COOK COUNTY HEALTH (CCH) REQUEST FOR PROPOSAL TITLE: Revenue Cycle .

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COOK COUNTY HEALTH (CCH)REQUEST FOR PROPOSAL RFP# H21-0026TITLE: Revenue Cycle Service ProviderGENERAL DESCRIPTION: CCH seeks to identify a competitive and qualified contractor to provide end-toend revenue cycle service provider and detail reporting on performance and outcomes.DATE ISSUED: July 23, 2021VENDOR QUESTIONS DUE DATE: July 30, 2021 by 2:00 P.M. CTRESPONSE/ PROPOSAL DUE DATE: August 20, 2021 by 2:00 P.M. CTResponses to this RFP shall be delivered after 8:00 AM (CT) but no later than 2:00 PM (CT) to:Cook County Health C/O John H. Stroger, Jr. Hospital1969 West Ogden Ave., Lower Level Room # 250AChicago, IL 60612Attention: Supply Chain Management DepartmentPre-Proposal Conference /Site Inspection: NonePlease note that it takes approximately 20 minutes to pass security and walk to room 250A.Delivery of RFP must include the RFP Acknowledgement Form included at the end of this document.All questions regarding this RFP should be directed to purchasing@cookcountyhhs.orgThe RFP and related Addenda will be posted at the http://www.cookcountyhealth.org website under the“Doing Business with Cook County Health” tab.

RFP - H21-0026, Revenue Cycle Service Provider1.Hospital System Background . 42.Purpose . 4a.Term of Services . 4b.Basis of Award. 43.Schedule . 44.Scope of Services . 55.Project Deliverables . 56.Project Budget . 57.Required Proposal Content . 57.1Executive Summary/Cover Letter . 57.2Response to Scope of Services . 67.3Proposer’s Profile . 67.4Key Personnel . 67.5MBE/WBE Participation . 77.6Cost Proposal . 77.7Financial Status. 77.8Conflict of Interest. 87.9Contract . 87.10Legal Actions . 87.11Confidentiality of Information . 87.12Economic Disclosure Statement . 97.13Addenda. 98.Evaluation and Selection Process . 98.1Proposal Assessment. 98.2Right to Inspect. 98.3Consideration for Contract. 99.General Evaluation Criteria . 109.1Responsiveness of Proposal . 109.2Criteria Proposal . 1010.10.1Instructions to Proposers . 10Questions and Inquiries . 11H21-0026, Revenue Cycle Service ProviderPage 2 of 16

RFP - H21-0026, Revenue Cycle Service Provider10.2Pre-Proposal Conference (if Applicable) . 1110.3Number of Copies . 1110.4Format . 1110.5Time for submission . 1210.6Packaging and Labeling . 1210.7Timely delivery of RFP . 1210.8Availability of Documents . 1210.9Alteration/Modification of Original Documents . 1210.10Cost of Proposer Response . 1210.11Proposer’s Responsibility for Services Proposed . 1210.12RFP Interpretation . 1210.13Specifications and Special Conditions . 1310.14Errors and Omissions. 1310.15Proposal Material . 1310.16Confidentiality and Response Cost and Ownership . 1310.17Awards . 1310.18CCH Rights. 1310.19Cancellation of RFP; Requests for New or Updated Information . 1311.Definitions . 1412.Appendix A – RFP Receipt Acknowledgement Form. 15List of ExhibitsExhibit A – Sample, CCH Master Services AgreementH21-0026, Revenue Cycle Service ProviderPage 3 of 16

RFP - H21-0026, Revenue Cycle Service Provider1. Hospital System BackgroundThe Cook County Health (CCH) is a unit within Cook County government. CCH provides a full continuumof health care services through its seven operating entities, referred to as System Affiliates. SystemAffiliates provide a broad range of services from specialty and primary care to emergency, acute,outpatient, rehabilitation and preventative care. CCH services are offered without regard to a patient’seconomic status or ability to pay.CCH operates John H. Stroger, Jr. Hospital of Cook County (JHSH), Provident Hospital of Cook County,and Ambulatory and Community Health Network (a system of fifteen clinics), the Cook CountyDepartment of Public Health, Cermak Health Services of Cook County (a health facility operated withinthe confines of the Cook County Department of Corrections), and the Ruth M. Rothstein Core Center.The System also operates County Care, a Medicaid managed care health plan for low-income adultsestablished under the Affordable Care Act.2. PurposeThis service will initially provide support in back office functions but will also provide staffingaugmentation support in other revenue cycle areas. The strategy will provide immediate serviceflexibility to ensure operations are meeting/exceeding KPIs. . This service will better align us to performthese collection efforts within our payer contractual timelines as well. (i.e. 60-90 days). This service willalso support project work in an as needed basis.a. Term of ServicesThe term of services shall be for twelve (12) months, with two, one (1) year extension options, ifproject deliverables are met. The award agreement may be terminated by CCH for conveniencefollowing sixty (60) calendar days’ prior written notice of termination.b. Basis of AwardThe basis of award shall be to a single Proposers based on the highest rated Proposal offering thebest value to CCH meeting the specifications, terms and conditions in accordance with theevaluation criteria set for in this RFP.3. ScheduleCCH anticipates the following schedule.ActivityRFP posted to the websitePre-Proposal and Site VisitProposer Inquiry DeadlineCCH response to Vendor Questions-TentativeProposal Due DateEvaluation of RFP (Tentative)H21-0026, Revenue Cycle Service ProviderEstimated DateJuly 23, 2021, 2021NoneJuly 30, 2021 by 2:00 p.m. CTWeek of August 2, 2021August 20, 2021 by 2:00 p.m. CTSeptember - 2021Page 4 of 16

RFP - H21-0026, Revenue Cycle Service Provider4. Scope of ServicesCCH seeks to identify a competitive and qualified contractor to provide end-to-end revenue cycleservices and detail reporting on performance and outcomes. This service will provide additionalsupport in all areas of revenue cycle with an initial emphasis in back-end operations. This servicewill support our current CCH revenue cycle teams through day-to-day operations and providevaluable contributions toward achieving KPI’s and SLA. These services are required to ensureCCH collects as much capital as possible to support the excellent care provided and toultimately improve the patient’s experience.5. Project DeliverablesFirst 6 Months:PFS: Collections/Follow-upa. Average Daily Productivity by Representative: greater than or equal to 35 accountsb. Average touch to resolution: less than 3.c. AR Days: less than 556 Months :PFS: Collections/Follow-upd. Average Daily Productivity by Representative: greater than or equal to 35 accountse. Average touch to resolution: less than 2.7.f. AR Days: less than 50If project deliverables are trending unfavorably below project deliverables expectations for 3consecutive months, CCH has the right to issue termination this agreement. Contractor mustdemonstrate in its Proposal that it has provided aforementioned scope of work to other similar sizehealthcare systems for at least five (5) years with favorable deliverables.6. Project BudgetThe project shall be payable through a per FTE monthly cost basis with the total annual cost not toexceed 3.75M and the average FTE utilization of 250 FTEs.7. Required Proposal ContentThis RFP provides potential Proposers with sufficient information to enable a proposer to prepare andsubmit proposals. CCH is supplying a base of information to ensure uniformity of responses. It must benoted, however, that the guidelines should not be considered so rigid as to stifle the creativity of anyProposer responding.This RFP also contains the instructions governing the submittal of a Proposal and the materials to beincluded therein, which must be met to be eligible for consideration. All Proposals must be complete asto the information requested in this RFP in order to be considered responsive and eligible for award.Proposers providing insufficient details will be deemed non-responsive. CCH expects all responses toreflect exceptional quality, reasonable cost and overall outstanding service.7.1Executive Summary/Cover LetterPlease limit this to one page. The cover letter shall be signed by an authorized representative ofthe proposer. The letter shall indicate the proposer’s commitment to provide the servicesproposed at the price and schedule. Do not forget to sign your cover letter.H21-0026, Revenue Cycle Service ProviderPage 5 of 16

RFP - H21-0026, Revenue Cycle Service Provider7.2Response to Scope of Servicesa. Please insert your response to the Scope of Services, Section 5 in this section.7.3Proposer’s ProfileProposer must include a description of the organization’s track record as follows:Company Profile (Prime only)a. Legal Nameb. Assumed Names if anyc. Address (Street, City , State, Zip),d. Legal Structure (e.g. sole proprietor, partnership, corporation, joint venture)e. If a subsidiary, provide the same RFP about the Parent Company as required in thistable format.f. Date and State where formed.g. Proposer's principals/officers including President, Chairman, Vice Presidents,Secretary, Chief Operating Officer, Chief Financial Officer, and related contact RFP.h. Point of contact for this RFP including contact informationi. Proposer Business background and description of current operationsj. Number of employeesk. Number of years in businessl. Total number of years providing the proposed servicesm. Is Proposer a licensed business to perform the work in scope? If so, please specifyrelevant certifications.n. Proposer's Federal Employee Identification Number (or Social Security Number, if asole proprietorship)o. Is proposer authorized to conduct business in Illinois? Provide Registration Numberissued by the Illinois Secretary of State, a copy of the Certificate of Good Standing,and include Cook County Assumed Business Name Certificate, if applicable.7.4Key Personnela. Provide a table with the following information:i.ii.iii.iv.v.Proposed project resources;Roles;High level skills (project alignment);Proposed work location for each resource (onsite/offsite);Time commitment to the project if awarded;b. Describe internal standards, policies and procedures regarding training and professionaldevelopment.c. Provide copies of each associate’s current job descriptionThe Chief Procurement Officer reserves the right to reject any key personnel proposed if it isdetermined not to be in CCH’ best interest. The evaluation of proposals includes the qualificationsof the personnel proposed; therefore, proposers must name key personnel as part of theirresponse. Key Personnel must not be replaced during the project without the approval of theChief Procurement Officer.H21-0026, Revenue Cycle Service ProviderPage 6 of 16

RFP - H21-0026, Revenue Cycle Service Provider7.5MBE/WBE ParticipationThe Proposer may be comprised of one or more firms as to assure the overall success of the project. Theproposer must present a team chart that clearly identifies each team member and specify their role in theproject (this should be more detailed than the information provided in the executive summary). For eachsubcontractor, provide the name of the firm(s), brief company background, level of participation, MBE orWBE if applicable, the type of services each resource, from each firm, will provide. For each MBE/WBEcertified firm proposed, provide the appropriate information in the Economic Disclosure Statement Forms(in a separate envelop).The Chief Procurement Officer reserves the right to accept or reject any of the team members if in TheChief Procurement Officer’s sole opinion replacement of the team member, based on skills andknowledge, is in the best interest of the County. Consistent with Cook County, Illinois Code of Ordinances(Article IV, Division 8, and Section 34-267), and CCH has established a goal that MBE/WBE firms retainedas subcontractors receive a minimum 35% MBE/WBE of this procurement. The Office of ContractCompliance has determined that the participation for this specific contract is 35% MBE/WBEparticipation.The Proposer shall make good faith efforts to utilize MBE/WBE certified firms as subcontractors. In theevent that the Proposer does not meet the MBE/WBE participation goal stated by CCH for thisprocurement, the proposer must nonetheless demonstrate that it undertook good faith efforts to satisfythe participation goal. Evidence of such efforts may include, but shall not be limited to, documentationdemonstrating that the proposer made attempts to identify, contact, and solicit viable MBE/WBE firmsfor the services required, that certain MBE/WBE firms did not respond or declined to submit proposalsfor the work, or any other documentation that helps demonstrate good faith efforts. Failure by theproposer to provide the required documentation or otherwise demonstrate good faith efforts will betaken into consideration by CCH in its evaluation of the proposer’s responsibility and responsiveness.7.6Cost ProposalProposers must submit pricing RFP in a separate sealed envelope clearly marked with the RFP numberand the label “Pricing RFP.” Proposers are required to submit one (1) paper copy (original) and one (1)electronic copy emailed to the email addresses specified on the cover page.The pricing information must include any supplemental options or schedules offered by the proposer. Allpricing must include all assumptions to facilitate Analysis. Proposers should include elements orreferences to the pricing RFP only in this section and separate the pricing RFP according to theInstructions above.CCH makes no guarantee that the services or products identified in this RFP will be required. The proposermust provide sufficient pricing details to permit CCH to understand the basis for the RFP.CCH is neither obligated to purchase the full quantities proposed by the proposer, nor to enter into anagreement with any one proposer.7.7Financial StatusA. Provide the audited summary financial statements for the last two fiscal years. State whetherthe proposer or its parent company has ever filed for bankruptcy or any form ofReorganization under the Bankruptcy Code, and, if so, the date and case number of the filing.H21-0026, Revenue Cycle Service ProviderPage 7 of 16

RFP - H21-0026, Revenue Cycle Service ProviderB. State whether the proposer or its parent company has ever received any sanctions or iscurrently under investigation by any regulatory or governmental body.7.8Conflict of InterestProvide information regarding any real or potential conflict of interest. Failure to address any potentialconflict of interest upfront may be cause for rejection of the RFP.If no conflicts of interest are identified, simply state “[Company X] has no conflict of interest.”7.9ContractSample Contract General Terms and Conditions are available in the Doing Business with CCH website.Execution of the Contract is not required at the time the Proposal are submitted. However, if the proposerdisagrees with any Contract provisions, or is proposing alternate language, it shall include the languagefor consideration by submitting the proposed redlines on the sample Contract General Terms andConditions document. CCH will not consider any exceptions or proposed alternate language to theContract General Terms and Conditions if the proposer does not include these objections or alternatelanguage with the proposal. CCH shall not be deemed to have accepted any requested exceptions byelecting to engage a Proposer in negotiations of a possible Contract.7.10 Legal ActionsProvide a list of any pending litigation in which the proposer may experience significant financialsettlement and include a brief description of the reason for legal action.If no Legal actions are identified, simply state “[Company X] has no pending legal actions in which ourfirm will experience any significant impact to this Contract.”History of Legal Actions for the last 36 months:ActionDate7.11 Confidentiality of InformationThe Selected proposer may have access to confidential information, including Protected HealthInformation (PHI) to perform the functions, activities, or services for, or on behalf of, CCH as specified inthis RFP. The Proposer must acknowledge that if awarded there is a high likelihood that the selectedproposer may have access to PHI, in paper or electronic form, and thus, it shall sign a Business AssociateAgreement with CCH. As a Business Associate, the selected proposer will agree to comply with all federaland state confidentiality and security laws and regulations, including HIPAA, HITECH, the MedicaidConfidentiality Regulations, as defined herein, and all other applicable rules and regulations. Theproposer must commit to require all staff, including drivers, Attendants, and other personnel, andSubcontractors to complete HIPAA training upon hire, and no less frequently than annually thereafter.CCH reserves the right to review and accept the training program prior to implementation, or require theselected proposer to use HIPAA materials or training sessions supplied by CCH.H21-0026, Revenue Cycle Service ProviderPage 8 of 16

RFP - H21-0026, Revenue Cycle Service Provider7.12 Economic Disclosure StatementExecute and submit the Economic Disclosure Statement (“EDS”). The EDS form can be found s-with-cook-county-health/.The EDS must besubmitted with the pricing proposal in a separate envelope.7.13 AddendaSince all Addenda become a part of the proposal, all Addenda must be signed by an authorized proposerrepresentative and returned with the proposal. Failure to sign and return any and all Addendaacknowledgements shall be grounds for rejection of the proposal. Addenda issued prior to the proposaldue date shall be made available via Cook County Health website:http://www.cookcountyhealth.org/about-Cook County Health/doing-business-with-Cook CountyHealth/8. Evaluation and Selection ProcessAn Evaluation Committee comprised of the CCH and County personnel will evaluate all responsiveProposals in accordance with the selection process detailed below.8.1Proposal AssessmentThe Evaluation Committee will review all Submittals to ascertain that they are responsive to all submissionrequirements.8.1.1. Proposal EvaluationThe RFP provides requirements and data, which will be used as a basis for a written presentationof qualifications of the firm(s) and proposed staff, project approach, systems and methodologiesfor delivery of the Project. CCH will evaluate the Proposals to establish a list of qualified Proposerfor Shortlist.8.1.2. Shortlist Proposer PresentationThe Evaluation Committee, at its option, may invite one or more proposers to make presentationsand/or demonstrations. The Evaluation Committee may request that all or a shortlisted group ofproposers engage in proactive pricing feedback, submit clarifications, schedule a site visit of theirpremises (as appropriate), provide additional references, respond to questions, or consideralternative approaches.8.2Right to InspectCCH reserves the right to inspect and investigate thoroughly the establishment, facilities, equipment,business reputation, and other qualification of the proposer and any proposed subcontractors and toreject any RFP regardless of price if it shall be administratively determined that in CCH’s sole discretionthe proposer is deficient in any of the essentials necessary to assure acceptable standards of performance.CCH reserves the right to continue this inspection procedure throughout the life of the Contract that mayarise from this RFP.8.3Consideration for ContractAny proposed contract including all negotiations shall be subject to review and approval of CCHmanagement, CCH Legal and CCH’s Board of System Board. Proposed Contracts are also subject to reviewby the Cook County Office of Contract Compliance.H21-0026, Revenue Cycle Service ProviderPage 9 of 16

RFP - H21-0026, Revenue Cycle Service ProviderFollowing finalization of Contract documents to the satisfaction of CCH executive management, CCH shallsecure appropriate reviews and may approve the proposed Contract for execution in its sole discretion.The identity of the successful proposer shall be posted on the website.9. General Evaluation Criteria9.1Responsiveness of ProposalThe Proposal(s) will be reviewed for compliance with and adherence to all submittal requirementsrequested in this RFP. Proposal(s) which are incomplete and missing key components necessary to fullyevaluate the RFP may, at the discretion of the Chief Procurement Officer or designee, be rejected fromfurther consideration due to “Non-Responsiveness” and rated Non-Responsive.Proposer must be compliant with all the submission requirements of the RFP. The evaluation committeewill evaluate all responsive Proposal in accordance with the evaluation criteria detailed below.9.2Criteria ProposalProposals will be reviewed and selected based on qualifications of the Proposer to successfullyperform the Services for the County throughout the course of the contract as evidenced by thefollowing criteria:A. Ability to achieve the CCH’s business goals, objectives, and Scope of Work described inthis RFP, by providing a succinct and feasible description of the proposed implementationapproach.B. Qualifications and experience of the proposer to successfully perform and provide theservices described in this RFP, as evidenced by the successful provision of similar servicesin similar environments and in compliance with all applicable laws.C. Relevant ExperienceD. Reasonableness of Overall PricePrice will be evaluated separately for overall reasonableness and competitiveness.In addition, the Evaluation Committee may review and consider the information and evidenceProposer’s responsiveness to the following categories:1. MWBE Utilization Plan (EDS forms);2. Financial Status;3. Conflict Interest;4. Insurance Requirements;5. Contract Terms and Conditions (objections and/or suggested alternate language);6. Legal Actions;7. Addenda acknowledgement (See Addenda Section)10. Instructions to ProposersThese instructions to proposers contain important RFP and should be reviewed carefully prior tosubmitting the Required RFP Content. Failure to adhere to the procedures set forth in these instructions,failure to provide positive acknowledgement that the proposers will provide all services and products orfailure to provide acceptable alternatives to the specified requirements may lead to disqualification of thesubmitted RFP.H21-0026, Revenue Cycle Service ProviderPage 10 of 16

RFP - H21-0026, Revenue Cycle Service Provider10.1 Questions and InquiriesQuestions regarding this RFP will be submitted in writing to the contact(s) email listed on the cover pageof this RFP no later than the date stated in the Schedule.Question must be submitted in the following format, in MS Excel, and the subject of the email shouldreference the RFP#, Title and Proposer’s Name.ID1.2.3.Vendor NameRFP SectionQuestionShould any proposer have questions concerning conditions and specifications, or find discrepancies in oromissions in the specifications, or be in doubt as to their meaning, they should notify the Supply ChainManagement Office via the email provided on the cover sheet no later than the date stated on theSchedule and obtain clarification prior to submitting a RFP. Such inquires must reference the RFP due dateand CCH RFP number.10.2 Pre-Proposal Conference (if Applicable)CCH will hold a Pre-RFP conference call on the date, time, and location indicated on the cover page.Representatives of CCH will be present to answer any questions regarding the goods or services requestedor RFP procedures. If a mandatory pre-RFP conference is required, the proposer must sign the pre-RFPconference or site inspection sheet and include a copy of this sign-in sheet in the response to the RFP.10.3 Number of CopiesProposers are required to submit one (1) original hard copy, and one (1) electronic copy (emailed to theemail addressed on the cover page) and no later than the time and date indicated in the RFP.NOTE: One (1) paper copy of the pricing proposal and one (1) EDS copy must be submitted separate fromthe rest of the response.Each submission must then be separated as follows:1. One (1) technical hard copy - the original - excluding Pricing and EDS forms;2. One (1) Pricing and EDS hard copies in a separate envelope;3. One (1) complete electronic response package (including excel pricing file and EDS) emailed to theemail addresses on the cover page. The technical response must be a single electronic file (do notsubmit a file per RFP section). The email mus

RFP - H21-0026, Revenue Cycle Service Provider H21-0026, Revenue Cycle Service Provider Page 5 of 16 4. Scope of Services CCH seeks to identify a competitive and qualified contractor to provide end-to-end revenue cycle services and detail reporting on performance and outcomes. This service will provide additional support in all areas of revenue .

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