Answer: A monthly estimate of charts to be audited includes on an average: 60 inpatient accounts, 50 Emergency accounts, 10 Mothers and newborn accounts, 20 Same day surgery accounts, 20 Observation accounts and 290 Outpatient clinic accounts. Please provide the monthly chart volumes to be audited by record type (IP, OP, SDS, ED, OBSV, CLINIC). Answer: A monthly estimate of charts to be audited includes on an average: 60 inpatient accounts, 50 Emergency accounts, 10 Mothers and newborn accounts, 20 Same day surgery accounts, 20 Observation accounts and 290 Outpatient clinic accounts. Are the Coding services currently done in-house? Are the coding Services currently outsourced? If yes, What percentage of volumes are coded by the outsourced vendor? Answer: Both, approximately 17% is outsourced. Can the auditing services be performed from an Offshore location? Answer: Yes What is the auditing tool currently used at JPS health? Can the vendor use their use proprietary tool for auditing services? Answer: Yes There was an RFP rolled out for Coding, CDI and auditing services? Is there an Outsourced vendor currently performing coding services? If No, can we provide the pricing for each of the specialty for coding services for JPS health consideration? Answer: Yes, an award was made for Coding and Auditing Services. What are the current challenges faced on coding and auditing front? Answer: Obtaining meaningful analytics, report formatting for JPS required variables, response turnaround time, and the rebuttal process. How many auditors JPS health has currently employed to perform the auditing? Answer: Not applicable What are the reports that vendor must provide to JPS and at what frequency? Answer: Vendor should supply examples in RFP response. What are the KPI expectations for Audit services? Answer: 95% Accuracy rate
Answer: A monthly estimate of charts to be audited includes on an average: 60 inpatient accounts, 50 Emergency accounts, 10 Mothers and newborn accounts, 20 Same day surgery accounts, 20 Observation accounts and 290 Outpatient clinic accounts. Please provide the monthly chart volumes to be audited by record type (IP, OP, SDS, ED, OBSV, CLINIC). Answer: A monthly estimate of charts to be audited includes on an average: 60 inpatient accounts, 50 Emergency accounts, 10 Mothers and newborn accounts, 20 Same day surgery accounts, 20 Observation accounts and 290 Outpatient clinic accounts. Are the Coding services currently done in-house? Are the coding Services currently outsourced? If yes, What percentage of volumes are coded by the outsourced vendor? Answer: Both, approximately 17% is outsourced. Can the auditing services be performed from an Offshore location? Answer: Yes What is the auditing tool currently used at JPS health? Can the vendor use their use proprietary tool for auditing services? Answer: Yes There was an RFP rolled out for Coding, CDI and auditing services? Is there an Outsourced vendor currently performing coding services? If No, can we provide the pricing for each of the specialty for coding services for JPS health consideration? Answer: Yes, an award was made for Coding and Auditing Services. What are the current challenges faced on coding and auditing front? Answer: Obtaining meaningful analytics, report formatting for JPS required variables, response turnaround time, and the rebuttal process. How many auditors JPS health has currently employed to perform the auditing? Answer: Not applicable What are the reports that vendor must provide to JPS and at what frequency? Answer: Vendor should supply examples in RFP response. What are the KPI expectations for Audit services? Answer: 95% Accuracy rate
addendum_1_lh-0508_coding_audting_services.docx