Questions and Answers for Medical Coding RFP

1) In order to determine level of effort, can you please send out average monthly coding
volumes broken out per service type. A 6 month average should work fine. Example:

Monthly Average
1. I/P 58
2. O/P 700
3. Observation 22
4. O/P Surgery 38
5. Emergency Room 425
6. Clinic 522
7. Hospice, Home Health, Nursing Home, Psych, etc N/A
2) Can we submit a proposal for a flat monthly service fee pricing structure, rather than an
hourly rate or per chart rate?
An amendment to the RFP would be needed to accept a monthly flat rate proposal.
Because offerors are already working on their proposals that are due this week, we
will leave as is. MCMC will consider this next time an RFP is issued for these
services.

3) What EMR are you currently using? Healthland Centriq
1. Will most, if not all, documentation needed to conduct this service be housed within your
EMR system? If not, then we could accept scanned documentation via an .ftp file upload.
All of the documentation will be in the EMR, however some of the information is
scanned into the EHR. Outpatient is partly scanned. This includes surgical clinic, ob/gyn
clinic, primary care clinics, lab, radiology, respiratory etc.

4) Please explain the provision of Facility/Non-facility RVUs entail? Typically this
information is contained within clients EMR system.

Relative Value Units for each procedure for charges, we are interested in what your
procedure values are for charges related to each case.

5) Will we be submitting a code summary page for each account back to you for entry into
the Healthland EMR, or will we be coding directly into your EMR system?

Coding directly into our EMR system.
1. If coding directly into your system, can we utilize our encoder software to push codes
back onto the patients account?
We use the 3M encoder with Healthland Centriq Offerors may use their
encoder, however, MCMC will not incur costs for an interface for your encoder.

6) The 24hour turnaround - from receipt of chart to complete coding - is there any deviation on that
time frame? Page 22 #8
The turnaround time as per the RFP is 24 hours. If your proposal offers a different
turnaround time, it will be evaluated along with the rest of the information in your
proposal. If an offeror submits a proposal with a 24 hour turnaround time, they
will get more points in this area than an offer that submits a proposal with a 96 hour
turnaround time. MCMC is looking of an average turnaround time of 24 hours and
understands that some records will take more time.

7) What is the average annual volume of patient type (breakdown of the number of outpatient,
inpatient, emergency department visits a year, etc)?
1. I/P 710
2. O/P 8,235
3. Observation 260
4. O/P Surgery 430
5. Emergency Room 4,900
6. Clinic 5,800
8) If company does not have independently audited financial statements, would a letter from
businesss banking institutions verifying the companys financial stability suffice? Furthermore,
if the letter would also include the average percentage of monthly business earnings from
medical coding services.
If the most recent years independently audited financial statements and the most current
10K, as well as the financial statements for the preceding three years do not exist, then an
offeror should submit documentation stating the reason and instead submit sufficient
information (e.g. D&B report) to enable the Evaluation Committee to assess the financial
stability of the offeror.