7A21--Fraud, Waste and Abuse (FWA) Software (VA-25-00032490)
ID: 36C10B25Q0125Type: Sources Sought
Overview

Buyer

VETERANS AFFAIRS, DEPARTMENT OFVETERANS AFFAIRS, DEPARTMENT OFTECHNOLOGY ACQUISITION CENTER NJ (36C10B)EATONTOWN, NJ, 07724, USA

NAICS

Other Computer Related Services (541519)

PSC

IT AND TELECOM - BUSINESS APPLICATION SOFTWARE (PERPETUAL LICENSE SOFTWARE) (7A21)

Original Source

https://sam.gov/opp/9e56a2858f50442e812513eb179078e7/view
Timeline
    Description

    The Department of Veterans Affairs (VA) is seeking vendors to provide a Fraud, Waste, and Abuse (FWA) software solution aimed at enhancing the adjudication and processing of healthcare claims within the VA system. The software is expected to be primarily hosted as a Software as a Service (SaaS) solution, supporting both pre-payment and post-payment fraud detection, and must be capable of interfacing with databases such as Azure SQL, Microsoft SQL Server, or Oracle. This initiative is crucial for improving claims processing efficiency and compliance with federal regulations regarding fraud in healthcare disbursement. Interested vendors should submit their capabilities and responses to the Request for Information (RFI) by February 15, 2025, and can contact Mr. Gary Howard at gary.howard3@va.gov or by phone at (848) 377-5346 for further details.

    Point(s) of Contact
    Mr. Gary HowardContract Specialist
    (848) 377-5346
    gary.howard3@va.gov
    Files
    Title
    Posted
    36C10B25Q0125.docx
    The Department of Veterans Affairs (VA) issued a Sources Sought Notice for a Fraud, Waste, and Abuse (FWA) Software system aimed at enhancing the adjudication and processing of healthcare claims. This Request for Information (RFI) seeks vendor input for potential solutions to identify and eliminate fraudulent claims efficiently. The notice explicitly states that it is for information and planning purposes only, with no obligation for the government to procure the services. Vendors are encouraged to provide their capabilities, including technical approaches, experiences, and staffing plans, to ensure compliance with the requirements outlined in the draft Performance Work Statement (PWS). The anticipated software should support both pre-payment and post-payment fraud detection with a perpetual licensing model and must be capable of processing a large volume of claims. The period of performance will extend up to five years, allowing initial configurations and ongoing support services. The document also details various reporting, training, and project management requirements essential for the successful integration of the proposed FWA system. In doing so, the VA aims to reduce costs, improve service delivery, and foster compliance with federal regulations pertaining to fraud in healthcare disbursement.
    QA 36C10B25Q0125.docx
    The document outlines a Request for Information (RFI) regarding the procurement of Fraud, Waste, and Abuse (FWA) software for medical claims processing within the Veterans Affairs (VA) system. The software is intended to be primarily hosted as a Service as a Software (SaaS) solution, with the main users being program offices in the Veterans Health Administration (VHA) and Financial Services Center (FSC), though specific numbers of users are yet to be determined. The VA anticipates limited concurrent users, possibly around 200 at maximum, but is still evaluating industry capabilities before finalizing this projection. The software solution is primarily expected to interface with databases such as Azure SQL, Microsoft SQL Server, or Oracle. The RFI submission deadline has been extended to February 15, 2025, with clarification that the procurement is focused solely on software solutions. This initiative underscores the VA's efforts in conducting market research to enhance its claims processing efficiency while addressing potential fraud and abuse.
    Lifecycle
    Title
    Type
    7A21--Fraud, Waste and Abuse (FWA) Software (VA-25-00032490)
    Currently viewing
    Sources Sought
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