RFP 19-10-SSP Automated Denial and Appeals Process … · 1.2 Automated Denial and Appeals Process...

AutomatedDenial&AppealsProcessManagementSoftwareSolutionRFP MoffittCancerCenterv1 1

H.LeeMoffittCancerCenterandResearchInstitute,Inc.

RequestforProposal19-10-SSPAutomatedDenialandAppealsProcess

ManagementSoftwareSolution


TableofContents

1 ExecutiveSummary..............................................................................................................................4

1.1 MoffittCancerCenterOverview..................................................................................................4

1.2 AutomatedDenialandAppealsProcessManagementSoftwareSolution..................................4

1.3 BusinessObjectives......................................................................................................................4

2 RequestforProposalProcess...............................................................................................................4

2.1 RFPContents................................................................................................................................4

2.2 RFPTimeline.................................................................................................................................5

2.2.1 VendorPre-SubmissionConference.....................................................................................5

2.3 ResponseRequirements...............................................................................................................5

2.4 AwardCriteria..............................................................................................................................5

3 RFPQuestionsandRequiredSolutionRequirements..........................................................................6

3.1 CompanyInformation..................................................................................................................6

3.2 SolutionOverview........................................................................................................................6

4 Business/FunctionalRequirements......................................................................................................6

4.1 WorklistDesign/Creation.............................................................................................................6

4.2 CoverLetterTemplates................................................................................................................7

4.3 SupportingDocumentation..........................................................................................................7

4.4 AppealSubmission.......................................................................................................................7

4.5 AppealTracking............................................................................................................................7

4.6 DenialWrite-Offs..........................................................................................................................8

5 Non-FunctionalRequirements.............................................................................................................8

5.1 Security.........................................................................................................................................8

5.2 Interfaces......................................................................................................................................8

5.3 Storage.........................................................................................................................................8

5.4 UserAccess...................................................................................................................................8

6 TestingRequirements..........................................................................................................................8

7 TransitionalRequirements...................................................................................................................9

8 ReportingRequirements......................................................................................................................9

8.1 ReportDesign/Creation/Frequency.............................................................................................9

8.2 TechnicalandArchitecturalRequirements..................................................................................9


8.2.1 General.................................................................................................................................9

8.2.2 ApplicationServers...............................................................................................................9

8.2.3 DatabaseServers................................................................................................................10

8.2.4 Databases...........................................................................................................................10

8.2.5 Network..............................................................................................................................10

8.2.6 Workstations......................................................................................................................11

8.2.7 Integration..........................................................................................................................11

8.3 Security.......................................................................................................................................12

8.3.1 RatingInformation.............................................................................................................12

8.3.2 RiskManagementPoliciesandProcedures........................................................................12

8.3.3 NetworkSecurityandDataManagement..........................................................................12

8.3.4 RegulatoryandComplianceManagement.........................................................................12

8.3.5 PastCircumstances/Claims/Breaches................................................................................12

8.4 MaintenanceandSupport..........................................................................................................13

8.5 ImplementationandTraining.....................................................................................................13

9 Pricing.................................................................................................................................................14

9.1 VendorItemizedPricing.............................................................................................................14

Appendix2–SupplierDiversityUtilizationandSubcontractingPlan.........................................................16


1 ExecutiveSummary

1.1 MoffittCancerCenterOverviewTheH.LeeMoffittCancerCenter&ResearchInstitute,Inc.(“MoffittCancerCenter”),locatedinTampa,Florida,beganoperationsin1986.Asanacademicandresearchmedicalcenter,MoffittCancerCenteristheonlyNationalCancerInstitute-designatedoncologyresearchinstituteinFloridaandoneoftheSoutheast'sleadingcancercenters.

Comprisedofaninpatientfacility,ambulatoryoutpatientsurgerycenter,ambulatoryclinics,acancerscreeningfacilityandresearchlaboratories,MoffittCancerCenteroffersasophisticatednetworkofservicesandtechnologiesthatassurethecitizensofitsregionconvenient,cost-effective,highqualityhealthcare.MoffittCancerCenter’sworkforceiscurrentlycomprisedofapproximately5300employees,700medicalresidents,600volunteers,and1000studentsandinterns.

1.2 AutomatedDenialandAppealsProcessManagementSoftwareSolutionMoffittcurrentlyaverages7,500deniedclaimspermonth.Processingclaimdenialsisamanual,costly,timeconsumingandpaperintensiveprocess.AutomatedDenialandAppealsProcessManagementSoftwareSolutionscanautomatically1)mergethecorrecttemplatedletterwiththerequiredpatient,provider,payerandclaimdetail,2)packageitwithpayer-specificrequiredformsandsupportingdocumentationand3)submit(electronic,faxandCertifiedMail)theappeal.Thisautomationwillgreatlysimplifytheprocessandallowforalargervolumeofdenialstobeprocessedforpayment.Thisprojectistoimplementanautomateddenialsandappealsprocessingsolutioninconjunctionwithautomateddenialsubmissionservices.Athird-partyvendorwillbundleandsubmitappealsonbehalfofMoffittCancerCenter.

ThisautomationprojectwillalsoallowMoffittCancerCentertooptimizetheirdenialandrecoveryanalyticstoimproveinitialclaimreimbursementrates.Dashboardsandreportingtoolsprovidetailoredvisualinsightsandfullycustomizablebytheendusers.Inventorybreakdownsareavailablebyfacility,servicesarea,CPTcode,payer,diagnosis,denialreason,etc.

1.3 BusinessObjectivesB1. Reducethecostandtimeassociatedwithmanual,paper-drivenprocessingbyreplacingitwitharobust

automateddenials-processingsolution.B2. Increaserevenuebyincreasingappealsprocessingvolume

a. Nursing–Increasefrom6to12appealsperdaywithin6monthsaftergolive.b. DenialCoordinators–Increasefrom9to18appealsperdaywithin6monthsaftergolive.

B3. Improvereimbursementratesthroughautomateddenialsprocessingandrecoveryanalysis.B4. Outsourceelectronic,faxandCertifiedMailappealssubmissionstoathirdpartyvendor.B5. Improveappealsubmissiontorecoverytiming(reducepaymentcycle).B6. Reduceoverallfacilitydenialsto8%ofallfacilityclaims.

2 RequestforProposalProcess

2.1 RFPContentsThisRFPpackageincludesthefollowingdocumentsandcontents,whichrequireresponseaspartofthevendor’sproposalasindicated:


1. RequestforProposal(RFP)Document–requiresresponse2. SubmitcopyofW-9Form-requiresresponse3. VendorAcknowledgementForm(Appendix1)-requiresresponse4. SupplierDiversityUtilizationandSubcontractingPlan(Appendix2)–requiresresponse

2.2 RFPTimelineThisRFPshallbeconductedunderthefollowingtimeline,whichissubjecttochangeonlyuponpriorapprovalbytheMoffittCancerCenterPurchasingDepartmentandgrantedtoallvendors.

Event Date

IssuanceofBid 12/21/2018

ReturnofIntenttoBid 01/07/2019

VendorConferenceCall 01/10/2019

BidPackagesDuefromVendors 01/25/2019

AwardofBid TBD

Onthedateindicatedabovefor‘BidPackagesDuefromVendors’inthetimelinesectionofthisRFP,yourbidmustbereceived,viae-mail,pertheresponserequirementsbelow,bynolaterthan2:00p.m.

2.2.1 VendorPre-SubmissionConferenceMoffittCancerCenterwillconductavendorPre-SubmissionconferencecalltofurtherclarifyanddiscusstherequirementsofthisRFPonJanuary10th,20191:00pm-2:00pmEST:800-206-6032.ConferenceID:7457113.

2.3 ResponseRequirementsAllresponses,proposals,communications,andcorrespondencerequiredduringtheRequestforProposalprocessmustbedirectedto:

[email protected]

Yourresponseshouldbeprovidedinelectronicformat.Allresponseswillbeconfidential.

Failuretoadheretothisrequirementmayresultinyourorganizationnotbeingconsidered.

2.4 AwardCriteriaTheawardofthisRequestforProposalissubjecttotermsandconditionscontainedhereinandanythatwillbedevelopedbyMoffittCancerCenterduringtheRequestforProposalprocesstoaugmentpurchaseorderconditionsofpurchase.

Qualityofservice,pricing,products,SupplierDiversityandothertermsofpurchasewillbeanintegralpartofthedecisionselectionprocess.


Ifyouareawardedthisbid,aguidelinewillbedevelopedthatwillquantify,monitor,andprovideaplanforcureofdeficiencieswhichshallinclude,butnotbelimitedto,reimbursementofpersonnelandadministrativecosts,monetaryassessmentforcontinualdeficiencies,andpossiblecancellationofagreement.

WereservetherighttoawardthisagreementinwholeorinparttothevendorthatcanbestmeetMoffittCancerCenter’sbusinessneeds.

MoffittCancerCenterassumesnoresponsibilityandbearsnoliabilityforcostsincurredbyaCompanyinthepreparationandsubmittalofaquoteproposalinresponsetothisRFP.

3 RFPQuestionsandRequiredSolutionRequirements

3.1 CompanyInformationPleaseprovidethecompanyname,address,city,state,zipcode,telephone,andfaxnumbers.Identifythename,title,address,phoneandfaxnumbers,ande-mailaddressoftheprimarycontactpersonforthisRFPresponse/project.Pleaseprovidedetailsonthefinancialstabilityofyourorganization.Pleaseprovideabriefoverviewofyourcompanyincludingnumberofyearsinbusiness,numberofemployees,productandservicesoffering,clientelemarketdescription,andanyparentcorporationsifapplicable.WhatattributesmakeyourcompanyanidealpartnerforMoffittCancerCenter?

3.2 SolutionOverviewPleaseprovideanoverviewofthesolutionproposal.Pleasegiveabriefoverviewoftheproductincludingdateoffirstlaunch,majordevelopments,andanypreviousownershipifapplicable.Whatisyourreleasescheduleformajorandminorproductupdates?Whatisthesoftwareversionofproposedsolution?Whenisthenextsignificantversionexpectedtobereleased?Candifferentversionsofsoftwareco-exist?Pleaselistanyindustryawardsthatyoursolutionhasreceived,theawardingparty,andthedatereceived.Pleaseindicatethetotalnumberofhealthcarecenter/systemimplementationsoftheproductinthelastthreeyears,thesizesoftheclientsandthenumberofusers.

4 Business/FunctionalRequirements

4.1 WorklistDesign/Creation

Req# DescriptionR1. Worklistsaregeneratedusingthefollowingfilters:

1. Payer2. DiagnosisCode3. CPTCode4. CARC/DenialReason5. Aboveorbelowadenialdollaramount6. PatientName7. Claim#


R2. Denialsworklistsaresortedbyoutstandingbalanceamountandaging.R3. Denialsworklistssupportpayeralphasplits.

4.2 CoverLetterTemplates

Req# DescriptionR4. TheappropriatelettertemplateisautomaticallyselectedbasedonCARCcategoryandpayer(Thiscan

bedonebymanualselectionaswell).R5. Thecoverlettertemplateautomaticallypopulatespatientdemographicandappealinformation.

R6. TheappropriatestepsandrequiredelementstocompleteonthecoverletterareautomaticallybuiltintocoverletterbasedonCARCcategoryandpayer.

R7. Aseparatetemplatedletteriscreatedforspecialappeals.

4.3 SupportingDocumentation

Req#Description

R8. RootcauseofadenialisdocumentedinSoarianviacodecommentforreportingandtracking.R9. Requireddocumentationbydenialtypeandpayerisautomaticallyprogrammedintotheapplicationto

ensureacompleteappealissubmitted.

4.4 AppealSubmission

Req# DescriptionR10. Contentsofanappealincludetheautomatedappealletterandsupportdocumentation.R11. Supportingdocumentationincludesbutisnotlimitedtoprovidernotesandresults.R12. Appealsubmissionrequirementsareprogrammed(bypayerandCARCcategory)intothesolution.R13. Thesolutionautomaticallywalkstheuserthroughallrequiredstepstocompletetherequiredappeal

documentation(basedonpayerandCARCcategory).R14. Completeappealpackagesareuploadedtoavirtualdriveforsubmission.R15. Anincompleteappealpackagecannotbeuploadedtothevirtualdriveforsubmissionuntilitcomplete.R16. UseAdobeAcrobatProtoorganizetheappealinbookletformat.R17. AnadditionalcopyofeachappealpackageisuploadedtoSoarianundertheappropriateappealfolder.R18. Appealsareprocessedwithin60days.R19. Appealsaresentthroughelectronictransmission,byfaxorprintedandsentCertifiedMail.R20. Submissionmethodisdictatedbypayer.R21. Appealsarebatchedbypayer.

4.5 AppealTracking

Req# DescriptionR22. Trackpayerappealsubmissionattheappeallevel,real-timeforelectronicandfaxandwithin24hours

forCertifiedMail.R23. Trackwhenappealissenttovirtualfileandreceivedbypayer.R24. Trackwhenanappealpaymentisreceivedandhowmuchcomparedtoanticipatedreimbursement.R25. Trackmethodofsubmission(e.g.electronic,faxorCertifiedMail)


4.6 DenialWrite-Offs

Req# DescriptionR26. Denialsunder$500forthefollowingscenariosareautomaticallywrittenoff(usingExpressMainframe

UserEmulator):bundled,experimentalormedicalnecessity,planlimitation,noauthorizationandcodingerror.

5 Non-FunctionalRequirements

5.1 Security

Req# DescriptionNF1. Transmissionofprotectedhealthinformationissecureandmeetsthefollowingpolicies:

• ExternalTransferofElectronicProtectedHealthInformation• Uses&DisclosuresofProtectedHealthInformationtoBusinessAssociates• ePHIDataManagement&Encryption

5.2 Interfaces

Req# DescriptionNF1. DenialsubmissionsprocessedintheautomatedsolutionarerecordedinSoarianattheclaim-detail

level.NF2. Soariansendspaymentdata(835claims)totheautomatedsolution.

5.3 Storage

Req# DescriptionNF3. Supportsremoteaccess.NF4. ActiveDirectoriesisutilizedforasinglesign-onexperience.

5.4 UserAccess

Req# DescriptionNF5. Supportsremoteaccess.NF6. ActiveDirectoriesisutilizedforasinglesign-onexperience.

6 TestingRequirements

Req# DescriptionTR1. Performsystemtestingtoincludeallpayeranddeniallettertemplatecombinations.Sendtestappeals

topayers(aspermitted)toensuresubmissionisacceptedandpaid,priortosendingproductionbatchfiles.


7 TransitionalRequirements

Req# DescriptionT1 Atransitionplanisreviewedtodeterminethebestcutover(currentstatetofuturestate)optionfor

Moffitt.(E.g.GoLivepayerbypayerorbigbang)

8 ReportingRequirements

8.1 ReportDesign/Creation/Frequency

Req# DescriptionRR1. Analyticscomparedenialdollarswithcontractualreimbursementdollarsandpayment.RR2. Rootcauseanalysisbyfinancialclass,payeranddenialreason,includingindividualdenieditems(e.g.

radiationoncology,infusion),aggregateddenials,volumepercentagesandtrending.RR3. Denialsandappealsreportinghistoryisaccessibleforatleast10years.RR4. Comparativereportingbypayer,denialcount,associateddollars,denialcategory,CPT,overturn

(recovery)rateandlostrevenue,toincludemonthly,fiscalyear,yeartodatecomparisons.RR5. Daily,MonthlyandYTDdenialrecoveryclaims,dollarsandrecoverypercentagesareavailablereal-time

throughadenialdashboard.

8.2 TechnicalandArchitecturalRequirements

8.2.1 General1. Pleasedescribethesolutionarchitecture:

2. Doyouhavearchitecturaldiagramsandtechnicalspecificationsthatwecanreview?Ifso,pleaseprovidealong

withRFPresponse.• Includeallsystemcomponents(Application/databaseservers,authentication,network,database,

interfaces,browsers,desktop,reporting,etc.).3. Ifsolutioniscloudorremotehosted,whatisthelengthofdataretention?

• Istheapplicationand/ordatabaseenvironmentsingleormulti-tenant?• Ifmultitenant,whatsecuritycontrolsareinplacetoprotectagainstinformationbreaches?• Ifagreementisdiscontinued,dowehavetheabilitytodownloadallofourdata?

8.2.2 ApplicationServers4. Whatapplicationserverplatformsdoyousupport?

·WindowsServer2012(VM)____(Physical)_____·WindowsServer2012R2(64-bit)(VM)____(Physical)_____·WindowsServer2016(64-bit)(VM)____(Physical)_____·Other_______________________

Ifotherpleaseexplainwhy___________________________Moffittpreferstomaintainavirtualmachineenvironment.IfyourapplicationdoesnotsupportVM,pleaseexplainwhy_____________


5. Whatanti-virusdoyousupport?• Sophos____• Other__________________

o IfSophosisnotsupported,pleaseprovidedocumentationforexceptions__________________

8.2.3 DatabaseServers6. Whatapplicationserverplatformsdoyousupport?

• Linux5.x____• Linux6.x____• AIX6____• AIX7____• Windows2012R2____• Windows2016____• Other:________________________

Ifother,pleaseexplain:__________________________7. Whatanti-virusdoyousupport?

• Sophos• Other__________________


8.2.4 Databases8. Whatdatabaseplatformsdoyousupport?

• Oracle12.x____• Oracle11.2.x–Standard,EnterpriseEditions____• Oracle11.1.x–StandardandEnterpriseEditions____• SQLServer2012____• SQLServer2014Standard&BusinessIntelligence,andEnterpriseEditions____• SQLServer2016____• Other:_________________________

Ifotherpleaseexplainwhy___________________________

8.2.5 Network9. Servernetworkconnection:

• HowmanyNetworkInterfacesareavailable?____• HowmanyNetworkInterfacesarerequired?____• NetworkInterfaces:

o 10Mbpso 100Mbpso 1Gbpso 10Gbps

§ Copper§ Fiber


10. Whatwirelessstandardsdoyousupport?• 5GHz802.11a/n/ac____• 2.4GHz802.11b/g/n____• Other_______________________

o Ifotherpleaseexplainwhy___________________________11. Whatauthenticationmethodsdoyousupport?

• 802.11i(RSN)____o WPA2-EAP(TTLS,TLS,PEAP)____

• WPA2-PSK____• WPA-PSK____• WEP____• Other_______________________

o Ifotherpleaseexplainwhy___________________________

8.2.6 Workstations12. Whatinternetbrowsersdoyousupport?

• IE11____• Chrome____• Other__________________

o Ifotherpleaseexplainwhy___________________________13. WhatOperatingSystemsdoyousupport?

• Windows7• Other:____________________

o Ifother,pleaseexplainwhy_____________________14. Whatanti-virusdoyousupport?

• Sophos• Other__________________


15. Howmuchmemoryisneededtosupporttheapplication?

8.2.7 Integration16. Whatmethodsdoyouprovideforinterfacingtoothersystems?

• API____• ETL____• FTP____• HL7____• Other:___

o Ifotherpleaseexplain__

17. Haveyoudoneanyinbound,outbound,orbi-directionalinterfacestothefollowingsystems:(Pleaseprovidedetail)


8.3 Security

8.3.1 RatingInformation1. Willtheapplicationcollect,receiveprocess,transmit,storeormaintainanyofthefollowingconfidential

information:PersonallyIdentifiableInformation(PII)orProtectedHealthInformation(PHI)?(Y/N)• ProtectedHealthInformation(PHI)?(Y/N)• Credit/DebitCardData/BankAccount#?(Y/N)• IntellectualProperty/MoffittBusinessInformation?(Y/N)• PersonallyIdentifiableInformation(PII)?(Y/N)(CustomerInfo,SSN,License#,Employee/HRinfo,etc.)

8.3.2 RiskManagementPoliciesandProcedures2. DoestheapplicantemployaChiefSecurityOfficers/ITSecurityPerson?

• NameofPrivacyofficer? • NameofSecurityofficer?

3. DoyouhaveanyofthefollowingwrittenPolicies/Procedures?Includethedateoflastrevision?• PrivacyPolicy?• NetworkSecurityPolicy?• AcceptableUsePolicy?

8.3.3 NetworkSecurityandDataManagement4. Doyouemployencryptionforthefollowing:

• Dataintransit?(Y/N)Ifyes,typeused?

• Dataatrest?(Y/N)Ifyes,typeused?

• Dateoflast3rdPartyPenetrationTest?• DateofLast3rdPartyPrivacyComplianceAudits?• WouldMoffittdatabestoredbytheapplicant’ssub-contractor?

Ifyes,name?• Willapplicantberesponsibleforsystemmaintenance?(Y/N)

Ifyes,isthereasystempatchpolicy?(Y/N)Ifyes,frequencyofvulnerabilityscanandpatchcycle?

• WillyouallowMoffitttoaudityoursecuritycontrols?

8.3.4 RegulatoryandComplianceManagement5. Doyouhaveincidentresponseplanandprocedures?(Y/N)6. AreyourequiredtoobtainSarbanes-Oxley(SOX)TypeIorTypeIIAudits?

• Ifyes,dateoflastaudit?

8.3.5 PastCircumstances/Claims/Breaches7. IsyourcompanyinvolvedinanActivebreachinvestigation?(Y/N)8. Haveyoueverhadaregulatoryproceedingorinvestigation?(Y/N)

• Ifyes,givedetails.9. Duringthepast5yearshaveyouhadanyprivacybreachincidentorcomplaint?(Y/N)10. Duringthepast5yearshaveyouhadanycomplaintsorlitigationpertainingaNetworkSecurityorPrivacy

Breach?(Y/N)


8.4 MaintenanceandSupport1. Describetheorganizationandstructureofyourtechnicalsupportservices.2. Describethesupportlevels/tiersprovidedbythevendor.3. Whatarethemethodsforcontactingtechnicalsupport?4. WhatarethestandardsupporthoursandServiceLevelAgreements(SLAs)?5. PleaseestimatethenumberofFTE’sthatwewillneedtoassigntothesolutionforproductsupport?Please

providedetail,rolesrecommendations,andnumberofresourcesperrole.6. Whatistheupgradeprocessandapproachformajorreleaseupgrades?Whatisthetypicalupgrade

implementationdurationforaclientofcomparablesizeandcomplexity?7. Whatisyourchangecontrolprocess?Whatcommunicationsareprovidedinadvanceofchanges?8. Whatisyourabilitytoretainhistoricaldataandperformdataarchival?Pleaseprovidedetail.9. Howarecustomerrequestsforenhancementsandcustomizationshandled?10. Doyoutrackorsurveyyourclientsontheservicesyouprovide?Ifyes,pleaseprovidetheoverallaverageclient

satisfactionscoresorotherexamplesofhowyoumeasureclientsatisfaction.11. Describetheongoingsystemsupportprovidedbythevendor.

8.5 ImplementationandTraining1. Pleaseprovideyourgeneralimplementationstrategyforahealthsysteminstallationofcomparablesizeand

complexity.2. Whatisyourrecommendedimplementationmodel/approachandmethodologyforMoffittCancerCenter?

Pleaseincludedetailsonthefollowing:• Expectedimplementationlength• EndUserresourcerequirementsandcountfortheimplementation• ITandfunctionalanalystresourcerequirementsandcountfortheimplementation• ProjectManagementresourcerequirementsfortheimplementation• Pleaseprovidealistofthevendorpersonnelrolesandcountrequiredtoimplementthisproject• ApproachtoAnalysis• ApproachtoDesign• ApproachtoBuild• ApproachtoTesting• ApproachtoGo-LiveandGo-LiveSupportandresourcerequirements• Pleaseprovideanoverviewoftheinstallationschedule.Includemajortasksandtheir

duration/staffing/majordeliverables.

3. PleasedescribethedocumentationandtrainingthatwillbeavailabletoMoffittCancerCenterusersandatrainingoutline.Whatisthestandardmodelfortrainingtheimplementationteam?Whatisthestandardtrainingmodelfortheendusersattimeofgo-live?Whatisthestandardtrainingdurationforeach?

4. Doesyourcompanyprovidestafffortheimplementationdirectlyorsubcontracttopartnerfirms?• Pleasedescribeandlistanyproposedsubcontractors,ifany,andthescopeofworktheywouldperform.


9 PricingWhatisyourlicensing/coststructure,typesoflicenses,lengthoflicenseterm,andlicensefeestructure?Howarechanges(additions,reductions)tothenumbersoflicenseshandled?Ex.AreTrue-upsperformed?(i.e.yearlyevaluationofendusers/licensestopaymenttiers)

9.1 VendorItemizedPricing

Thevendormustprovideaproposalwithmaximumcostfortheprojectbasedontheprojectasdescribedherein.Totheextentdesired,additionalrecommendationsandservicesoroptionsmaybeincludedasadditionstotheprojectonanoptionalbasis.TheseoptionalitemsshallbepricedseparatelyfromthisRequestforProposal.

Thissectionmustincludeallcostsassociatedwithacquisition,implementation,andongoingoperationoftheproposedsystemaswellasanynecessaryconversions,interfaces,andcustomizations.Providecompleteinformationregardlessofwhetheritisspecificallyrequested.

Note:Tofacilitatethecrossevaluationofvendorproposals,vendorsmustproposeacompletehardware/systemsoftwareconfigurationandshouldnotassumetheuseofexistingcomputerhardwareinfrastructure.Considerationofutilizingtheexistinghardware/systemsoftwarewilloccurduringcontractnegotiations.

MoffittCancerCenterwillmostlikelyrequestmoredetailsregardingyourcostproposalduringourproposalevaluationprocess.MoffittCancerCenterunderstandsthattheactualcostswillbedetailedinthestandardsystemcontract.Provideabreakdownofthefirm'srates,feesandchargesforservices;byphaseandfortotalproject,andaproposedpaymentschedule.Includeestimatesofanytravelexpensestobechargedaspartoftheprojectandtypicalreturnoninvestment(ROI)information,ifavailable.Anypayment/purchasealternatives,purchaseversuslicensing,etc.


Appendix1–VendorAcknowledgementFormIntenttoRespond

VendorAcknowledgementFormIntenttoRespond

SUBMITTO:[email protected](Fax)

RFPNUMBER:RFP19-10-SSPRFPTITLE:AUTOMATEDDENIALANDAPPEALSPROCESSMANAGEMENTSOFTWARESOLUTION

VENDORNAMEandMAILINGADDRESS:

INTENTTOBID:Yes______________No_______________(Ifunabletobid,indicatereasonbelow)

TELEPHONENUMBER:FACSIMILENUMBER:

VENDOR’SAUTHORIZEDCONTACTFORRFPNAMEE-MAIL

PleaseletusknowhowyouheardaboutthisRFP:__NotifiedbyPurchasing__CommunityorMWBEOrganization__MonitoringMoffittCancerCenterWebsite___Advertisement___Other:

SUPPLIERDIVERSITYINFORMATIONIsyourfirmacertified“Minority,Women-Owned,Veteran,ServiceDisabledVeteran-OwnedBusinessEnterprise”definedasabusinessconcernengagedincommercialtransactionsandisaleastfifty-one(51%)percentminority,woman,veteran,service-disabledveteran-owned,andwhosemanagementanddailyoperationsarecontrolledbysuchpersons?Yes________________________No____________________Ifyourfirmiscertifiedasa“Minority,Woman,Veteran,orServiceDisabledVeteran-OwnedBusinessEnterprise,”youmustprovideacurrentcopyofyourcertificatewiththisform,andprovidethenameofthecertifyingentityandcertificationdatesbelow:NameofCertifyingEntity______________________________CertificationDateBegins_____________________________Ends_____________________________Icertifythatthisresponseismadewithoutpriorunderstanding,agreement,orconnectionwithanycorporation,firm,orpersonsubmittingaresponseforthesamematerials,suppliesorequipment,andisinallrespectsfairandwithoutcollusionorfraud.IagreetoabidebyallconditionsofthisresponseandcertifythatIamauthorizedtosignthisresponseforthevendorandthatthevendorisincompliancewithallrequirementsoftheRequestforQualifications.

__________________________________________________________________________________________________________SignaturePrintedNameandDate


Appendix2–SupplierDiversityUtilizationandSubcontractingPlan

SUPPLIERDIVERSITYUTILIZATIONANDSUBCONTRACTINGPLANREQUIREMENTMoffitt Cancer Center recognizes the importance of supplier diversity in all aspects of our business andprocurement practices and actively encourages the development, utilization and economic growth of certifiedMinority, Women, Veteran and Service Disabled Veteran-owned Business Enterprise(MBE/WBE/VBE/SDVBE).Centraltothis initiative istheinclusionandparticipationofadiversegroupofvendorsdoing business withMoffitt Cancer Center and as such,Moffitt Cancer Center encourages the participation ofMBE/WBE/VBE/SDVBEsinitsprocurementprocessbothattheprimevendorlevelaswellasatthesubcontractorlevelof itsprimecontracts.MoffittCancerCenter iscommittedtoacomprehensiveSupplierDiversityProgramthatensuresmaximumopportunitiesexistforsuchdiversebusinessesRFP responses should include bidder’s ability to provide fifteen percent (15%) spend with Minority, Women,VeteranandServiceDisabledVeteran-ownedBusinessEnterprise(“MBE/WBE/VBE/SDVBE”)relatedtothespecificcommodityorservicesidentifiedintheproposal.MoffittCancerCenterisanequalopportunitycorporation,and,as such, strongly encourages the lawful use of certifiedMBE/WBE/VBE/SDVBEs in the provision of services byprovidinga fairandequalopportunity tocompete for,or forparticipation in,providing services.MoffittCancerCenterbelieves inequalopportunitypracticeswhichconformtoboththespiritandtheletterofall lawsagainstdiscrimination,andiscommittedtonon-discriminationbecauseofrace,creed,color,sex,age,nationalorigin,orreligion.TobeconsideredforinclusionthepotentialbiddercommitstoMBE/WBE/VBE/SDVBEsParticipation.

Thesuccessfulbiddershallendeavortoprovidefifteenpercent(15%)spendwithMBE/WBE/VBE/SDVBErelatedtothe specific commodity or services identified in the proposal. A certification letter from any of the followingagencieswillberequiredofanybidderand/or identifiedsubcontractorclaimingMBE/WBE/VBE/SDVBEstatusatthetimeoftheRFPresponse.

MoffittCancerCenteracceptsallLocal,StateandFederalGovernmentagenciesMBE/WBEcertifications,includingthefollowing:

• CityofTampa• HillsboroughCounty• StateofFlorida• SmallBusinessAdministration(SBA)8AProgramCertification

OtherMBE/WBEcertificationsacceptedinclude:

• FloridaStateMinoritySupplierDevelopmentCouncil(FSMSDC)• NationalMinoritySupplierDevelopmentCouncil(NMSDC)&regionalaffiliates• Women’sBusinessEnterpriseNationalCouncil(WBENC)• NationalWomenBusinessOwnersCorporation(NWBOC)

Veteran&ServiceDisabledVeteran(VBE/SDVBE)Certification/Verificationaccepted:

• DepartmentofVeteransAffairs• StateofFloridaOfficeofSupplierDiversity

Pleaserespondtothesectionbelow:Supplier Diversity Utilization and Subcontracting Plan Requirement: Moffitt Cancer Center recognizes theimportanceofsupplierdiversityinallaspectsofourbusinessandprocurementpracticesandactivelyencouragesthe development, utilization and economic growth of certifiedMinority,Women, Veteran and ServiceDisabledVeteran-owned Business Enterprise (MBE/WBE/VBE/SDVBE s). Central to this initiative is the inclusion andparticipationofadiversegroupofvendorsdoingbusinesswithMoffittCancerCenterandassuch,MoffittCancer


Center encourages the participation of MBE/WBE/VBE/SDVBEs inits procurement process both at theprimevendorlevelaswellasatthesubcontractorlevelofitsprimecontracts.MoffittCancerCenteriscommittedtoacomprehensiveSupplierDiversityProgramthatensuresmaximumopportunitiesexistforsuchdiversebusinesses.SupplierDiversityUtilization and Subcontracting Plan - Vendors responding to this solicitation are required tosubmitaSupplierDiversityUtilizationandSubcontractingPlanfordiversesupplieropportunityandparticipationofcertifiedMBE/WBE/VBE/SDVBEs with their proposal. The Supplier Diversity Utilization and Subcontracting Plansubmittedmustincludethefollowing:

• ProvideaDescriptionofyourSupplierDiversityProgram.DescriptionofSupplierDiversityPlansubmitted:__________Yes__________No

• WhatpercentageofspendwithMBE/WBE/VBE/SDVBEsisprojectedforthespecificcommodityorserviceoutlinedinthisRequestforProposal(RFP):___________________(%).

• Outlinetheplanforachieving1st tierspendwithMBE/WBE/VBE/SDVBEsand identifythepercentageofspend:___________________(%).

• Outlinetheplanforachieving2ndtierspendwithMBE/WBE/VBE/SDVBEsandidentifythepercentageofspend:___________________(%).

• AlistofthecertifiedMBE/WBE/VBE/SDVBEsthatwillbeutilizedas2ndtiersubcontract(s)ListingProvided:__________Yes__________No

**Note: Your RFP submittalmust include your response that addresses the Supplier DiversityUtilization andSubcontractingPlanoutlinedabove.

Reports -Thesuccessfulbidderwillbe required toprovidemonthlySubcontractExpenditureReports toMoffittCancer Center identifying certified MBE/WBE/VBE/SDVBE participation that lists total payments made tosubcontractor(s) until 100% completion/delivery of the specific commodity or services outlined in this RFPfinalized. The report shall include thenames,addresses, typeof serviceor commodityprovided,dollaramountpaid,paymentdate,FEID#,nameofcertificationentity,businessclassification,andcopyofvendorcertificationforeachvendoridentifiedinthereport.AllSubcontractorExpenditurereportsarealsorequiredtobeturnedinwithall pay applications/invoicesand a copy sent toDesireeHanson,Manager, SupplierDiversity Program via [email protected].

• VendoragreestoprovidemonthlySubcontractExpenditureReportswithsubmittalofeverypayapplication/invoice:__________YES__________NO

RFP 19-10-SSP Automated Denial and Appeals Process … · 1.2 Automated Denial and Appeals Process...

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Transcript of RFP 19-10-SSP Automated Denial and Appeals Process … · 1.2 Automated Denial and Appeals Process...