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MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICTMARICOPA INTEGRATED HEALTH SYSTEMREQUEST FOR PROPOSALSREVENUE AND REIMBURSEMENTCOLLECTIONS SERVICES90-15-170-RFPDATE OF ISSUE:DEADLINE FOR INQUIRIES:DATE & TIME PROPOSALS DUE:MAY 28, 2015JUNE 5, 2015 AT 10:00 AM PHOENIX, AZ TIMEJUNE 19, 2015 AT 11:00 AM PHOENIX, AZ TIMECONTRACTS MANAGEMENT DEPARTMENT2611 E PIERCE STREET, PHOENIX, AZ 85008-6092602-344-1497 602-344-1813 (FAX)

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFPTABLE OF CONTENTSNOTICE OF SOLICITATION .31.0EXECUTIVE SUMMARY .52.0SCHEDULE OF EVENTS .63.0WORK STATEMENT .74.0EVALUATION CRITERIA AND PROCESS .95.0INSTRUCTIONS TO PROPOSERS .12ATTACHMENT A: AUTHORIZATION TO SUBMIT PROPOSAL AND REQUIRED CERTIFICATIONS .16ATTACHMENT B: ORGANIZATIONAL INFORMATION .18ATTACHMENT C: REFERENCES .20ATTACHMENT D: INTENTIONALLY LEFT BLANK .21ATTACHMENT E: PRICING .22ATTACHMENT F: RESPONSE TO WORK STATEMENT REQUIREMENTS .24ATTACHMENT G: EXCEPTIONS TO RFP REQUIREMENTS AND/OR CONTRACT PROVISIONS.25ATTACHMENT H: PROPRIETARY AND/OR CONFIDENTIAL INFORMATION .26ATTACHMENT I: CONTRACTOR EMPLOYMENT RECORD VERIFICATION REQUIREMENT .282

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFPNOTICE OF SOLICITATIONSOLICITATION #: 90-15-170-RFPREVENUE AND REIMBURSEMENT COLLECTIONS SERVICESMaricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS) herebysolicits sealed proposals from qualified Proposers to provide revenue and reimbursement collectionservices with the intent to collect outstanding balances and accounts receivable for Medicare andAHCCCS patient accounts on behalf of MIHS.A Request for Proposal document may be obtained at:Maricopa Integrated Health SystemContracts Management2611 East Pierce Street, 2nd FloorPhoenix, Arizona 85008-6092Or at the MIHS web site: portunitiesWritten questions concerning this Request for Proposal package should be addressed to Ken Carlisle nolater than June 5, 2015 at 10:00 AM Phoenix, Arizona Time. Questions may be submitted to Ken Carlislevia e-mail at kenneth.carlisle@mihs.org or may be faxed to 602-344-1813. Inquiries may be submittedby telephone, but must be followed up in writing. No oral communication is binding on MIHS. Answersto the written questions submitted by Proposers concerning the RFP will be provided in the form of anAddendum via the MIHS website. It is the responsibility of all potential Proposers to check the MIHSweb site for any Addendums to the RFP and to ensure signed Addenda are included in their responseto the Solicitation.Completed and sealed proposals, including one (1) original, four (4) hard copies and one (1) softscanned copy (in a single linear file) of the completed and signed original Proposal in Adobe PDFformat on CD or flash drive, must be physically in the possession of Contracts Management at theaddress above no later than June 19, 2015 at 11:00 AM Phoenix, Arizona Time. It is strongly suggestedthat the selected delivery method will ensure receipt by Contracts Management before the deadline.Proposers assume all risk associated with deliveries of proposals. At 11:15 AM Phoenix, Arizona Time,the names of firms or individuals submitting proposals will be announced. No other public disclosurewill be made until after award of a contract.This announcement does not commit MIHS to award a contract or to pay any costs incurred in thepreparation of proposals. MIHS reserves the right to accept or reject, in whole or in part, all proposalssubmitted and/or to cancel this announcement. MIHS reserves the right to award more than onecontract based upon the Proposal(s) most advantageous to the Maricopa Integrated Health System,price and other factors considered. The contract is scheduled for award for the initial term of three (3)years with the option to extend for additional periods up to a maximum contract term of five (5) years.3

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFPThe MIHS Procurement Code (“The Code”) governs this procurement and is incorporated by thisreference. Full text of the MIHS Procurement Code may be found at the following link:http://mihs.org/uploads/sites/19/District Procurement Code - Revised Eff 04-23-2014.pdf. MIHSreserves the right to award this contract in whole or in part to one or more contractors.MIHS will endeavor to ensure in every way possible that minority and women-owned businessenterprises shall have every opportunity to participate in providing professional services, purchasedgoods, and contractual services without being discriminated against on the grounds of race, religion, sex,age or national origin.4

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFP1.0EXECUTIVE SUMMARY1.1 General MIHS InformationMaricopa Integrated Health System (MIHS), a special healthcare district and politicalsubdivision of the State of Arizona, includes Maricopa Medical Center (MMC), the Arizona BurnCenter, the Comprehensive Healthcare Center, the Arizona Children’s Center, the 7th AvenueWalk-In Clinic, 11 community-oriented family health centers, and an attendant care program.MIHS also is a premier training center for Arizona’s physicians. Our medicine, surgery,pediatrics, and OB/GYN programs, in particular, contribute to the body of knowledge of patientcare.MIHS is located in central Arizona, and serves as the health care safety net for citizens ofMaricopa County. The health system serves people of many races and nationalities who comefrom diverse cultures and speak several different languages. Many of the patients face majorchallenges, such as lack of health insurance, complex medical problems, and difficultsocioeconomic situations. Caring for these patients demands special knowledge and sensitivity.MIHS is committed to giving culturally appropriate, sensitive medical care and helping itspatients live healthier lives. Annually, MIHS has over 17,000 inpatient admissions and over450,000 outpatient and ambulatory visits.Maricopa Medical Center (MMC) is a 325-bed licensed, full-service hospital, which includes alevel one adult and pediatric trauma center. Over 67,000 adults and children are treatedannually in the Adult and Pediatric Emergency Departments. The Arizona Burn Center,Arizona's only regional burn center and the second largest in the nation, provides world-classcare for critically injured burn patients from across Arizona and the Southwest. MIHS’ ArizonaChildren’s Center features a 31-bed Neonatal Intensive Care Unit that provides critical inpatientservices for babies transported across the Southwest. Specialty care is offered at ourComprehensive Healthcare Center, a multi-specialty care clinic located at the MMC campus.MIHS has 11 Family Health Centers throughout the Valley. The professional medical staff at all11 centers are trained and certified in primary care and focus on the treatment of both adultsand children. Many of MIHS’ Family Health Centers provide all health care needs in onelocation, including primary care, dental care, and pharmacy services.Desert Vista Behavioral Health Center is a 122-bed licensed hospital that provides behavioralhealth care and psychiatric services. Additional behavioral health services are provided on theMMC campus in a 68 bed licensed facility.5

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFP2.0SCHEDULE OF EVENTSThe time frame for the procurement under this RFP is as follows:Notice of Solicitation IssuedThursday, May 28, 2015Deadline for Written QuestionsFriday, June 5, 2015Proposal Submission DeadlineFriday, June 19, 2015MIHS Proposal Review and Shortlist DecisionJune 20, 2015 – July 10, 2015Oral PresentationsJuly 13, 2015 - July 24, 2015Contract Negotiations FinalizedJuly 27, 2015 – August 7, 2015Board of Director’s AwardAugust 21, 2015Contract Start DateSeptember 1, 2015MIHS reserves the right to deviate from this schedule.6

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFP3.0WORK STATEMENT3.1 SERVICE GOALTo provide accounts receivable services for third party payers including Medicaid with theintent to provide the following major activities relative to the collection of outstandingbalances.Provide self pay collection services including bad debt.Contractor may bid on all or portions of AR collections services within this RFP.3.2 UNIT OF SERVICEOne unit of service equals the resolution of one account.3.3 MIHS AND CONTRACTOR REQUIREMENTS3.3.1MIHS requires a cap on the fee associated with any single account where the fee paidto the agency will be no greater than 25,000.3.3.2.MIHS will not pay commissions on accounts if payment is received within five workingdays of placement.3.3.3If additional insurance is identified the contractor may pursue follow up activities forthat insurance.3.3.4MIHS will provide suitable work space within the MIHS Business Office for agencypersonnel to access related documents such as payer remittance advice detail, akaEOBs, imaged medical records, payment batches and access to MIHS patientaccounting systems as needed.3.3.5.Remote access to MIHS patient accounting systems is available.3.3.6Vendor must provide collection notes activity, letters and call notes in the properformat (will be supplied by MIHS) to upload notes into the Epic Patient accountingsystem.3.3.7Listing files, return files and inventory files will be exchanged using established FTPprotocols as defined by MIHS.3.3.9Vendor will provide MIHS with inventory and payment files in a specified format forperformance measurement and payment reconciliation monthly.3.3.10Contractor shall provide status reports on a regular schedule (no less than monthly)reflecting the performance of all payments, compromises including active / current7

REVENUE AND REIMBURSEMENT COLLECTION SERVICES 90-15-170-RFPstatus, account touches and liquidation rate and defaults and complete inventory.3.3.113.3.123.3.13Vendor will place appropriate adjustments into the MIHS Patient accounting systemand pass through the appropriate signatory authority (as defined by MIHS).Vendor will provide in detail the overall collection techniques which shall include butnot be limited to the following: Approach, initial actions following placement,frequency of follow up efforts, supervisory review, and management of problemaccounts.Vendor must have prior experience with collection activities for clients using Epicclinical, patient accounting and electronic health records.3.3.14 Penalties.3.3.14.1 MIHS will assess a penalty for accounts with no follow up activity by theContractor for more than 30 days that due to the inactivity, causes the account tobe adjusted off due to timely filing and/or appeal deadlines. The penalty will beequal to the value of the Contractor’s fee for the said balance that must beadjusted. Vendor will touch no less than 90% of the accounts in 30 days. This willbe assessed quarterly. A reduction of the contingency rate of .25% will be appliedthe following quarter invoices.3.3.14.2 Vendor will supply MIHS with at least one performance incentive to be applied ona quarterly basis based on prior quarter performance review. Incentive willinclude performance measurement methodologies.3.3.14.2 Vendor will provide at least one Epic client reference and three total references.Pricing provided will be based on placement of Commercial, Managed Care, Medicaid, Medicare,Self Pay and Bad Debt accounts at 31, 61 and 90 days from initial claim date. Pricing willinclude rates for patient balances after insurance, Medicare or Medicaid payments. Self Payand Bad Debt may include a single blended rate or self pay early out, and/or bad debt rates.The District reserves the right to add or delete services associated with this solicitation, and thesubsequent contract(s), as needed by the District.Nothing prohibits the addition of supplemental services, not identified in this Contract and deemednecessary by MIHS and agreed to by the Contractor.8