DHHS/OS/ASMB/OGAM/Division of Contract Operations, 200 Independence Avenue, S.W., Room 443H, Humphrey Bldg., Washington, D.C. 20201

R -- TARGETING DIAGNOSTIC RELATED GROUP CODE VALIDATION STUDY SOL RFP-42-96-HHS-OS POC Gaynel M. Abadie (202) 690-7506 THIS IS PART 2 OF RFP-42-96-HHS-OS. During the first phase, contractor personnel with appropriate training in experimental design and survey sampling should participate. A credentialed Registered Records Administrator (RRA) must consult with the project manager for the second phase of the contract, and provide for technical substantiation of all questionable coding decisions. The contractor shall provide a team of coders who must be Registered Record Analysts (RRAs) or Accredited Records Technicians (ARTs). A physician or physicians familiar with inpatient medical documentation and the ICD-9-CM coding system must serve as the physician reviewers and in support to the coders. Due to any appearance of conflict of interest, any offer from a Health Care Financing Administration Medicare contractor (Carrier or Fiscal Intermediary) or Peer Review Organization will not be accepted. The project shall commence from the date of contract award and shall be completed before December 21, 1997. The provision at FAR 52.212-1, Instructions to Offerors-Commercial, applies to this acquisition. Submissions shall consist of a pricing proposal and a technical proposal (an original and two copies of each). The pricing proposal shall fully detail all of the costs to develop the sampling design and the costs to conduct the DRG validation on a per case basis. The actual number of records to be reviewed will depend on the survey design. The technical proposal shall consist of a cover sheet on letterhead stationary listing the RFP being responded to, the offeror's name, location, and telephone/fax numbers, a statement indicating understanding of the requirements and the ability to comply with the time frames as previously stated, a resume of proposed professional personnel, including any relevant past and/or current experience, education, or training, along with documents which the offeror has drafted and which have been issued. The price and technical proposals should address this requirement in sufficient detail that the following criteria can be used to evaluate submissions: Price - Weight (25%); Technical - offeror should demonstrate understanding of the problem and statement of work (15%); offeror should demonstrate ability to fulfill the obligations described in the statement of work (15%); offeror should demonstrate the qualifications and experience of personnel available to do the work (20%); and, offeror should demonstrate previous experience with DRG validation in a hospital setting (25%). Offerors must include a completed copy of the provision at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, with their offer. The clause at FAR 52.212-4, Contract Terms and Conditions-Commercial Items, applies to this acquisition. Any clauses or provisions referenced in this notice can be accessed through the Internet address that follows: http://www.gsa.gov/far/90-40/html/52_000.html/. Offers are due September 9, 1996, by 4:00 PM EST, at the following location: Department of Health and Human Services, OS/Division of Contract Operations, Room 443H, Humphrey Building, 200 Independence Avenue, SW, Washington, D.C. 20201, ATTN: Ms. Gaynel M. Abadie. The contact point shall be Ms. Gaynel M. Abadie, 202-690-7506. Amendments to this solicitation, if any, shall also be published as a Commerce Business Daily synopsis. (0234)

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