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Medical Coding Services VA Northern California Health Care System - Attachment

General Information

Document Type:FILE
Posted Date:Dec 04, 2017
Category: Professional, Administrative and Management Support Services
Set Aside:N/A

Contracting Office Address

Department of Veterans Affairs;VA Sierra Pacific Network (VISN 21);VA Northern California HealthCare System;5342 Dudley Blvd, Bldg 209;McClellan CA 95652-2609

Description

This is a Sources Sought Constitutes Market Research The Department of Veterans Affairs Northern California Health Care System, (VANCHCS), CA is conducting market research to determine if there are sufficient number of qualified vendors to issue a Veteran-owned set aside. In accordance with United States Code Title 38 Section 8127(d), we are seeking vendors in the following categories: (1) Service Disabled Veteran Owned Small Business The responses from this notice will be used to make the appropriate set aside determination. The proposed solicitation will be issued as a Request for Quotation under FAR Parts 12 and 13. The contractor shall provide medical coding service for the Veterans Affairs Northern California Health Care System, (VANCHCS). The Performance Work Statement is attached to this notice. Interested contractors should provide a capabilities statement demonstrating their experience providing similar services. The period of performance for this contract will be a base year plus four option years. All interested contractors must respond by email to Maria.Teodoro@va.gov before 3:00 P.M. Pacific Time on 14 Dec 2017. SDVOSB and VOSB vendors are registered in the Vendor Information Pages (VIP) VetBiZ. DO NOT SEND ANY PROPOSALS at this time. Submitting a capability statement is welcome. DISCLAIMER This SSN is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this notice that is marked as proprietary will be handled accordingly. Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this Sources Sought Notice. Performance Work Statement (PWS) MEDICAL RECORD CODING, TRAINING, AND CLINICAL DOCUMENTATION IMPROVEMENT SERVICES GENERAL Services Required: The Department of Veterans Affairs(VA) Northern California Health Care System (hereafter known as VANCHCS) requires a Contractor to provide the services of experienced personnel to assign International Classification of Diseases-Tenth Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS), Current Procedural Terminology (CPT)-4 and Health Care Common Procedure Coding System (HCPCS) Level II codes based on medical record documentation of any of the following: Prescriptions, surgical episodes, inpatient facility and professional services, and outpatient care provided at VANCHCS. Additionally, the Contractor shall provide coder education and training, clinical documentation improvement (CDI) services, quality improvement auditing and performance monitoring to VANCHCS coders, providers and other staff if indicated. This is to supplement current VA inpatient and outpatient coding staff. The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform medical coding support as defined in this Performance of Work Statement (PWS) except for those items specified as government furnished property and services. The Contractor shall perform to the standards in this contract Place of Performance: General coding and/or auditing services performed under this contract will be performed at the Contractor s place of business. Clinical document improvement (CDI) and/or Training Services may be performed remotely or on site as indicated by VANCHCS. Policies and Regulations: The Contractor shall comply with all applicable Occupational Safety and Health Act (OSHA), federal, and state laws and regulations as required for performing the type of coding services required, assigning ICD-10-CM PCS, CPT-4, and HCPCS Level II codes based on medical record documentation of outpatient and inpatient care provided at or under the auspices of a Veterans Health Administration (VHA) facility. The most current coding guidelines published by the VHA will be utilized. Definitions: The terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern. ABSTRACTING: The removal of the most important data from a set of records. CODING: Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician s notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. CONTRACTOR: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime. CONTRACTING OFFICER (CO): An employee of the U.S. Government with authority to enter, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government. CONTRACTING OFFICERS REPRESENTATIVE (COR): An employee of the U.S. Government appointed by the CO to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor if that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract. KEY PERSONNEL: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of the services listed in the Performance of Work Statement (PWS). QUALITY ASSURANCE (QA): The Government s procedures to verify that services being performed by the Contractor are performed in accordance with the terms of the contract. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. QUALITY CONTROL (QC): All necessary measures taken by the Contractor to assure that the quality of service shall meet contract requirements. Acronyms: AAPC: American Academy of Professional Coders AO: Agent Orange AHIMA: American Health Information Management Association BBA: Balanced Budget Act CCS: Certified Coding Specialist CCS-P: Certified Coding Specialist - Physician CDI: Clinical Documentation Improvement CDIS: Clinical Documentation Improvement Specialist CITC: Care in the Community CMP: Civil Monetary Penalty CO: Contracting Officer COI: Conflict of Interest COR: Contracting Officer Representative CPC: Certified Professional Coder CPC-H: Certified Professional Coder-Hospital CPRS: Computerized Patient Record System CPT: Current Procedural Terminology DME: Durable Medical Equipment DRG: Diagnosis Related Group E/M: Evaluation & Measurement H&P: History and Physical HCPCS: Healthcare Common Procedures Coding System HIMS: Health Information Management Service HIPAA: Health Insurance Portability and Accountability Act (of 1996) ICD-10-CM/PCS: International Classification of Diseases, Tenth Rev, Clinical Modification, Procedure Coding System OIG: Office of the Inspector General PCE: Patient Care Encounter POA: Present on Admission POC: Point of Contact PST: Pacific Standard Time PTF: Patient Treatment File QA: Quality Assurance QASP: Quality Assurance Surveillance Plan QC: Quality Control RHIA: Registered Health Information Administrator RHIT: Registered Health Information Technician SAIL: Strategic Analytics for Improvement & Learning SC: Service Connected PWS: Statement of Work VA: Veterans Affairs VAMC: Veterans Affairs Medical Center VANCHCS: Veterans Affairs Northern California Health Care System VHA: Veteran Health Administration VISN: Veterans Integrated Service Network VISTA: Veterans Information Systems and Technology Architecture QUALIFICATIONS STAFF/FACILITY: The Contractor shall provide experienced, competent, professionally credentialed personnel to perform coding and/or auditing activities. The contract coders must be credentialed and must have completed an accredited program for coding certification, an accredited registered health information administrator or registered health information technician program. Credentials and/or certifications must be kept current per certifying organization standards. A certified coder is someone credentialed by the: American Health Information Management Association (AHIMA) and includes Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) and Certified Coding Specialist Physician (CCS-P). American Association of Procedural Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H). These coders are defined as key personnel and are those persons whose credentials were submitted. The Contractor agrees that the key personnel shall not be removed, diverted, or replaced from work without approval of the Contracting Officer (CO) and the Contracting Officer s Representative (COR). Key personnel shall be primarily dedicated to perform work for VANCHCS and shall be accessible during regular business hours as identified in paragraph 4. Licensing and Accreditation: The Contractor shall have and maintain all licenses, permits, accreditation and certificates required. Contractor personnel performing coding services under this contract shall have a minimum of three years of experience in the field that they will be coding. SUBSTITUTIONS: Any personnel the Contractor offers as substitutes shall have the ability and qualifications equal to or better than the key personnel that are replaced. Requests to substitute personnel shall be approved by the CO and the COR. All requests for approval of substitutions in personnel shall be submitted to the CO and the COR in writing within 30 calendar days prior to making any change in key personnel. The request shall provide a detailed explanation of the circumstances necessitating the proposed substitution. The Contractor shall submit complete documentation of the qualifications for the proposed substitute and any other information requested by the COR needed to approve or disapprove the proposed substitution. The COR will evaluate such requests. The CO will notify the Contractor of the approval or disapproval in writing. PROFESSIONAL LIABILITY INSURANCE: The Contractor shall maintain professional liability insurance by a commercial insurance company in the business of providing the required insurance coverage. The Contractor shall provide a copy of the Insurance Certificate upon receipt of a written request by the VA. CONTRACTOR S LOCATION: General coding and/or auditing services performed under this contract will be performed remotely at the Contractor s place of business. CDI and/or Training Services may be performed remotely or on site as indicated by VANCHCS. CONFLICT OF INTEREST: The Contractor is responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who provide services. The Contractor must also provide relevant facts that show how it s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. ANNUAL OFFICE OF INSPECTOR GENERAL (OIG) STATEMENT: In accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the VA OIG has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs. Therefore, all Contractors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed Contractors and/or firm(s) are not listed. Contractors should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a civil monetary penalty (CMP) for each item or service furnished during a period that the person or entity was excluded and may also be subject to triple damages for the amount claimed for each item or service. CMPs may also be imposed against the Contractors and entities that employ or enter contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries. By submitting their proposal, the Contractor certifies that the OIG List of Excluded Individuals/Entities has been reviewed and that the Contractor(s) and/or firm(s) are not listed as of the date the offer/bid was signed. SCHEDULE SCHEDULE: The Contractor must appoint a Supervisor or Lead point-of-contact (POC) who is responsible for conducting business between the hours of 8:00 a.m. to 5:00 p.m., Monday through Friday, Pacific Standard Time (PST), excluding Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The appointed supervisor or lead POC is expected to be available for teleconference meetings, and to respond to emails, voicemails or telephone inquiries by the next business day. Regularly scheduled meetings to review quality measures and contract requirement adherence will occur weekly. FEDERAL HOLIDAYS: The following holidays are observed by the Department of Veterans Affairs: New Year s Day Martin Luther King s Birthday Presidents Day Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day Any day specifically declared by the President of the United States to be a national holiday. CONTRACTOR RESPONSIBILITIES The Contractor shall assign current ICD-10-CM/PCS, CPT-4 and HCPCS Level II codes based on medical record documentation of any of the following: Prescriptions, surgical episodes, inpatient facility and professional services, and outpatient care provided for VANCHCS. Additionally, the Contractor shall provide coder education and training, CDI services, quality improvement auditing and performance monitoring. The Contractor shall provide for its staff; computers, reference material, software/encoder tools for conducting reviews and developing training materials. Contractor employees shall be proficient in the use of the laptops, reference materials, software/encoder tools and provide with their proposal evidence of use of an encoder. STANDARDS OF PRACTICE: The Contractor shall provide all resources necessary to accomplish the deliverables described in the PWS, except as may otherwise be specified. Industry standard coding guidelines shall be followed. All patient encounters shall be accurately and thoroughly coded whether the encounter is billable or not. Both physician and non-physician providers are employed by the VA Medical Center. ACCURACY LEVEL: The Contractor shall maintain a coding and auditing accuracy level of no less than 97% as demonstrated by monthly monitoring reports due no later than the fifth business day of the month for the previous month. REPORTING REQUIREMENTS: The Contractor shall provide the COR with written monthly progress reports commensurate with the length of the project unless otherwise indicated. The progress report shall cover all work completed during the preceding reporting period (month). This report shall also identify project activity, issues and resolutions, escalation process for outstanding issues, and remediation for any issues that cause the project to be delayed (both anticipated and unanticipated). The Contractor the COR shall mutually agree on the report format. The Contractor shall also provide Quality Reports for (Coding Services). Quarterly, the Contractor shall provide a summary report to the COR. CODING SERVICES: The Contractor shall use skills and knowledge of ICD-10-CM, ICD-10-CM/PCS, CPT-4, HCPCS Level II and other generally accepted available resources to review medical record documentation and providers scope of practice to assign diagnostic and procedural codes at an accuracy rate no less than 97%. The Contractor shall code Outpatient Encounters including Radiology, Lab or other Ancillary Services,  Surgical, Durable Medical Equipment (DME)/Prosthetics. The Contractor will also provide coding support for the VA Care in The Community (CITC) program, including outpatient and inpatient coding, Inpatient Professional Services; and Inpatient Episodes/Admission Services as specified. The Contractor shall abstract identified data items and either enter the data into the local encoder program, or write the information on source documents as agreed with the local facility. This information shall include a decision as to whether or not an episode is billable, based on the documentation and VHA billing guidelines, and the type of insurance coverage of the patient. The reason not billable shall include, at a minimum, treatment for a Service Connected (SC) condition, treatment related to Agent Orange (AO) exposure or Ionizing Radiation (IR), lack of attending documentation in a circumstance that requires it, telephone care, non-billable provider, or other types of care that cannot be billed. Coding an episode of care includes answering any follow-up questions regarding the episode, including questions that may arise during the completion of a claim as well as developing responses to denials for payment or re-coding as necessary. The Contractor shall provide all labor, materials, transportation and supervision necessary to perform coding and abstracting using either the 1995 or 1997 Evaluation and Management guidelines on encounters and standard industry guidelines, e.g. Coding Clinics and CPT Assistant, as specified by the VAMC. Contractor shall adhere to all coding guidelines as approved by the Cooperating Parties and accepted VA regulations. Utilize encoder and reference materials to assign and/or validate diagnostic and procedural codes reflective of documentation. Utilize PCE/PTF/Surgery or other appropriate resources, if necessary, to reflect code changes and names(s) of provider(s). Review and determine whether documentation is adequate to support billable services. If requested by the facility, the Contractor will place a local coder on-site in accordance with this contract when the coder lives around the VA facility requesting work. No travel costs will be charged in this scenario. When assigning multiple CPT codes, the Contractor shall verify that they are not components of a larger, more comprehensive procedure that can be described with a single code. The Contractor shall identify those encounters, if any, where documentation does not substantiate an appropriate code(s) and communicate with the provider and/or the Clinical Documentation Improvement Specialist (CDIS) by the next business day. The Contractor shall identify duplicate encounters or encounters created in error because the patient was not seen. The Contractor shall query providers regarding need for clarification of documentation to ensure appropriate coding and enter query into Provider Query Tracking log at the time of discovery. Contractor shall code based on reading and reviewing the documentation in the medical record including the Contractor Performance Reporting System (CPRS). The contractor shall complete data entry into the coding software as part of this contract. The Contractor shall assign modifiers as appropriate to override Correct Coding Initiative edits. INPATIENT CODING: Complete all PTF Transition Types in accordance with appropriate VHA Handbooks and VHA timeframes. Opening and re transmitting PTFs shall follow local facility protocol. Coding of inpatient services will be conducted concurrently. The Concurrent Coder is responsible for assigning concurrent diagnostic and procedure codes based upon physician documentation, communicating with physicians to ensure complete and accurate documentation, and abstracting designated information from the medical record for historical and reporting purposes. The coder is expected to go into the PTF within 24 hours of admission and enter a provisional diagnosis (principal) from the H&P which then assigns a working DRG. Then, every 1-3 days, the PTF would be updated based on additional progress notes/procedure reports added since the last review. The PTF is left open during these periodic reviews until the patient is discharged; at that point the PTF would be completed and released. Contractor shall review documentation to determine why an ancillary or other diagnostic test was ordered and assign an ICD-10 diagnosis code to that test.. CODED OUTPATIENT ENCOUNTERS, including ANCILLARY SERVICES: The Contractor Shall: Use either 1997 or 1995 Evaluation and Management (E/M) guidelines as specified by the facility. Enter complete data entry, including CPT codes, modifiers, and diagnoses for the encounter or occasion of service when on-line coding is performed into Appointment Management or Patient Clinical Encounter (PCE). Link all diagnoses reported to CPT codes for the service using the Clinical Information Data Capture functionality. Associate the provider with the CPT code performed by him/her at that encounter and for diagnostic services, consultation services and therapy services enter the ordering provider in the slot in PCE. The association in Veterans Health Information Systems and Technology Architecture (VISTA) is very important to create a correct bill and for the budget allocation for each fiscal year for VA. Contractor shall correct any missing associations when doing on-line coding at no charge. Query providers using specified VA query forms and database to ensure highest level of coding specificity is obtained. Use a CPT code for all encounters. When the documentation does not support a diagnosis code clearly flag those documents for further review at the facility. Code surgical reports and associated anesthesia reports using CPT and current ICD diagnoses. All surgical procedures, anesthesia codes and adjunct procedures for anesthesia shall be recorded electronically. External Auditing Services: External Audits of coded data shall be performed on any of the VHA required coding activities (e.g., inpatient, outpatient, ancillary). VHA uses the national coding guidelines. Audit results may be used for training and education of coders and providers; and for documentation improvement functions in conjunction with the CDI program. These audits shall be performed separate from normal coding activities and shall conform to the format requested by the facility. Audits may be requested at standardized intervals or additional audits to address specified circumstances may also be requested at any time. Contractor shall re-review any coded data when requested by VA during the VA pre-bill process or when a denial is received to either make changes or substantiate the coding with appropriate coding rules and references. This service shall be included in the price of the work. Contractor shall include all CPT codes, and ICD-10 codes as applicable in the denominator for the audit percent. Include the appropriate Resident Supervision Modifier GR in the audit, as well as Modifiers 24, 25, 50, 51, 52, 53, 57, 58, 59, 78 and 79 in the denominator. Modifier 91 is required for labs. Other modifiers will not be counted for the accuracy rate. Note: Modifier 26 is required for inpatient professional fee billing by third parties, however, it will not be counted here as it is a requirement by the insurance carrier only, not VHA. Count each one of the following as an error: Codes that were coded and not supported in the documentation, violate a coding rule; and/or CPT or diagnosis codes that should have been coded and were not; and/or Inappropriate CPT or ICD 10 codes; Unbundled codes; Inaccurate DRG assignments; All other data elements incorrectly entered by the contract coder, or not entered when appropriate, e.g. reason not billable, provider, adequacy of documentation. All re-review work will be forwarded to the Contractor s designated contact person for resolution. The Contractor, along with the VA facility shall jointly determine a communication mechanism whereby the Contractor shall access it daily. VANCHCS reserves the right to validate all audit results and/or accuracy statistics submitted by the Contractor Contractor must be able to return audit results within facility s requested time frame. Requested time frame under normal operations will be between five to ten business days. Audits required for special circumstance may be between 2 and five business days. These audits shall be based on compliance and address accuracy of coded data, health record documentation issues, process improvement and identify educational needs. Audit accuracy expectations are 97% and above. Examples of audit may be, but not limited to: Inpatient facility (DRG/POA) coding, Outpatient facility coding, Inpatient professional services including surgery, and Outpatient services which would include ER, Urgent Care, clinic visits, and ambulatory surgery. Audits shall consist of reviewing the following: All listed diagnoses in the outpatient and inpatient setting both facility and professional services All listed procedures/services in the outpatient and inpatient setting both facility and professional services Reports shall be prepared to allow for use by medical center staff in re-reviews, education, or to provide management updates. All reviews shall utilize electronic auditing of the computerized medical record system (CPRS). The reviews shall be conducted by remote data view. Contractor shall develop a sample size that assures a 97% confidence level of accuracy for each of the auditing tasks including inpatient hospitalizations, outpatient visits, and non-VA records. A t a minimum 10% of charts/encounters are to be reviewed to assure site confidence level.  Contractor shall submit with the technical quotation for each task order a detailed description of how it arrived at the sample size. At a minimum, the sample size must include a review of the coding activities and may include any or all the following: inpatient hospitalizations, ambulatory surgery, diagnostic tests, primary care, mental health, medicine sub-specialty, surgery, observation, neurology, and non-VA records. Contractor shall review each facility s HIMS policy and coding procedures prior to commencement of review. Contractor shall develop a collection tool for all reviews and shall submit with its technical quotation a sample of the tool that will be used. Contractor shall submit in its technical quotation the methodology for resolving coding questions by reviewers and ensuring inter-reviewer consistency and reliability. Contractor shall review findings with the HIMS Chief, Associate COR, management, and other designated medical center personnel to review proposed changes prior to final written report for mutually agreed upon changes within seven business days following the review(s). The Contractor shall submit the final written report of all findings and recommendations detailing accuracy, financial impact and areas of concern within 15 business days of completion of audit. Weaknesses identified during the audit shall be used to provide education/training workshops using a train the trainer format. This can be done either on site or remote.  As such, the Contractor shall develop a facility specific training plan to present to VISN/VAMC management officials, physicians/clinicians, sub-specialties if needed, and for health information management (coding) staff based on the findings of the review within seven business days following the reviews. The Contractor shall conduct an exit interview/conference and education on all audit findings and recommendations with the Health Information Services Management and coding staff at the VA facility.   If any errors are found, the Contractor shall provide supporting documentation on why each is an error.   This documentation should be developed with the expectation that the Contractor shall present the findings and the documentation to the VA staff as part of the training and education component of the audit.   Clinical Documentation Improvement Specialist (CDIS) Services: Clinical Documentation Improvement (CDI) is a process where the health record is manually reviewed either concurrently or retrospectively for ambiguous, conflicting, incomplete, or nonspecific provider documentation. The goal of these reviews is to identify clinical indicators to ensure that diagnoses and procedures are supported by diagnostic and procedural codes. This helps to capture the patient s true severity of illness, support resource consumption, and enhance continuity of care. The health record is the primary means of ensuring continuity of care for patients by serving as the method of documenting and communicating health information. Documentation in the health record is also used to evaluate the adequacy and appropriateness of patient care, provide clinical data for research and education, support reimbursement, medical necessity, quality of care measures, and public reporting for healthcare services rendered. This makes capture of a complete and accurate picture of the patient s health status at each encounter, and thus clinical documentation improvement, critically important. The Contractor will provide all CDI related services which include, but may not be limited to, on-site training for providers and/or coders, working directly with providers via phone, email, webinar or other medium, querying providers for clarification of diagnoses, providing appropriate feedback for documentation improvements, performing concurrent coding, attending meetings when requested, review and provide feedback regarding policy, review and/or audit of coding for accuracy, completeness, and inter-rater reliability. Metric reporting will be scheduled by the facility and presented in an agreed upon format. Metrics may be applied to areas such as SAIL data, Medical Record Review, Workload Capture & Productivity Analysis, and VERA reconciliation. Contractor will assign a CDIS who has a minimum of 5 year of experience performing this role in an acute care impatient setting. Approval of CDIS is at the discretion of the facility based on credentials, past performance, and references. CDIS will be available, reachable and responsive during VANCHCS regular business hours by phone or email. A direct phone line and email to the CDIS must be supplied. The CDIS is expected to respond to inquiries as soon as possible but not later than the next business day. Contractor will reveal if selected CDIS is preforming duties for other entities including total number of entities and hours of obligation. Due to the high level of importance of CDI services, VANCHCS reserves the option to request an alternate CDIS at any time for any reason. Training and Education Provide Coding Training to VA Facility Coders: Training applicable to both inpatient and outpatient coding shall be provided. Training topics may be recommended or directed by facility. Coder training may be conducted remotely utilizing an electronic medium accessible to all NCHCS HIM staff unless in person on-site training is specifically requested by facility. Training for the VA facikity coders will be conducted at least monthly up to four hours per quarter Training will include one approved CEU through AAPC/AHIMA per quarter

Original Point of Contact

POC maria.teodoro-tanksley@va.gov

Place of Performance

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