Jps Health Network Jpshealthnet #20261404718

JPS Health Network DRG Validation and Payment Recovery Services

Tarrant County Hospital District d/b/a JPS Health Network is seeking DRG validation and payment recovery services for its acute-care hospital operations. - Government buyer: Tarrant County Hospital District d/b/a JPS Health Network; Supply Chain Department, JPS Purchasing Office, Fort Worth, Texas. - Scope: Technology-based, pre-bill Diagnosis Related Group (DRG) validation and identification and recovery of payer underpayments from open and closed accounts. JPS may award the two service components separately. - OEMs and vendors: No OEM or service provider is named. The scope requires integration with Epic; Epic is identified as the hospital system to integrate with, not as the DRG or recovery service provider. - Pricing and quantities: No fixed service quantities, part numbers, or respondent prices are provided. DRG pricing is requested as an annual subscription or license, using approximately 31,723 annual inpatient discharges as a pricing reference only; this is not a guaranteed volume. Payment Recovery is priced as a contingency percentage of recovery. Implementation is a one-time cost, with separate pricing requested for expenses, maintenance, training, education, support, and other fees. - Notable requirements: DRG reviews must occur after coding and before final billing, integrate with Epic, meet agreed accuracy and turnaround standards, and include monthly performance reporting. For a hosted solution, disaster recovery must provide an RTO of no more than three business days and an RPO of no more than five business days. - Payment Recovery requirements: Identify and pursue payer underpayments, including account reprocessing and follow-up; report on identified and recovered amounts, recovery rates, aging, and root causes; and provide recommendations to prevent future payer errors. Medicare and compliance audits are excluded. - Other important requirements: U.S.-only access to PHI, HIPAA and business associate agreement compliance, disclosure of subcontractors, performance and audit provisions, and a 25% good-faith HUB participation goal. - Term and pricing structure: Proposed initial three-year term with two one-year renewal options. DRG renewal pricing for years four and five is subject to the specified Producer Price Index adjustment and a maximum 3% annual collar. Exact start and end dates are not stated.

Description

The Tarrant County Hospital District d/b/a JPS Health Network is seeking proposals for analytics and support services for Diagnosis Related Group (DRG) validation and payment recovery. The District may award different portions of the work to different respondents based on best value and other relevant considerations. Pricing for DRG Validation includes recurring service costs and one-time implementation costs; Payment Recovery is priced separately as a contingency fee based on recovery. Responses are due October 28, 2026, at 2:00 p.m. CST.

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