MODIFICATION
99 -- Solicitation Notice for Workers' Compensation Medical Bill Processing (WCMBP) - Section M - Evaluation Factors for Award - Section L - Instructions Conditions and Notices to Offerors - Section K - Certifications - Section J - List of Attachments - Section C - Performance Work Statement - Section E - Inspection and Acceptance - Solicitation - SF33 - Section I - Contract Clauses - Section F - Deliveries and Performance - Section B - Supplies or Services Prices-Costs - Section H - Special Contract Requirements - Section G - Contract Administration Data
- Notice Date
- 1/14/2014
- Notice Type
- Modification/Amendment
- NAICS
- 524298
— All Other Insurance Related Activities
- Contracting Office
- Department of Labor, Office of the Assistant Secretary for Administration and Management, Office of Procurement Services, 200 Constitution Avenue, NW, S-4307, Washington, District of Columbia, 20210-0001, United States
- ZIP Code
- 20210-0001
- Solicitation Number
- DOL141RP21903
- Archive Date
- 3/29/2014
- Point of Contact
- William P. Jackson, Phone: 2026934595, Myla Gale, Phone: 2026934570
- E-Mail Address
-
jackson.william.p@dol.gov, gale.myla@dol.gov
(jackson.william.p@dol.gov, gale.myla@dol.gov)
- Small Business Set-Aside
- N/A
- Description
- Section G - Contract Administration Data Section H - Special Contract Requirements Section B - Supplies or Services Prices-Costs Section F - Deliveries and Performance Section I - Contract Clauses Solicitation - SF33 Section E - Inspection and Acceptance Section C - Performance Work Statement Section_27_Communications Legacy version Section_25_Management_Reporting_Legacy_version Section_23_Adjustment_Processing_Legacy_version_ Section_22_Fee_Schedule_Appeal_Legacy_version Section_21_Payment_Files_Process_RV_EFT_and_1099_Legacy_version Section_20_Bill_Resolution_Legacy_version Section_19_Pharmacy_Legacy_version Section_18_Bill_Pricing_Legacy_version_20140106.doc Section_17_Treatment_Suites_Legacy_version Section_16_Authorizations_Legacy_version Section_15_Provider_Enrollment_and_Management_Legacy_version Section_13_Edits_and_Audits_Legacy_version Section_12_Return_to_Provider_Legacy_version Section_11_Prompt_Payment_Legacy_version Section_10_and_14_Claimant_Eligibility_and_TPL_Legacy_version Section_9_Bill_Processing_Legacy__version Section_8_Bill_Scan_Data_Entry_Legacy_version Section_7_Claimant_Bill_Development_Legacy_version_2 Section_6_DFEC_Imaging_Legacy_version_20140106.doc Section_5_Central_Mailroom_Legacy_version Section_J_Attachment_27_-_Glossary_120213FD.doc Section_J_Attachment_26_-_RI_Location_Matrix_Template Section_J_Attachment_25_-_Requirements_Specs_Documents Section_J_Attachment_24_-_Rqd_Ref_Materials Section_J_Attachment_23_-_Government_Furnished_Information Section_J_Attachment_22_-_QASP_123013FD.doc Section_J_Attachment_21_-_Wage_Determinations.doc Section_J_Attachment_20_-_Contractor_Evaluation_Form Section_J_Attachment_19_-_Weekly_Call_Minute_Detail_Data Section_J_Attachment_18_-_Volume_Sensitive_Operational_Data Section_J_Attachment_18.1_-_Projected_Operational_Volumes Section_J_Attachment_17_-_DLMS_9_Chapters_400_and_1200 Section_J_Attachment_16_-_Computer_Security_Handbook... Section_J_Attachment_15_-_Small_Bus_Sub_Plan_Template Section_J_Attachment_14_-_Past_Perf_Sub_Consent_Ltr Section_J_Attachment_13_-_Past_Perf_Questionnaire_Template Section_J_Attachment_12_-_Past_Perf_Contact_Sheet_Template Section_J_Attachment_11_-_Past_Perf_Ref_List_Template Section_J_Attachment_10_-_Prior_Exp_Project_Desc_Template Section_J_Attachment_9_-_Prior_Experience_Reference Section_J_Attachment_8_-_Key_Position_Resume_Template Section_J_Attachment_7_-_Key_Position_Background_Matrix Section_J_Attachment_6_-_Question_Submission_Templat... Section J Attachment 5 - Non-Disclosure Agreement Section J Attachment 4 - Conformance Matrix Section J Attachment 3 - Compliance Matrix Section J Attachment 2 - Proposal File Matrix Template Section J Attachment 1 - Price Cost Schedule Section J - List of Attachments Section K - Certifications Section L - Instructions Conditions and Notices to Offerors Section M - Evaluation Factors for Award The United States Department of Labor's (DOL) Office of Workers' Compensation Programs (OWCP) is seeking a contractor to provide Workers' Compensation Medical Bill Processing and Mailroom services. DOL intends to award a single firm fixed price contract with other direct cost (OCD) pass-throughs. The NAICS code for this requirement is 524298 and the size standard is $6.5 million. The period of performance of the proposed contract is anticipated to be one year with four one-year options, and up to two one-year award terms for outstanding performance - for a total potential performance period of seven years. PURPOSE The U.S. Department of Labor's (DOL) OWCP administers workers' compensation medical bill processing programs that mitigate the impact of work-related injury for certain workers and their families. OWCP is seeking a single Contractor to build and operate a centralized workers' compensation medical bill processing (WCMBP) solution for three OWCP programs: the Division of Federal Employees' Compensation (DFEC), the Division of Coal Mine Workers' Compensation (DCMWC) and the Division of Energy Employees Occupational Illness Compensation (DEEOIC). OWCP's medical bill processing function is currently performed as a contracted service. The Government does not own an information system that can be transferred to a follow-on Contractor. Only historical data will be transferred. This centralized solution will include the processes associated with receipt of the medical bills and attachments, review of medical bills and attachments against program-specific authorizations, handling of inquiries related to medical services from claimants and providers, and utilization of business rules established by each OWCP program for the adjudication and pricing of medical bills. Specifically, the integrated system will support the following capabilities: • Receipt and accounting for medical bills, attachments and other documents, in both hardcopy and electronic formats • Scanning and data entry of bills, attachments and other documents received. • Processing of bills to payment or denial (the Contractor will not make benefit payments, but will transfer payment files to Treasury for certification and payment) • Processing of requests for adjustment, authorization of services, suspense resolution, and appeals processing • Processing and responding to submitted correspondence received from medical providers and claimants, when applicable, and storing the responses to the correspondence in an imaging system from which the Government can retrieve for review • Enrolling new providers and managing information about existing providers • Providing claimant and provider support via a call center and self-service applications (such as user access portals and IVR) • Processing Point of Sale (POS) pharmacy bills • Providing secure on-line access, available to authorized users, to view images of bills, correspondence, and other documents. PROGRAM OBJECTIVES The goal of the WCMBP program is to acquire a standards-based medical bill processing system and processes that implement the following: • Improved mailroom, imaging, and data entry throughput, accuracy, and efficiency • Ensure a smooth and timely transition from the incumbent service provider • Ensure efficient, accurate and timely processing of medical and pharmacy bills • Ensure timely and correctly processed authorizations for covered benefits. • Provide accurate and timely responses to customer inquiries and requests. • Implement advanced medical bill processing technologies and processes • Develop robust fraud and abuse and error detection/protection processes • Use of industry-standard hosting and programming techniques to support portability among platforms • Implement robust change and configuration management process • Establish a framework for continuous improvement
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/DOL/OASAM/WashingtonDC/DOL141RP21903/listing.html)
- Place of Performance
- Address: 200 Constitution Avenue, NW, S-4307, Washington, District of Columbia, 20210-0001, United States
- Zip Code: 20210-0001
- Zip Code: 20210-0001
- Record
- SN03267905-W 20140116/140114234826-8b45f5a61e45608bf1388798cda04368 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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