH AND HUMAN SERVICES, DEPARTMENT OFINDIAN HEALTH SERVICEDIVISION OF ACQUISITIONS POLICY HQROCKVILLE, MD, 20857, USA

NAICS

Other Accounting Services (541219)

PSC

SUPPORT- MANAGEMENT: ACCOUNTING (R703)

Set Aside

Total Small Business Set-Aside (FAR 19.5) (SBA)

Original Source

https://sam.gov/opp/a88cb0adb00f41908826b1b1bf7bd82f/view
Timeline
    Description

    The Indian Health Service (IHS) is seeking proposals for Medicare Cost Reporting Services to support its mission of delivering healthcare to American Indians and Alaska Natives. The selected contractor will assist in the preparation and submission of Medicare cost reports, ensuring compliance with Medicare regulations and optimizing reimbursement processes for various healthcare facilities. This initiative is crucial for maintaining approximately $1 billion in annual Medicare and Medicaid collections, which are essential for sustaining healthcare services in underserved communities. Proposals are due by 5:00 PM (EST) on September 19, 2024, and should be submitted to Brendon Moran at brendon.moran@ihs.gov, with a total estimated contract value of $62,500 per year for the base and each option period.

    Point(s) of Contact
    Brendon Moran, Contracting Officer
    brendon.moran@ihs.gov
    Files
    Title
    Posted
    Attachment 1 - Past Performance Survey.pdf
    The attachment outlines the Past Performance Survey for the Indian Health Service's solicitation for Medicare Cost Reporting Services. It specifies the structure for evaluating contractors, including client information, project details, and performance metrics. The survey focuses on various aspects of contractor performance, such as compliance with contract requirements, quality and accuracy of reports, cost control, timeliness of service delivery, and the effectiveness of business relations. Ratings range from Excellent to Unacceptable, based on measurable indicators and subjective assessments from government personnel. The survey aims to collect relevant data to assess the contractor’s ability to fulfill obligations, which will inform future contract awards. It emphasizes the importance of past performance in federal procurement processes and highlights the necessity for transparency in contractor evaluations to ensure service quality and accountability within the health sector.
    Attachment 2 - SF1449 - 75H70424R00011.pdf
    The government file outlines various federal and state RFPs and grants, emphasizing opportunities for funding and procurement. It highlights key areas of focus, outlining standard procedures and eligibility criteria for applicants. The document is structured to guide stakeholders, providing details on application processes, submission timelines, and evaluation protocols. Central to the document is a call for innovative solutions and services that align with federal priorities, including infrastructure development, public health initiatives, and community engagement programs. Supporting details include expected outcomes, funding limitations, and compliance requirements that applicants must adhere to. Additionally, it emphasizes the importance of collaboration among different governmental levels and agencies to achieve shared objectives. The language suggests a commitment to transparency and public accountability in the RFP process. Overall, the file serves as a comprehensive reference for entities seeking to engage with government funding opportunities effectively while ensuring compliance with established regulations.
    Attachment 3 - Pricing Sheet - RFP 75H70424R00011.pdf
    The document outlines the Pricing Sheet associated with Request for Proposal (RFP) # 75H70424R00011 for Medicare Cost Reporting Services needed by the Indian Health Service (IHS). It specifies a comprehensive list of tasks categorized into a Base Period and four subsequent Option Periods, detailing costs for various contract tasks as well as optional tasks related to revenue cycles and ancillary studies. Each section includes placeholders for specific pricing information, indicating the structure of costs associated with each task across all contract periods, with the goal of achieving total cost calculations for the Base period and all options. The primary aim of the RFP is to solicit proposals to meet the Medicare cost reporting needs of the IHS, a federal agency responsible for health services for American Indians and Alaska Natives. By outlining detailed pricing and task structures, the document facilitates potential contractors in determining their capability and competitiveness for submitting their proposals, ensuring transparency and accountability in government contracting processes.
    Attachment 4 - Cost Report Locations.xlsx
    The document provides a detailed cost report aligning with federal and tribal health programs, listing numerous healthcare facilities across various regions, primarily in Alaska, Navajo Nation, and Oklahoma. It enumerates facilities categorized as either tribal or federal, specifying tasks, client information, and their associated Centers for Medicare and Medicaid Services Certification Numbers (CCNs). Key points include a variety of service locations such as medical centers and health offices that focus on delivering healthcare to Native American populations. The data is structured by geographical region, naming each facility and indicating its designation either as a tribal or federal entity. The report concludes with various contractual task information, including specific services and the reporting dates relevant to fiscal year-end evaluations. This document serves the purpose of maintaining compliance and transparency regarding federal grants and funding allocations for healthcare services, facilitating government oversight and resource management within Indian Health Service programs.
    Attachment 5 - Cost Report Locations - UIO.xlsx
    The document outlines the offerings of Urban Indian Health Programs (UIOs) across various regions in the U.S. It categorizes services into full and limited ambulatory care, residential and outpatient substance abuse treatment, outreach, and referral services, specifically focusing on locations like Tucson, Denver, and Albuquerque. A total of 32 full/limited ambulatory programs are available, alongside 8 residential/outpatient substance abuse services and 4 outreach and referral services. The list includes diverse providers, such as the First Nations Community Health Source and the Indian Health Board of Minneapolis, arranged by area office/region. The file highlights initiatives to improve healthcare access for urban Native American populations and details new limited ambulatory services set to launch in Tucson in 2024. This information aligns with federal RFPs and grants aimed at enhancing health services in underserved communities, showcasing government commitment to addressing urban health disparities among Indigenous populations.
    Attachment 6 - Cost Report Locations - YRTC.xlsx
    The document lists various youth wellness and rehabilitation centers across the United States, focusing on locations that serve Native American populations. Each entry includes the center's name, location, and the corresponding Indian Health Service (IHS) area, indicating if the facility is tribal or federal. The listed centers span several states, including California, Arizona, Alaska, South Dakota, Oklahoma, Oregon, New Mexico, and North Carolina, highlighting a commitment to addressing the mental health and substance abuse needs of youth in these communities. The purpose of this file aligns with federal efforts to allocate grants and RFPs to support health initiatives, particularly in underserved areas. By showcasing a comprehensive directory of these centers, the document underscores the federal government's role in promoting wellness programs tailored to indigenous youth while ensuring access to essential services in alignment with local and national health strategies.
    Attachment 7 - Medicare Cost Reporting Services - PWS.pdf
    The document outlines the Request for Proposals (RFP) for Medicare Cost Reporting Services by the Indian Health Service (IHS). It emphasizes the need for contractors to assist in the preparation and submission of Medicare cost reports for various facilities serving American Indian and Alaska Native populations. The services aim to ensure compliance with Medicare regulations, facilitating reimbursement processes and maximizing funding for healthcare services. Key tasks include conducting kick-off meetings, generating monthly progress reports, preparing up to 53 cost reports, developing All-Inclusive Rates (AIR), and addressing Disproportionate Share Hospital reimbursements. The contractor is also responsible for conducting revenue cycle analyses, ancillary cost studies, and evaluating the potential conversion of facilities to Critical Access Hospital (CAH) status. The document details deadlines for report submissions, methodologies for data collection and analysis, and collaborative efforts with IHS and related entities. It highlights the significance of accurately reporting costs to maintain approximately $1 billion in annual Medicare and Medicaid collections necessary for sustaining health care services. Overall, the RFP seeks qualified vendors to enhance financial operations and compliance within the IHS's healthcare delivery system, reinforcing commitments to the health of underserved communities.
    RFP Document - 75H70424R00011.pdf
    The Solicitation #75H70425R00011 outlines a request for proposals for Medicare Cost Reporting Services aimed at supporting the Indian Health Service (IHS) in its mission to deliver healthcare to American Indians and Alaska Natives. The contract, which includes a firm-fixed price structure with an estimated total cost of $62,500 per year for the base and each option period, focuses on the preparation and submission of detailed Medicare cost reports, particularly for critical access hospitals, inpatient prospective payment systems, and home office costs. Key services outlined in the contract include monthly progress reports, cost report preparation, all-inclusive rate calculations for various facilities, and analyses of reimbursement rates. The contractor is responsible for compliance with Medicare regulations, conducting site visits, and providing thorough documentation for cost analysis and rate calculations. The contract spans a base period from October 1, 2024, to September 30, 2025, with four optional renewal periods. Through this initiative, the IHS seeks to optimize its revenue cycle and improve healthcare delivery by accurately capturing costs and effectively processing Medicare reimbursements, thus ensuring sustainable healthcare services for its clientele while adhering to federal guidelines.
    Lifecycle
    Title
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    Medicare Cost Reporting Services
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    Combined Synopsis/Solicitation
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