Department of Veterans Affairs (381), Austin Automation Center, 1615 E. Woodward St., Austin, TX 78772

D -- ECLIPSYS CORP. REVENUE MANAGEMENT SYSTEM SOL RFP 200-22-99 POC Nancy Kennamer, 512-326-6242 The Department of Veterans Affairs (DVA) intends to purchase from Eclipsys Corporation the Eclipsys Revenue Management System using commercial acquisition procedures. The DVA requires a seamless application that will provide integration of specific facility revenue information both received and projected into the Computer Corporation of America model 204 database (CCA 204) from the Transition II Decision Support System (DSS), which DVA has installed in all of its' Medical Centers. This system is installed on an IBM G5 and runs on the OS390 operating system. The current application programs of Transition II contain a sophisticated cost accounting system, which will be integrated with revenue data to calculate net revenue, within the Resource Management System Application. Specific technical requirements include: a) Integration with the Eclipsys Transition II application which uses the Model 204 database; b) Utilization of information from DVA VISTA system, which will provide data for receipts. Functional Requirements include: a) Using patient level demographic and utilization data already existing on the DSS database for each patient encounter, VA Medical Center's will be able to analyze utilization, cost, profitability, case mix, and historical trends; b) Ability to calculate and explain expected payments based on contract terms. Contract terms will be entered into the application that will evaluate patient encounter level data presently stored in the database to calculate expected payments or revenue. The application must be able to address multiple contract modeling methodologies in order to accurately estimate patient revenue. Such methodologies include but are not exclusive to Medicare and Other Diagnostic Related Groups, payments per unit and per discharge, allowable reimbursement, table based payment formulae, early pay discounts, and stop loss provisions; c) Compare actual to expected payments. Posting actual receipts and comparing those to the expected payments provide the site with the means to determine whether they have maximized their revenue intake; d) Create a means to follow up on underpayments. Taking the expected reimbursement information modeled by the application, the payments and other adjustment transactions processed for each encounter, the application must produce adjudication letters that explain any differences in the reimbursement; e) Model proposed contract changes and the impact on cost, utilization, profitability, and case mix; f)Monitor contracts on continuous basis. By storing this information in the DSS database, sites will be able to analyze the impact of the contract on the hospital's profitability. This software to be purchased must be complete and available to the market as of the date of this entry in the Commerce Business Daily. It is anticipated that a 1-year fixed price contract will be awarded with a 1-year option. All responses from responsible sources will be considered. Responses must include sufficient documentation to allow this office to evaluate the possibility of your firm to submit a valid proposal. The determination to open competition based on responses received is solely within the discretion of the Government. If a solicitation is issued, no additional synopsis will be published. All responses must be submitted in writing within 5 calendar days of publication of this notice. Written responses can also be faxed to 512-326-6028 or sent via e-mail to nancy.kennamer@mail.va.gov. Posted 04/14/99 (W-SN320014). (0104)

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