San Mateo Opengov #66000-2526-247

San Mateo Medical Center Reimbursement Consulting Support Services Solicitation

San Mateo Medical Center (SMMC), part of the County of San Mateo, is seeking proposals for Reimbursement Consulting Support Services to support its public hospital and clinic system. - Government Buyer: - County of San Mateo, Health - SMMC - San Mateo Medical Center (SMMC) - Services Requested: - Reimbursement consulting for hospital and clinic operations - Preparation and support for: - Medicare and Medi-Cal Cost Reports - Medi-Cal FQHC PPS Reconciliation Reports - HCAI Annual and Quarterly Financial Disclosure Reports - Workbook Annual Financial Reports - AB85 Realignment Reports - AB915 Claiming Reports - LTC Supplemental Claiming Reports - Projections and analysis of changes to federal and state reimbursement rules - Ad-hoc analysis of receivables and liabilities - Scenario modeling for enrollment structures - Audit support - Notable Requirements: - Expertise in interpreting SMMC's financial accounting (OFAS) and electronic health record (EPIC) systems - 20+ years of relevant experience required - Ability to provide 0.5 to 1.0 FTE of support annually - Compliance with California and federal regulations - Emphasis on local business participation - No specific OEMs or vendors are named in the solicitation - Contract term is five years

Description

San Mateo Medical Center (SMMC) is a public hospital and clinic system fully accredited by The Joint Commission, operating outpatient clinics, an acute-care hospital, and long-term care facilities in San Mateo and Burlingame. The County of San Mateo is seeking proposals for Reimbursement Consulting Support Services to administer hospital reimbursement functions for complex programs. The contractor will provide expertise in designing, preparing, and supporting various financial and reimbursement reports, as well as general support services including projections, analysis, scenario modeling, and audit support. The contract term is expected to be five years, and proposals must be submitted electronically via the eProcurement system by June 15, 2026.

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