Assessment of Medicare Disproportionate Share Activity

Agency:	University of Iowa
State:	Iowa
Type of Government:	State & Local
Posted Date:	Feb 22, 2024
Due Date:	Mar 14, 2024
Solicitation No:	18223
Bid Source:	Please Login to View Page
Contact information:	Please Login to View Page
Bid Documents:	Please Login to View Page

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18223

Issue Date: 2/22/2024

Questions Deadline: 3/4/2024 03:00 PM (CT)

Response Deadline: 3/14/2024 03:00 PM (CT)

Contact Information

Contact: Andy Lane

Address: Purchasing

202 PCO

Iowa City 52242-2500

Phone: (319) 335-1207

Fax:

(319) 335-2443

Email: andy-lane@uiowa.edu

Page 1 of 12 pages

Deadline: 3/14/2024 03:00 PM (CT)

18223

Event Information

Number:

18223

Title:

Assessment of Medicare Disproportionate Share Activity

Type:

Request for Qualifications - Sealed

Issue Date:

2/22/2024

Question Deadline: 3/4/2024 03:00 PM (CT)

Response Deadline: 3/14/2024 03:00 PM (CT)

Notes:

The University of Iowa (hereafter, The University / University) located in Iowa City,

Iowa, desires to obtain written proposals from qualified suppliers to provide an

assessment of Medicare Cost Report Disproportionate Share Activity.

Please be aware that this is an extensive bid. All suppliers are cautioned to

allow ample time for the submission of RFQL responses well before the due

date time requirement. Bids must be submitted via the eBid system.

Billing Information

Contact: AP

Address: AP

PCO

202

202 PCO

Iowa City, IA 52242-2500

Phone: (319) 335-0115

Fax: (319) 335-2443

Bid Attachments

Professional_Services_Agreement_April_2021 (1).docx

Professional Services Agreement

Standard Terms and Conditions Updated (2023-05-15).pdf

University of Iowa Standard Terms and Conditions

Requested Attachments

Proposal

(Attachment required)

Supplier must provide a detailed proposal as described in Attribute #7.

Audited Financial Statements

(Attachment required)

Supplier must provide audited financial statements as requested in Attribute #16.

Download

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18223

Bid Attributes

1 Request for Qualifications

RFQL responses MUST be submitted electronically through the eBid system. RFQL responses submitted by any

other means will not be accepted.

Read & Acknowledged

(Required: Check if applicable)

2 General

The University of Iowa, located in Iowa City, Iowa (hereafter, "University") desires to obtain written proposals from

qualified suppliers to provide an assessment of Medicare Cost Report Disproportionate Share Activity.

Although the University has listed general criteria that will be used in its final evaluation, the University does not

intend these criteria to limit the Supplier's creativity in preparing a proposal it believes will accomplish the

University's goals. The use of a specific Supplier will be based on the Supplier's performance.

The required documentation of expertise and qualifications outlined in this request is intended to serve primarily as

a general guide for each statement of qualifications, with the minimum requirements listed. Each Supplier is

expected to submit a fully detailed statement of qualifications, which adequately describes the advantages and

benefits the University would realize by selecting the Supplier.

Read and Acknowledged

(Required: Check if applicable)

3 Background

The University of Iowa

The University is a broad-based public university of international stature. As of 2022-2023 The University has

31,317 students and is recognized for its academic achievement; leadership in research; and its teaching hospital

The University of Iowa Hospitals and Clinics. As of 2022 The University has an overall budget of $4.4 billion and

employs approximately 19,000 full-time faculty and staff. More information can be found at the Office of the

Registrar.

The University of Iowa Hospital and Clinics

The University of Iowa Hospitals and Clinics serves as the teaching hospital and comprehensive medical center for

the State of Iowa. As part of its mission, UI Hospitals and Clinics, in conjunction with UI Carver College of Medicine

and other health science colleges at The University of Iowa, provides world-class family-centered health care,

extensive medical research, and comprehensive teaching programs for many health care professions. The hospital

employs more than 924 physicians and dentists, and more than 2,445 professional nurses. More than 10,224

additional staff members support all aspects of patient care services. The hospital provides 811 inpatient beds and

more than 1 million patient visits take place in the clinics every year. UI Hospitals and Clinics is consistently ranked

by U.S. News & World Report magazine as one of the nation's best hospitals, with many of its clinical specialties

ranked among the top twenty-five in the country.

University of Iowa Health Care Medical Center Downtown

On January 31, 2024, University of Iowa Health Care acquired an additional health system which includes a hospital

with a separate 194 inpatient bed license and 27 outpatient clinic locations across Eastern Iowa.

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4 Scope of Services

The successful Supplier will work in partnership with the University and will be expected to fulfill the following scope

of services, including but not limited to the following:

The University seeks a qualified firm to analyze inpatient discharges during the hospital’s Cost Report year to

determine if the days associated with each discharge do or do not qualify for Disproportionate Share Hospital (DSH)

days, as well as Social Security Income (SSI) evaluation.

The successful Supplier will work in partnership with the University and will be expected to fulfill the following scope

of services, including but not limited to:

1. Analyzing each discharge for both Medicaid and Medicare eligibility

2. Incorporating state paid claims files

3. Matching all newborns to their mother

4. Performing a labor and delivery analysis

5. Analyze all SSI info and support the University in associated activities related to Medicare Cost Report filings,

updates, and/or audits

The successful Supplier will also be required to:

1. Assess claims for eligibility into the Medicaid Waiver programs in place in Iowa. In addition to the detailed

analysis, the qualified firm will provide all supporting schedules and documents for the Operating and Capital DSH

payment related to reporting Medicare Cost Report Worksheets S-2, lines 24-25 & S-3, Part I, Column 7 (or

replacements/expansions thereof).

2. Generate detailed DSH listings and gather required documentation to support the Cost Report schedules

required to comply with the Fiscal Intermediary Cost Report audits.

3. Support the University in responding to audit questions from the Fiscal Intermediary regarding the DSH listings.

4. Provide an analysis of protest amounts for any issues arising related to DSH payment calculations, including but

not limited to, Medicaid fraction days, Social Security Income (SSI) days and dual eligible days.

5. Assist the University as a partner, or finding a partner, to file any protests with the appropriate government

agencies for review and compensation recovery.

6. Additional related services may also be requested throughout the scope of work.

The successful Supplier will provide an initial analysis prior to the Medicare Cost Report filing deadline, and also

work w/the University to provide an updated analysis for use prior to the Cost Report audit. The University desires

to have a firm in place by July 1, 2024, with a first draft available mid-October 2024 (or as requested by the

University), to support each hospital’s (and associated campuses) FY2024 Medicare Cost Report submissions,

which are due November 30, 2024. Subsequent Cost Report years to follow similar timelines and requests.

The final work product (with refreshed data) will be completed approximately one year later (due date to be

negotiated in confines of current cost report regulations).

The successful Supplier will also analyze all SSI information and will support the University in filing any updates to

each hospital’s prior, current, and future Medicare Cost Report filings for any missed opportunities allowable via

administrative or regulatory guidance or publication. The analysis will include any supporting documentation

required for the filing update and any audit requirements by the Fiscal Intermediary.

5 Scope of Services - Changes

The University reserves the right to change the scope of work as required. Notices of such changes will be made in

writing by the University to the Supplier.

Read and Acknowledged

(Required: Check if applicable)

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18223

6 Supplier Requirements

Suppliers must clearly demonstrate and provide documentation substantiating that they are compliant in each of the

following areas. The University reserves, solely, the right to reject any submittals if the evidence or references

submitted by such Supplier fails to satisfy the University that said Supplier is properly qualified in any of these

areas. It shall not be the responsibility of the University to request additional information to satisfy these

requirements, if such information is not provided with the submitted response. Failure to respond to any question or

follow the instructions herein may result in disqualification

7 Project Proposal

Provide a proposal detailing the firm’s process to be used in providing the services described herein. The proposal

should clearly indicate any major requirements that cannot be met by the firm and highlight the major features of

the proposal to assist the reader in determining generally how the qualifications of the firm and the proposal meets

and exceeds the requirements proposed by the University.

Please include, at minimum, the following information in your proposal:

1. Identify specific areas where your firm is best equipped to assist. Explain your firm’s past experiences that

demonstrate the firm’s expertise in providing institutions similar to the University of Iowa with similar services.

2. Explain the process the firm uses for projects of this nature. How does the firm intend to manage the relationship

with the University throughout the life of the contract?

3. Provide the following information in your proposal regarding your firm’s qualifications:

a. Any previous experience with Medicaid day utilization issues related to disproportionate share payments,

and the processes that directly affect the calculation of DSH reimbursement

b. Any previous experience with the Medicaid Waiver programs

c. Any previous experience with Medicaid fraction days, SSI days, and dual eligible days

d. Any previous experience with Iowa Medicaid Enterprise or other State Medicaid Programs

e. Details on how the firm has successfully represented other state-owned academic medical centers in their

pursuits of similar services.

Attachments detailing the Supplier's proposal are limited to a maximum of 25 pages.

(Required: Maximum 4000 characters allowed)

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Deadline: 3/14/2024 03:00 PM (CT)

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Assessment of Medicare Disproportionate Share Activity

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