{"canonical":"https://abierto.us/opportunities/36c10b27q0073","key":"36C10B27Q0073","url":"https://abierto.us/opportunities/36c10b27q0073","title":"DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software","solicitation_number":"36C10B27Q0073","notice_type":"r","open":true,"removed":false,"removed_at":null,"response_deadline":"2026-11-06T20:00:00Z","first_posted":"2026-10-23","last_posted":"2026-10-23","department":"VETERANS AFFAIRS, DEPARTMENT OF","subagency":"VETERANS AFFAIRS, DEPARTMENT OF","office":"TECHNOLOGY ACQUISITION CENTER NJ (36C10B)","naics":"541519","psc":"DA01","set_aside":null,"place_state":null,"place_scope":"nationwide","site":null,"place_state_source":null,"place_evidence":"ISTS, AND TRAINING MATERIALS. PROVIDE VIRTUAL","place_county":null,"place_county_name":null,"place_city":null,"place_city_name":null,"winner":null,"award_amount":null,"publications":[{"notice_id":"650978c0876c4ea994b6976213322974","title":"DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software","solicitation_number":"36C10B27Q0073","notice_type":"r","base_type":"r","posted":"2026-10-23","posted_at":"2026-10-23T17:24:13.213Z","due_at":"2026-11-06T20:00:00Z","due_date":"2026-11-06","cancelled":false,"archived":false,"archive_date":"2027-02-04","removed_at":null,"award_number":null,"awardee_name":null,"amount":null,"link_sam":"https://sam.gov/workspace/contract/opp/650978c0876c4ea994b6976213322974/view","enriched":true,"history":[{"index":1,"title":"DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-23T17:24:13.213Z","notice_type":{"code":"r","label":"Sources Sought"},"request_type":"submit","opportunity_id":"650978c0876c4ea994b6976213322974","solicitation_number":"36C10B27Q0073"}]}],"latest_notice_id":"650978c0876c4ea994b6976213322974","first_type":"r","notices":[{"award":{"awardee":{}},"dates":{"posted":"2026-10-23","posted_at":"2026-10-23T17:24:13.213Z","created_at":"2026-10-23T17:24:10.745Z","modified_at":"2026-10-23T17:24:13.213Z","response_deadline":{"raw":"2026-11-06T15:00:00-05:00","utc":"2026-11-06T20:00:00Z","date":"2026-11-06","time":"15:00:00","timezone":"America/New_York","utc_offset_seconds":-18000}},"links":{"sam":"https://sam.gov/workspace/contract/opp/650978c0876c4ea994b6976213322974/view"},"naics":{"codes":["541519"],"primary":"541519"},"title":"DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software","agency":{"office":{"code":"36C10B","name":"TECHNOLOGY ACQUISITION CENTER NJ (36C10B)"},"subtier":{"code":"3600","name":"VETERANS AFFAIRS, DEPARTMENT OF"},"department":{"code":"036","name":"VETERANS AFFAIRS, DEPARTMENT OF"},"office_address":{"zip":"07724","city":"EATONTOWN","state":"NJ","country":"USA"},"organization_id":"100180016","organization_type":"OFFICE"},"status":{"active":true,"latest":true,"deleted":false,"archived":false,"cancelled":false,"publication":"published","archive_date":"2027-02-04","archive_type":"auto_custom"},"history":[{"index":1,"title":"DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-23T17:24:13.213Z","notice_type":{"code":"r","label":"Sources Sought"},"request_type":"submit","opportunity_id":"650978c0876c4ea994b6976213322974","solicitation_number":"36C10B27Q0073"}],"contacts":[{"name":"Michael Frank","role":"primary","email":"Michael.Frank@va.gov","phone":"848-377-5121","title":"Contract Specialist"}],"base_type":{"code":"r","label":"Sources Sought"},"notice_id":"650978c0876c4ea994b6976213322974","lineage_id":"650978c0876c4ea994b6976213322974","provenance":{"detail":{"endpoints":["opportunity","resources","history"],"fetched_at":"2026-10-24T04:14:38.620920112Z"},"extract":{"url":"https://s3.amazonaws.com/falextracts/Contract%20Opportunities/datagov/ContractOpportunitiesFullCSV.csv","etag":"\"711c474d84d2a28796e72d304a2edd84-26\"","fetched_at":"2026-10-24T03:53:47.621077491Z","row_sha256":"68815f20309c09faa51165d508fbc52bf1347aa235a6421f6a7a890bfc4f20d9","last_modified":"2026-10-24T03:30:42Z"},"updated_at":"2026-10-24T04:14:38.620920112Z","first_seen_at":"2026-10-24T03:53:47.621077491Z"},"description":{"html":"Request for Information (RFI)\nHealthcare Data Auditing Billing and Coding Optimization Software - \nThis is a Request for Information (RFI) only. Do not submit a quote.\n\nThe Department of Veterans Affairs (VA), Office of Information & Technology (OIT), is conducting market research to inform a planned future acquisition. The intent is to gather information from qualified solution providers offering solutions to meet this critical business need. The Government seeks industry input on a modern, modular, cloud-based system capable of supporting the coding staff to collect health care data and accurately applying the codes to determine level of care provided to the patient population and ensure timely coding and revenue cycle activities on behalf of the Veterans Health Administration (VHA). \nThis notice is issued solely for market research and planning purposes. It shall not be construed as an Invitation for Bid, Request for Quotation, or Request for Proposal. This RFI does not commit the Government to any acquisition or contract award. Respondents will not be compensated for costs incurred in preparing or submitting information. No funds have been authorized or obligated for this requirement. All submissions become Government property. Respondents are responsible for marking proprietary information.\nVA does not want this market research to assume that today's current solution should simply be carried forward. VA is specifically seeking industry's perspective on how modern technology can meet the ability to provide this auditing, billing and coding capability across VHA. \nVA seeks industry feedback to inform future acquisition strategies for an enterprise-wide Healthcare Data Auditing Billing and Coding Optimization Software that enhances decision making, efficiency, supports VA coding professionals the ability to accurately and consistently code health care encounters and inpatient stays. Responses may support potential socioeconomic set-aside determinations; therefore, submissions should be complete, detailed, and accurate.\n\nDesired Outcomes\nImprove the accuracy, timeliness, consistency, and traceability of coding and billing activities.\nProvide configurable workflows for coding, clinical documentation integrity, billing, utilization review, compliance, and supervisory functions.\nEnable secure, standards-based, near-real-time or real-time exchange with Government clinical, scheduling, billing, identity, analytics, and enterprise data services.\nProvide enterprise, regional, facility, workgroup, and user-level reporting with auditable metrics.\nReduce avoidable manual work, duplicate data entry, proprietary dependencies, and lifecycle cost.\nMaintain continuity of operations, cybersecurity, privacy, accessibility, and records-management compliance.\n\nCapability Requirements\nEnterprise Platform and User Experience\nAn enterprise-capable solution or interoperable suite available to authorized users across geographically distributed facilities.\nRole-based access, configurable menus, work queues, dashboards, alerts, and administrative controls.\nA coherent user experience across coding, documentation integrity, billing, compliance, workflow, and reporting functions, while allowing modular components when beneficial.\nSupport for large user populations and workload growth without per-user barriers that discourage adoption.\nAccessibility consists of applicable Federal information and communication technology requirements and compatibility with common assistive technologies.\n\nCoding and Encounter Management\nSupport identification, assignment, review, coding, recoding, completion, and tracking of inpatient, outpatient, surgical, emergency, behavioral health, long-term care, and other encounters.\nSupport current diagnosis, inpatient procedure, professional procedure, supply, dental, and other applicable code sets, including effective-date validation and version management.\nValidate code relationships, age, clinical attributes, modifiers, provider data, coverage, medical necessity, payer rules, and Government-configurable edits.\nSupport code lookup and integration with one or more coding reference or encoder products through documented interfaces.\nMaintain status, assignment, reassignment, comments, communications, original values, changed values, user identity, reason, and date-time audit history.\n\nClinical Documentation Integrity\nProvide independent, role-appropriate work queues for concurrent and retrospective review.\nIdentify potential documentation improvement opportunities using configurable criteria and transparent logic.\nCreate, route, communicate, and track documentation clarification requests and responses.\nCapture documentation-review codes, grouping results, severity, risk, expected length of stay, quality indicators, and comparison with final coded outcomes where applicable.\nProvide workload, response, impact, quality, and productivity reporting for documentation integrity programs.\n\nBilling, Claim Editing, and Compliance\nProvide institutional and professional claim review before and, where needed, after submission.\nApply national, local, payer, technical, coding, medical necessity, provider identifier, present-on-admission, grouping, sequencing, and Government-defined edits.\nSupport individual and batch claim review, transparent edit explanations, configurable messages, and authorized maintenance of custom rules.\nIdentify incomplete, duplicate, non-billable, held, cancelled, retrospective-insurance, and same-day related encounters and preserve supporting rationale.\nProvide random and targeted sampling, compliance monitoring, complete audit trails, and exportable review results.\n\nWorkflow and Auditability\nProvide configurable work assignment, prioritization, routing, escalation, suspense, alerts, and closure across organizational levels.\nEnable secure communication among coding, documentation integrity, billing, clinical, utilization review, compliance, supervisory, and technical personnel.\nMaintain tamper-evident or otherwise trustworthy audit history for user, system, rule, integration, and administrative actions.\nPermit authorized users to configure workflows and rules without vendor software development when feasible.\nExpose workflow data through documented interfaces and export mechanisms.\n\nIntegration and Data Exchange\nSupport bidirectional integration with the VistA electronic health record, legacy clinical, scheduling, admissions/discharge/transfer, surgery, clinical documentation, imaging report, laboratory, radiology, procedure, provider, identity, billing, and enterprise data services.\nUse documented, standards-based interfaces where practicable, including modern application programming interfaces and recognized health data exchange standards.\nDescribe support for synchronous, asynchronous, event-driven, batch, and secure file exchange patterns, including reconciliation and error handling.\nProvide interface monitoring, message traceability, retry, alerting, testing, version control, and non-production environments.\nAllow the Government or a designated third party to integrate, automate, and extract data through appropriately secured interfaces without unnecessary contractual restrictions.\n\nReporting, Analytics, and Data Portability\nProvide configurable dashboards, recurring reports, ad hoc analysis, data mining, filtering, sorting, alerts, and exports.\nSupport enterprise, regional, facility, service, team, role, and user-level reporting for workload, timeliness, productivity, accuracy, quality, compliance, workflow, and revenue status.\nIntegrate with Government analytics and enterprise data platforms, including common business intelligence tools.\nProvide complete, documented data dictionaries, lineage, metadata, refresh frequency, retention controls, and historical access.\nEnable Government-controlled export of transactional, audit, configuration, rule, reference, workflow, and reporting data in open, usable formats without additional extraction fees.\n\nCybersecurity, Privacy, Identity, and Records\nComply with applicable Federal and agency cybersecurity, privacy, risk management, supply-chain, records, breach-response, encryption, and continuous-monitoring requirements.\nSupport phishing-resistant multifactor authentication, Federal credentials, federation, role-based access, least privilege, separation of duties, automated provisioning, and deprovisioning.\nEncrypt sensitive data in transit and at rest using validated cryptographic modules and support secure logging and security information and event management integration.\nProvide software bill of materials, secure development evidence, vulnerability disclosure and remediation practices, penetration testing information, and supply-chain transparency.\nSupport Government data ownership, records schedules, legal holds, retention, export, sanitization, incident investigation, and transition obligations.\n\nHosting, Deployment, Performance, and Continuity\nDescribe available VA-hosted, contractor-hosted, cloud, hybrid, and managed-service deployment models and the security authorization implications of each.\nSupport high availability, backup, restore, disaster recovery, continuity of operations, capacity monitoring, performance monitoring, and geographically distributed use.\nDescribe measurable service levels for availability, response time, incident triage, restoration, data recovery, and support.\nProvide separate development, test, training, staging, and production capabilities with controlled promotion and rollback.\nSupport coexistence, phased deployment, pilot operations, and rollback during transition.\n\nImplementation, Training, Support, and Transition\nProvide program management, discovery, configuration, integration, data migration, testing, deployment, change management, adoption, and risk management services.\nProvide role-based product documentation, administrator guides, release notes, interface documentation, installation instructions, validation checklists, and training materials.\nProvide virtual and, if required, on-site training for users, administrators, support personnel, and report developers.\nProvide a service desk with ticket tracking, escalation, status communications, knowledge management, and performance reporting.\nProvide transition-in and transition-out support, including data and configuration export, interface documentation, knowledge transfer, and cooperation with successor providers.\n\nLicensing and Commercial Terms\nOffer clear pricing for software, subscriptions, hosting, environments, interfaces, implementation, migration, training, support, maintenance, reporting, storage, and optional services.\nDisclose all metrics that affect price, including users, facilities, transactions, encounters, claims, interfaces, environments, storage, processing, reports, and data egress.\nDescribe enterprise, consumption, concurrent-user, named-user, facility, transaction, and other licensing alternatives.\nIdentify third-party products, code sets, cloud services, and pass-through charges required for full operation.\nProvide terms that support Government data rights, portability, continuity, interface access, competition, and reasonable exit costs.\n\nQuestions\n\nDescribe your organization, relevant health care market experience, role in the proposed offering, and whether you are the software publisher, prime integrator, reseller, managed service provider, or another participant. \n\nDescribe the recommended architecture and explain which capabilities are provided by a single platform versus modular or third-party components. Include major technology, data, interface, and deployment layers.\n\nIdentify which capabilities are commercially available today, generally available delivery dates for planned capabilities, and any capability that would require VA funded development. \n\nDescribe supported health data standards, application programming interfaces, messaging methods, integration engines, batch exchanges, and legacy integration approaches. Explain how interface specifications, test tools, and version changes are managed.\n\nDescribe VA ownership and access rights for all operational, configuration, rule, audit, metadata, and reporting data. Explain full and incremental export methods, formats, frequency, egress charges, and transition support.\n\nDescribe how the offering integrates with multiple coding reference or encoder products. What effort, cost, testing, or downtime would be required to change such a component?\n\nDescribe how the solution identifies, prioritizes, routes, tracks, and reports documentation improvement opportunities. Explain whether the logic is explainable, configurable, and auditable.\n\nDescribe supported institutional and professional claim edits, payer rules, national and local edits, custom-rule administration, batch processing, and transparency of edit rationale.\n\n\nDescribe built-in and external analytics capabilities, data refresh options, historical data support, semantic models, data dictionaries, and integration with common business intelligence platforms.\n\nDescribe conformance with applicable accessibility standards, available conformance reports, testing with assistive technologies, known exceptions, and remediation practices.\n\nProvide relevant production-scale examples and measurable performance characteristics. Explain capacity planning, concurrent-user handling, peak transaction management, and performance monitoring.\n\nProvide proposed service levels for uptime, planned maintenance, incident response, restoration, recovery time, recovery point, backup validation, and disaster recovery testing.\n\nProvide a notional phased implementation approach, including discovery, configuration, interfaces, migration, testing, pilot, training, deployment, stabilization, and enterprise rollout. Identify key Government dependencies.\n\nDescribe how the solution can coexist with incumbent workflows and systems. Explain migration of active work, history, configuration, rules, interfaces, reports, users, and audit data, including validation and rollback.\n\nProvide available licensing models and identify every quantity or event that may change cost. Explain treatment of non-production environments, disaster recovery, temporary surge users, service accounts, interfaces, automation, analytics, and third-party access. \n\nProvide notional price ranges or unit pricing for software, implementation, interfaces, migration, environments, hosting, training, maintenance, support, storage, data egress, and transition. State assumptions and identify one-time versus recurring costs. \n\nIdentify the technical, operational, and commercial factors the Government should use to distinguish value among competing approaches. Identify common hidden costs or acquisition structures that may reduce competition or increase lifecycle cost.\n\nRecommend an acquisition structure that promotes competition, modularity, accountability, and successful integration. Discuss advantages and risks of a single prime, multiple awards, modular tasking, software subscriptions, managed services, or other approaches.\n\nIdentify the most significant technical, operational, security, data, organizational, schedule, and commercial risks, together with practical mitigations and Government decisions needed early.\n\n\nRespondent Information and Business Profile\n\nTo support VA market research, socioeconomic analysis, and acquisition planning, respondents shall provide the following information:\nLegal business name and Unique Entity Identifier (UEI).\nBusiness size status under the identified NAICS code (currently anticipated as NAICS 541512).\nSocioeconomic status, including whether the respondent is an SBA-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), HUBZone Small Business, 8(a) Small Business, Women-Owned Small Business (WOSB), Economically Disadvantaged Women-Owned Small Business (EDWOSB), Small Disadvantaged Business (SDB), or other Small Business concern.\nCurrent registration status in SAM.gov and SBA VetCert status, if applicable.\nRelevant Government-wide, multi-agency, or agency-specific contract vehicles through which the respondent could provide the required services.\nWhether the respondent anticipates performing as a prime contractor, subcontractor, or member of a contractor team arrangement.\nEstimated percentage of contract performance that would be performed directly by the respondent.\nIf the acquisition were set aside for small business, SDVOSB, or VOSB participation, whether the respondent believes it can comply with applicable limitations on subcontracting requirements and any associated assumptions.\nRelevant experience operating, integrating, modernizing, or supporting enterprise-scale data, analytics, integration, interoperability, or related mission-critical environments of similar size, complexity, and risk.\nRecommended NAICS code(s) and Product Service Code(s) (PSC), including rationale if the respondent believes a different NAICS code or PSC would better describe the requirement.\nThe Government will use this information to support market research, acquisition planning, analysis of available sources, assessment of small business participation opportunities, consideration of the Veterans First Contracting Program, and any resulting set-aside determinations. Responses will not be used for proposal evaluation purposes.\n\nSubmittal Information:\n\nPlease provide your response by 3:00PM ET on Friday November 6, 2026, \nvia email to Michael.Frank@va.gov with the subject line: RFI Response - Healthcare Data Auditing Billing and Coding Optimization Software. \n\nRequest page count to not exceed 20 pages. \n\nAll VA current requirements identified herein are subject to change at any time. If you experience any problems or have any questions concerning this announcement, please contact Michael.Frank@va.gov. VA appreciates your time and anticipated response.","text":"Request for Information (RFI)\nHealthcare Data Auditing Billing and Coding Optimization Software -\nThis is a Request for Information (RFI) only. Do not submit a quote.\n\nThe Department of Veterans Affairs (VA), Office of Information & Technology (OIT), is conducting market research to inform a planned future acquisition. The intent is to gather information from qualified solution providers offering solutions to meet this critical business need. The Government seeks industry input on a modern, modular, cloud-based system capable of supporting the coding staff to collect health care data and accurately applying the codes to determine level of care provided to the patient population and ensure timely coding and revenue cycle activities on behalf of the Veterans Health Administration (VHA).\nThis notice is issued solely for market research and planning purposes. It shall not be construed as an Invitation for Bid, Request for Quotation, or Request for Proposal. This RFI does not commit the Government to any acquisition or contract award. Respondents will not be compensated for costs incurred in preparing or submitting information. No funds have been authorized or obligated for this requirement. All submissions become Government property. Respondents are responsible for marking proprietary information.\nVA does not want this market research to assume that today's current solution should simply be carried forward. VA is specifically seeking industry's perspective on how modern technology can meet the ability to provide this auditing, billing and coding capability across VHA.\nVA seeks industry feedback to inform future acquisition strategies for an enterprise-wide Healthcare Data Auditing Billing and Coding Optimization Software that enhances decision making, efficiency, supports VA coding professionals the ability to accurately and consistently code health care encounters and inpatient stays. Responses may support potential socioeconomic set-aside determinations; therefore, submissions should be complete, detailed, and accurate.\n\nDesired Outcomes\nImprove the accuracy, timeliness, consistency, and traceability of coding and billing activities.\nProvide configurable workflows for coding, clinical documentation integrity, billing, utilization review, compliance, and supervisory functions.\nEnable secure, standards-based, near-real-time or real-time exchange with Government clinical, scheduling, billing, identity, analytics, and enterprise data services.\nProvide enterprise, regional, facility, workgroup, and user-level reporting with auditable metrics.\nReduce avoidable manual work, duplicate data entry, proprietary dependencies, and lifecycle cost.\nMaintain continuity of operations, cybersecurity, privacy, accessibility, and records-management compliance.\n\nCapability Requirements\nEnterprise Platform and User Experience\nAn enterprise-capable solution or interoperable suite available to authorized users across geographically distributed facilities.\nRole-based access, configurable menus, work queues, dashboards, alerts, and administrative controls.\nA coherent user experience across coding, documentation integrity, billing, compliance, workflow, and reporting functions, while allowing modular components when beneficial.\nSupport for large user populations and workload growth without per-user barriers that discourage adoption.\nAccessibility consists of applicable Federal information and communication technology requirements and compatibility with common assistive technologies.\n\nCoding and Encounter Management\nSupport identification, assignment, review, coding, recoding, completion, and tracking of inpatient, outpatient, surgical, emergency, behavioral health, long-term care, and other encounters.\nSupport current diagnosis, inpatient procedure, professional procedure, supply, dental, and other applicable code sets, including effective-date validation and version management.\nValidate code relationships, age, clinical attributes, modifiers, provider data, coverage, medical necessity, payer rules, and Government-configurable edits.\nSupport code lookup and integration with one or more coding reference or encoder products through documented interfaces.\nMaintain status, assignment, reassignment, comments, communications, original values, changed values, user identity, reason, and date-time audit history.\n\nClinical Documentation Integrity\nProvide independent, role-appropriate work queues for concurrent and retrospective review.\nIdentify potential documentation improvement opportunities using configurable criteria and transparent logic.\nCreate, route, communicate, and track documentation clarification requests and responses.\nCapture documentation-review codes, grouping results, severity, risk, expected length of stay, quality indicators, and comparison with final coded outcomes where applicable.\nProvide workload, response, impact, quality, and productivity reporting for documentation integrity programs.\n\nBilling, Claim Editing, and Compliance\nProvide institutional and professional claim review before and, where needed, after submission.\nApply national, local, payer, technical, coding, medical necessity, provider identifier, present-on-admission, grouping, sequencing, and Government-defined edits.\nSupport individual and batch claim review, transparent edit explanations, configurable messages, and authorized maintenance of custom rules.\nIdentify incomplete, duplicate, non-billable, held, cancelled, retrospective-insurance, and same-day related encounters and preserve supporting rationale.\nProvide random and targeted sampling, compliance monitoring, complete audit trails, and exportable review results.\n\nWorkflow and Auditability\nProvide configurable work assignment, prioritization, routing, escalation, suspense, alerts, and closure across organizational levels.\nEnable secure communication among coding, documentation integrity, billing, clinical, utilization review, compliance, supervisory, and technical personnel.\nMaintain tamper-evident or otherwise trustworthy audit history for user, system, rule, integration, and administrative actions.\nPermit authorized users to configure workflows and rules without vendor software development when feasible.\nExpose workflow data through documented interfaces and export mechanisms.\n\nIntegration and Data Exchange\nSupport bidirectional integration with the VistA electronic health record, legacy clinical, scheduling, admissions/discharge/transfer, surgery, clinical documentation, imaging report, laboratory, radiology, procedure, provider, identity, billing, and enterprise data services.\nUse documented, standards-based interfaces where practicable, including modern application programming interfaces and recognized health data exchange standards.\nDescribe support for synchronous, asynchronous, event-driven, batch, and secure file exchange patterns, including reconciliation and error handling.\nProvide interface monitoring, message traceability, retry, alerting, testing, version control, and non-production environments.\nAllow the Government or a designated third party to integrate, automate, and extract data through appropriately secured interfaces without unnecessary contractual restrictions.\n\nReporting, Analytics, and Data Portability\nProvide configurable dashboards, recurring reports, ad hoc analysis, data mining, filtering, sorting, alerts, and exports.\nSupport enterprise, regional, facility, service, team, role, and user-level reporting for workload, timeliness, productivity, accuracy, quality, compliance, workflow, and revenue status.\nIntegrate with Government analytics and enterprise data platforms, including common business intelligence tools.\nProvide complete, documented data dictionaries, lineage, metadata, refresh frequency, retention controls, and historical access.\nEnable Government-controlled export of transactional, audit, configuration, rule, reference, workflow, and reporting data in open, usable formats without additional extraction fees.\n\nCybersecurity, Privacy, Identity, and Records\nComply with applicable Federal and agency cybersecurity, privacy, risk management, supply-chain, records, breach-response, encryption, and continuous-monitoring requirements.\nSupport phishing-resistant multifactor authentication, Federal credentials, federation, role-based access, least privilege, separation of duties, automated provisioning, and deprovisioning.\nEncrypt sensitive data in transit and at rest using validated cryptographic modules and support secure logging and security information and event management integration.\nProvide software bill of materials, secure development evidence, vulnerability disclosure and remediation practices, penetration testing information, and supply-chain transparency.\nSupport Government data ownership, records schedules, legal holds, retention, export, sanitization, incident investigation, and transition obligations.\n\nHosting, Deployment, Performance, and Continuity\nDescribe available VA-hosted, contractor-hosted, cloud, hybrid, and managed-service deployment models and the security authorization implications of each.\nSupport high availability, backup, restore, disaster recovery, continuity of operations, capacity monitoring, performance monitoring, and geographically distributed use.\nDescribe measurable service levels for availability, response time, incident triage, restoration, data recovery, and support.\nProvide separate development, test, training, staging, and production capabilities with controlled promotion and rollback.\nSupport coexistence, phased deployment, pilot operations, and rollback during transition.\n\nImplementation, Training, Support, and Transition\nProvide program management, discovery, configuration, integration, data migration, testing, deployment, change management, adoption, and risk management services.\nProvide role-based product documentation, administrator guides, release notes, interface documentation, installation instructions, validation checklists, and training materials.\nProvide virtual and, if required, on-site training for users, administrators, support personnel, and report developers.\nProvide a service desk with ticket tracking, escalation, status communications, knowledge management, and performance reporting.\nProvide transition-in and transition-out support, including data and configuration export, interface documentation, knowledge transfer, and cooperation with successor providers.\n\nLicensing and Commercial Terms\nOffer clear pricing for software, subscriptions, hosting, environments, interfaces, implementation, migration, training, support, maintenance, reporting, storage, and optional services.\nDisclose all metrics that affect price, including users, facilities, transactions, encounters, claims, interfaces, environments, storage, processing, reports, and data egress.\nDescribe enterprise, consumption, concurrent-user, named-user, facility, transaction, and other licensing alternatives.\nIdentify third-party products, code sets, cloud services, and pass-through charges required for full operation.\nProvide terms that support Government data rights, portability, continuity, interface access, competition, and reasonable exit costs.\n\nQuestions\n\nDescribe your organization, relevant health care market experience, role in the proposed offering, and whether you are the software publisher, prime integrator, reseller, managed service provider, or another participant.\n\nDescribe the recommended architecture and explain which capabilities are provided by a single platform versus modular or third-party components. Include major technology, data, interface, and deployment layers.\n\nIdentify which capabilities are commercially available today, generally available delivery dates for planned capabilities, and any capability that would require VA funded development.\n\nDescribe supported health data standards, application programming interfaces, messaging methods, integration engines, batch exchanges, and legacy integration approaches. Explain how interface specifications, test tools, and version changes are managed.\n\nDescribe VA ownership and access rights for all operational, configuration, rule, audit, metadata, and reporting data. Explain full and incremental export methods, formats, frequency, egress charges, and transition support.\n\nDescribe how the offering integrates with multiple coding reference or encoder products. What effort, cost, testing, or downtime would be required to change such a component?\n\nDescribe how the solution identifies, prioritizes, routes, tracks, and reports documentation improvement opportunities. Explain whether the logic is explainable, configurable, and auditable.\n\nDescribe supported institutional and professional claim edits, payer rules, national and local edits, custom-rule administration, batch processing, and transparency of edit rationale.\n\nDescribe built-in and external analytics capabilities, data refresh options, historical data support, semantic models, data dictionaries, and integration with common business intelligence platforms.\n\nDescribe conformance with applicable accessibility standards, available conformance reports, testing with assistive technologies, known exceptions, and remediation practices.\n\nProvide relevant production-scale examples and measurable performance characteristics. Explain capacity planning, concurrent-user handling, peak transaction management, and performance monitoring.\n\nProvide proposed service levels for uptime, planned maintenance, incident response, restoration, recovery time, recovery point, backup validation, and disaster recovery testing.\n\nProvide a notional phased implementation approach, including discovery, configuration, interfaces, migration, testing, pilot, training, deployment, stabilization, and enterprise rollout. Identify key Government dependencies.\n\nDescribe how the solution can coexist with incumbent workflows and systems. Explain migration of active work, history, configuration, rules, interfaces, reports, users, and audit data, including validation and rollback.\n\nProvide available licensing models and identify every quantity or event that may change cost. Explain treatment of non-production environments, disaster recovery, temporary surge users, service accounts, interfaces, automation, analytics, and third-party access.\n\nProvide notional price ranges or unit pricing for software, implementation, interfaces, migration, environments, hosting, training, maintenance, support, storage, data egress, and transition. State assumptions and identify one-time versus recurring costs.\n\nIdentify the technical, operational, and commercial factors the Government should use to distinguish value among competing approaches. Identify common hidden costs or acquisition structures that may reduce competition or increase lifecycle cost.\n\nRecommend an acquisition structure that promotes competition, modularity, accountability, and successful integration. Discuss advantages and risks of a single prime, multiple awards, modular tasking, software subscriptions, managed services, or other approaches.\n\nIdentify the most significant technical, operational, security, data, organizational, schedule, and commercial risks, together with practical mitigations and Government decisions needed early.\n\nRespondent Information and Business Profile\n\nTo support VA market research, socioeconomic analysis, and acquisition planning, respondents shall provide the following information:\nLegal business name and Unique Entity Identifier (UEI).\nBusiness size status under the identified NAICS code (currently anticipated as NAICS 541512).\nSocioeconomic status, including whether the respondent is an SBA-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), HUBZone Small Business, 8(a) Small Business, Women-Owned Small Business (WOSB), Economically Disadvantaged Women-Owned Small Business (EDWOSB), Small Disadvantaged Business (SDB), or other Small Business concern.\nCurrent registration status in SAM.gov and SBA VetCert status, if applicable.\nRelevant Government-wide, multi-agency, or agency-specific contract vehicles through which the respondent could provide the required services.\nWhether the respondent anticipates performing as a prime contractor, subcontractor, or member of a contractor team arrangement.\nEstimated percentage of contract performance that would be performed directly by the respondent.\nIf the acquisition were set aside for small business, SDVOSB, or VOSB participation, whether the respondent believes it can comply with applicable limitations on subcontracting requirements and any associated assumptions.\nRelevant experience operating, integrating, modernizing, or supporting enterprise-scale data, analytics, integration, interoperability, or related mission-critical environments of similar size, complexity, and risk.\nRecommended NAICS code(s) and Product Service Code(s) (PSC), including rationale if the respondent believes a different NAICS code or PSC would better describe the requirement.\nThe Government will use this information to support market research, acquisition planning, analysis of available sources, assessment of small business participation opportunities, consideration of the Veterans First Contracting Program, and any resulting set-aside determinations. Responses will not be used for proposal evaluation purposes.\n\nSubmittal Information:\n\nPlease provide your response by 3:00PM ET on Friday November 6, 2026,\nvia email to Michael.Frank@va.gov with the subject line: RFI Response - Healthcare Data Auditing Billing and Coding Optimization Software.\n\nRequest page count to not exceed 20 pages.\n\nAll VA current requirements identified herein are subject to change at any time. If you experience any problems or have any questions concerning this announcement, please contact Michael.Frank@va.gov. VA appreciates your time and anticipated response.","origin":"detail"},"notice_type":{"code":"r","label":"Sources Sought"},"schema_version":1,"solicitation_number":"36C10B27Q0073","product_service_code":"DA01"}],"due_at":"2026-11-06T20:00:00Z","due_date":"2026-11-06","closes_at":"2026-11-06T20:00:00Z","awardable":true,"dept_key":"d-036","dept_name":"VETERANS AFFAIRS, DEPARTMENT OF","sub_key":"s-3600","sub_name":"VETERANS AFFAIRS, DEPARTMENT OF","office_key":"o-36C10B","office_name":"TECHNOLOGY ACQUISITION CENTER NJ (36C10B)","state":null,"county":null,"county_name":null,"city":null,"city_name":null,"country":null,"state_source":null,"state_evidence":"ISTS, AND TRAINING MATERIALS. PROVIDE VIRTUAL","site_key":null,"winner_key":null,"amount":null,"linked_awards":0,"cancelled":false,"archived":false,"updated_at":"2026-10-24T03:56:54.139438Z","principal_notice_id":"650978c0876c4ea994b6976213322974","description":{"text":"Request for Information (RFI)\nHealthcare Data Auditing Billing and Coding Optimization Software -\nThis is a Request for Information (RFI) only. Do not submit a quote.\n\nThe Department of Veterans Affairs (VA), Office of Information & Technology (OIT), is conducting market research to inform a planned future acquisition. The intent is to gather information from qualified solution providers offering solutions to meet this critical business need. The Government seeks industry input on a modern, modular, cloud-based system capable of supporting the coding staff to collect health care data and accurately applying the codes to determine level of care provided to the patient population and ensure timely coding and revenue cycle activities on behalf of the Veterans Health Administration (VHA).\nThis notice is issued solely for market research and planning purposes. It shall not be construed as an Invitation for Bid, Request for Quotation, or Request for Proposal. This RFI does not commit the Government to any acquisition or contract award. Respondents will not be compensated for costs incurred in preparing or submitting information. No funds have been authorized or obligated for this requirement. All submissions become Government property. Respondents are responsible for marking proprietary information.\nVA does not want this market research to assume that today's current solution should simply be carried forward. VA is specifically seeking industry's perspective on how modern technology can meet the ability to provide this auditing, billing and coding capability across VHA.\nVA seeks industry feedback to inform future acquisition strategies for an enterprise-wide Healthcare Data Auditing Billing and Coding Optimization Software that enhances decision making, efficiency, supports VA coding professionals the ability to accurately and consistently code health care encounters and inpatient stays. Responses may support potential socioeconomic set-aside determinations; therefore, submissions should be complete, detailed, and accurate.\n\nDesired Outcomes\nImprove the accuracy, timeliness, consistency, and traceability of coding and billing activities.\nProvide configurable workflows for coding, clinical documentation integrity, billing, utilization review, compliance, and supervisory functions.\nEnable secure, standards-based, near-real-time or real-time exchange with Government clinical, scheduling, billing, identity, analytics, and enterprise data services.\nProvide enterprise, regional, facility, workgroup, and user-level reporting with auditable metrics.\nReduce avoidable manual work, duplicate data entry, proprietary dependencies, and lifecycle cost.\nMaintain continuity of operations, cybersecurity, privacy, accessibility, and records-management compliance.\n\nCapability Requirements\nEnterprise Platform and User Experience\nAn enterprise-capable solution or interoperable suite available to authorized users across geographically distributed facilities.\nRole-based access, configurable menus, work queues, dashboards, alerts, and administrative controls.\nA coherent user experience across coding, documentation integrity, billing, compliance, workflow, and reporting functions, while allowing modular components when beneficial.\nSupport for large user populations and workload growth without per-user barriers that discourage adoption.\nAccessibility consists of applicable Federal information and communication technology requirements and compatibility with common assistive technologies.\n\nCoding and Encounter Management\nSupport identification, assignment, review, coding, recoding, completion, and tracking of inpatient, outpatient, surgical, emergency, behavioral health, long-term care, and other encounters.\nSupport current diagnosis, inpatient procedure, professional procedure, supply, dental, and other applicable code sets, including effective-date validation and version management.\nValidate code relationships, age, clinical attributes, modifiers, provider data, coverage, medical necessity, payer rules, and Government-configurable edits.\nSupport code lookup and integration with one or more coding reference or encoder products through documented interfaces.\nMaintain status, assignment, reassignment, comments, communications, original values, changed values, user identity, reason, and date-time audit history.\n\nClinical Documentation Integrity\nProvide independent, role-appropriate work queues for concurrent and retrospective review.\nIdentify potential documentation improvement opportunities using configurable criteria and transparent logic.\nCreate, route, communicate, and track documentation clarification requests and responses.\nCapture documentation-review codes, grouping results, severity, risk, expected length of stay, quality indicators, and comparison with final coded outcomes where applicable.\nProvide workload, response, impact, quality, and productivity reporting for documentation integrity programs.\n\nBilling, Claim Editing, and Compliance\nProvide institutional and professional claim review before and, where needed, after submission.\nApply national, local, payer, technical, coding, medical necessity, provider identifier, present-on-admission, grouping, sequencing, and Government-defined edits.\nSupport individual and batch claim review, transparent edit explanations, configurable messages, and authorized maintenance of custom rules.\nIdentify incomplete, duplicate, non-billable, held, cancelled, retrospective-insurance, and same-day related encounters and preserve supporting rationale.\nProvide random and targeted sampling, compliance monitoring, complete audit trails, and exportable review results.\n\nWorkflow and Auditability\nProvide configurable work assignment, prioritization, routing, escalation, suspense, alerts, and closure across organizational levels.\nEnable secure communication among coding, documentation integrity, billing, clinical, utilization review, compliance, supervisory, and technical personnel.\nMaintain tamper-evident or otherwise trustworthy audit history for user, system, rule, integration, and administrative actions.\nPermit authorized users to configure workflows and rules without vendor software development when feasible.\nExpose workflow data through documented interfaces and export mechanisms.\n\nIntegration and Data Exchange\nSupport bidirectional integration with the VistA electronic health record, legacy clinical, scheduling, admissions/discharge/transfer, surgery, clinical documentation, imaging report, laboratory, radiology, procedure, provider, identity, billing, and enterprise data services.\nUse documented, standards-based interfaces where practicable, including modern application programming interfaces and recognized health data exchange standards.\nDescribe support for synchronous, asynchronous, event-driven, batch, and secure file exchange patterns, including reconciliation and error handling.\nProvide interface monitoring, message traceability, retry, alerting, testing, version control, and non-production environments.\nAllow the Government or a designated third party to integrate, automate, and extract data through appropriately secured interfaces without unnecessary contractual restrictions.\n\nReporting, Analytics, and Data Portability\nProvide configurable dashboards, recurring reports, ad hoc analysis, data mining, filtering, sorting, alerts, and exports.\nSupport enterprise, regional, facility, service, team, role, and user-level reporting for workload, timeliness, productivity, accuracy, quality, compliance, workflow, and revenue status.\nIntegrate with Government analytics and enterprise data platforms, including common business intelligence tools.\nProvide complete, documented data dictionaries, lineage, metadata, refresh frequency, retention controls, and historical access.\nEnable Government-controlled export of transactional, audit, configuration, rule, reference, workflow, and reporting data in open, usable formats without additional extraction fees.\n\nCybersecurity, Privacy, Identity, and Records\nComply with applicable Federal and agency cybersecurity, privacy, risk management, supply-chain, records, breach-response, encryption, and continuous-monitoring requirements.\nSupport phishing-resistant multifactor authentication, Federal credentials, federation, role-based access, least privilege, separation of duties, automated provisioning, and deprovisioning.\nEncrypt sensitive data in transit and at rest using validated cryptographic modules and support secure logging and security information and event management integration.\nProvide software bill of materials, secure development evidence, vulnerability disclosure and remediation practices, penetration testing information, and supply-chain transparency.\nSupport Government data ownership, records schedules, legal holds, retention, export, sanitization, incident investigation, and transition obligations.\n\nHosting, Deployment, Performance, and Continuity\nDescribe available VA-hosted, contractor-hosted, cloud, hybrid, and managed-service deployment models and the security authorization implications of each.\nSupport high availability, backup, restore, disaster recovery, continuity of operations, capacity monitoring, performance monitoring, and geographically distributed use.\nDescribe measurable service levels for availability, response time, incident triage, restoration, data recovery, and support.\nProvide separate development, test, training, staging, and production capabilities with controlled promotion and rollback.\nSupport coexistence, phased deployment, pilot operations, and rollback during transition.\n\nImplementation, Training, Support, and Transition\nProvide program management, discovery, configuration, integration, data migration, testing, deployment, change management, adoption, and risk management services.\nProvide role-based product documentation, administrator guides, release notes, interface documentation, installation instructions, validation checklists, and training materials.\nProvide virtual and, if required, on-site training for users, administrators, support personnel, and report developers.\nProvide a service desk with ticket tracking, escalation, status communications, knowledge management, and performance reporting.\nProvide transition-in and transition-out support, including data and configuration export, interface documentation, knowledge transfer, and cooperation with successor providers.\n\nLicensing and Commercial Terms\nOffer clear pricing for software, subscriptions, hosting, environments, interfaces, implementation, migration, training, support, maintenance, reporting, storage, and optional services.\nDisclose all metrics that affect price, including users, facilities, transactions, encounters, claims, interfaces, environments, storage, processing, reports, and data egress.\nDescribe enterprise, consumption, concurrent-user, named-user, facility, transaction, and other licensing alternatives.\nIdentify third-party products, code sets, cloud services, and pass-through charges required for full operation.\nProvide terms that support Government data rights, portability, continuity, interface access, competition, and reasonable exit costs.\n\nQuestions\n\nDescribe your organization, relevant health care market experience, role in the proposed offering, and whether you are the software publisher, prime integrator, reseller, managed service provider, or another participant.\n\nDescribe the recommended architecture and explain which capabilities are provided by a single platform versus modular or third-party components. Include major technology, data, interface, and deployment layers.\n\nIdentify which capabilities are commercially available today, generally available delivery dates for planned capabilities, and any capability that would require VA funded development.\n\nDescribe supported health data standards, application programming interfaces, messaging methods, integration engines, batch exchanges, and legacy integration approaches. Explain how interface specifications, test tools, and version changes are managed.\n\nDescribe VA ownership and access rights for all operational, configuration, rule, audit, metadata, and reporting data. Explain full and incremental export methods, formats, frequency, egress charges, and transition support.\n\nDescribe how the offering integrates with multiple coding reference or encoder products. What effort, cost, testing, or downtime would be required to change such a component?\n\nDescribe how the solution identifies, prioritizes, routes, tracks, and reports documentation improvement opportunities. Explain whether the logic is explainable, configurable, and auditable.\n\nDescribe supported institutional and professional claim edits, payer rules, national and local edits, custom-rule administration, batch processing, and transparency of edit rationale.\n\nDescribe built-in and external analytics capabilities, data refresh options, historical data support, semantic models, data dictionaries, and integration with common business intelligence platforms.\n\nDescribe conformance with applicable accessibility standards, available conformance reports, testing with assistive technologies, known exceptions, and remediation practices.\n\nProvide relevant production-scale examples and measurable performance characteristics. Explain capacity planning, concurrent-user handling, peak transaction management, and performance monitoring.\n\nProvide proposed service levels for uptime, planned maintenance, incident response, restoration, recovery time, recovery point, backup validation, and disaster recovery testing.\n\nProvide a notional phased implementation approach, including discovery, configuration, interfaces, migration, testing, pilot, training, deployment, stabilization, and enterprise rollout. Identify key Government dependencies.\n\nDescribe how the solution can coexist with incumbent workflows and systems. Explain migration of active work, history, configuration, rules, interfaces, reports, users, and audit data, including validation and rollback.\n\nProvide available licensing models and identify every quantity or event that may change cost. Explain treatment of non-production environments, disaster recovery, temporary surge users, service accounts, interfaces, automation, analytics, and third-party access.\n\nProvide notional price ranges or unit pricing for software, implementation, interfaces, migration, environments, hosting, training, maintenance, support, storage, data egress, and transition. State assumptions and identify one-time versus recurring costs.\n\nIdentify the technical, operational, and commercial factors the Government should use to distinguish value among competing approaches. Identify common hidden costs or acquisition structures that may reduce competition or increase lifecycle cost.\n\nRecommend an acquisition structure that promotes competition, modularity, accountability, and successful integration. Discuss advantages and risks of a single prime, multiple awards, modular tasking, software subscriptions, managed services, or other approaches.\n\nIdentify the most significant technical, operational, security, data, organizational, schedule, and commercial risks, together with practical mitigations and Government decisions needed early.\n\nRespondent Information and Business Profile\n\nTo support VA market research, socioeconomic analysis, and acquisition planning, respondents shall provide the following information:\nLegal business name and Unique Entity Identifier (UEI).\nBusiness size status under the identified NAICS code (currently anticipated as NAICS 541512).\nSocioeconomic status, including whether the respondent is an SBA-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), HUBZone Small Business, 8(a) Small Business, Women-Owned Small Business (WOSB), Economically Disadvantaged Women-Owned Small Business (EDWOSB), Small Disadvantaged Business (SDB), or other Small Business concern.\nCurrent registration status in SAM.gov and SBA VetCert status, if applicable.\nRelevant Government-wide, multi-agency, or agency-specific contract vehicles through which the respondent could provide the required services.\nWhether the respondent anticipates performing as a prime contractor, subcontractor, or member of a contractor team arrangement.\nEstimated percentage of contract performance that would be performed directly by the respondent.\nIf the acquisition were set aside for small business, SDVOSB, or VOSB participation, whether the respondent believes it can comply with applicable limitations on subcontracting requirements and any associated assumptions.\nRelevant experience operating, integrating, modernizing, or supporting enterprise-scale data, analytics, integration, interoperability, or related mission-critical environments of similar size, complexity, and risk.\nRecommended NAICS code(s) and Product Service Code(s) (PSC), including rationale if the respondent believes a different NAICS code or PSC would better describe the requirement.\nThe Government will use this information to support market research, acquisition planning, analysis of available sources, assessment of small business participation opportunities, consideration of the Veterans First Contracting Program, and any resulting set-aside determinations. Responses will not be used for proposal evaluation purposes.\n\nSubmittal Information:\n\nPlease provide your response by 3:00PM ET on Friday November 6, 2026,\nvia email to Michael.Frank@va.gov with the subject line: RFI Response - Healthcare Data Auditing Billing and Coding Optimization Software.\n\nRequest page count to not exceed 20 pages.\n\nAll VA current requirements identified herein are subject to change at any time. If you experience any problems or have any questions concerning this announcement, please contact Michael.Frank@va.gov. VA appreciates your time and anticipated response.","html":"Request for Information (RFI)\nHealthcare Data Auditing Billing and Coding Optimization Software - \nThis is a Request for Information (RFI) only. Do not submit a quote.\n\nThe Department of Veterans Affairs (VA), Office of Information & Technology (OIT), is conducting market research to inform a planned future acquisition. The intent is to gather information from qualified solution providers offering solutions to meet this critical business need. The Government seeks industry input on a modern, modular, cloud-based system capable of supporting the coding staff to collect health care data and accurately applying the codes to determine level of care provided to the patient population and ensure timely coding and revenue cycle activities on behalf of the Veterans Health Administration (VHA). \nThis notice is issued solely for market research and planning purposes. It shall not be construed as an Invitation for Bid, Request for Quotation, or Request for Proposal. This RFI does not commit the Government to any acquisition or contract award. Respondents will not be compensated for costs incurred in preparing or submitting information. No funds have been authorized or obligated for this requirement. All submissions become Government property. Respondents are responsible for marking proprietary information.\nVA does not want this market research to assume that today's current solution should simply be carried forward. VA is specifically seeking industry's perspective on how modern technology can meet the ability to provide this auditing, billing and coding capability across VHA. \nVA seeks industry feedback to inform future acquisition strategies for an enterprise-wide Healthcare Data Auditing Billing and Coding Optimization Software that enhances decision making, efficiency, supports VA coding professionals the ability to accurately and consistently code health care encounters and inpatient stays. Responses may support potential socioeconomic set-aside determinations; therefore, submissions should be complete, detailed, and accurate.\n\nDesired Outcomes\nImprove the accuracy, timeliness, consistency, and traceability of coding and billing activities.\nProvide configurable workflows for coding, clinical documentation integrity, billing, utilization review, compliance, and supervisory functions.\nEnable secure, standards-based, near-real-time or real-time exchange with Government clinical, scheduling, billing, identity, analytics, and enterprise data services.\nProvide enterprise, regional, facility, workgroup, and user-level reporting with auditable metrics.\nReduce avoidable manual work, duplicate data entry, proprietary dependencies, and lifecycle cost.\nMaintain continuity of operations, cybersecurity, privacy, accessibility, and records-management compliance.\n\nCapability Requirements\nEnterprise Platform and User Experience\nAn enterprise-capable solution or interoperable suite available to authorized users across geographically distributed facilities.\nRole-based access, configurable menus, work queues, dashboards, alerts, and administrative controls.\nA coherent user experience across coding, documentation integrity, billing, compliance, workflow, and reporting functions, while allowing modular components when beneficial.\nSupport for large user populations and workload growth without per-user barriers that discourage adoption.\nAccessibility consists of applicable Federal information and communication technology requirements and compatibility with common assistive technologies.\n\nCoding and Encounter Management\nSupport identification, assignment, review, coding, recoding, completion, and tracking of inpatient, outpatient, surgical, emergency, behavioral health, long-term care, and other encounters.\nSupport current diagnosis, inpatient procedure, professional procedure, supply, dental, and other applicable code sets, including effective-date validation and version management.\nValidate code relationships, age, clinical attributes, modifiers, provider data, coverage, medical necessity, payer rules, and Government-configurable edits.\nSupport code lookup and integration with one or more coding reference or encoder products through documented interfaces.\nMaintain status, assignment, reassignment, comments, communications, original values, changed values, user identity, reason, and date-time audit history.\n\nClinical Documentation Integrity\nProvide independent, role-appropriate work queues for concurrent and retrospective review.\nIdentify potential documentation improvement opportunities using configurable criteria and transparent logic.\nCreate, route, communicate, and track documentation clarification requests and responses.\nCapture documentation-review codes, grouping results, severity, risk, expected length of stay, quality indicators, and comparison with final coded outcomes where applicable.\nProvide workload, response, impact, quality, and productivity reporting for documentation integrity programs.\n\nBilling, Claim Editing, and Compliance\nProvide institutional and professional claim review before and, where needed, after submission.\nApply national, local, payer, technical, coding, medical necessity, provider identifier, present-on-admission, grouping, sequencing, and Government-defined edits.\nSupport individual and batch claim review, transparent edit explanations, configurable messages, and authorized maintenance of custom rules.\nIdentify incomplete, duplicate, non-billable, held, cancelled, retrospective-insurance, and same-day related encounters and preserve supporting rationale.\nProvide random and targeted sampling, compliance monitoring, complete audit trails, and exportable review results.\n\nWorkflow and Auditability\nProvide configurable work assignment, prioritization, routing, escalation, suspense, alerts, and closure across organizational levels.\nEnable secure communication among coding, documentation integrity, billing, clinical, utilization review, compliance, supervisory, and technical personnel.\nMaintain tamper-evident or otherwise trustworthy audit history for user, system, rule, integration, and administrative actions.\nPermit authorized users to configure workflows and rules without vendor software development when feasible.\nExpose workflow data through documented interfaces and export mechanisms.\n\nIntegration and Data Exchange\nSupport bidirectional integration with the VistA electronic health record, legacy clinical, scheduling, admissions/discharge/transfer, surgery, clinical documentation, imaging report, laboratory, radiology, procedure, provider, identity, billing, and enterprise data services.\nUse documented, standards-based interfaces where practicable, including modern application programming interfaces and recognized health data exchange standards.\nDescribe support for synchronous, asynchronous, event-driven, batch, and secure file exchange patterns, including reconciliation and error handling.\nProvide interface monitoring, message traceability, retry, alerting, testing, version control, and non-production environments.\nAllow the Government or a designated third party to integrate, automate, and extract data through appropriately secured interfaces without unnecessary contractual restrictions.\n\nReporting, Analytics, and Data Portability\nProvide configurable dashboards, recurring reports, ad hoc analysis, data mining, filtering, sorting, alerts, and exports.\nSupport enterprise, regional, facility, service, team, role, and user-level reporting for workload, timeliness, productivity, accuracy, quality, compliance, workflow, and revenue status.\nIntegrate with Government analytics and enterprise data platforms, including common business intelligence tools.\nProvide complete, documented data dictionaries, lineage, metadata, refresh frequency, retention controls, and historical access.\nEnable Government-controlled export of transactional, audit, configuration, rule, reference, workflow, and reporting data in open, usable formats without additional extraction fees.\n\nCybersecurity, Privacy, Identity, and Records\nComply with applicable Federal and agency cybersecurity, privacy, risk management, supply-chain, records, breach-response, encryption, and continuous-monitoring requirements.\nSupport phishing-resistant multifactor authentication, Federal credentials, federation, role-based access, least privilege, separation of duties, automated provisioning, and deprovisioning.\nEncrypt sensitive data in transit and at rest using validated cryptographic modules and support secure logging and security information and event management integration.\nProvide software bill of materials, secure development evidence, vulnerability disclosure and remediation practices, penetration testing information, and supply-chain transparency.\nSupport Government data ownership, records schedules, legal holds, retention, export, sanitization, incident investigation, and transition obligations.\n\nHosting, Deployment, Performance, and Continuity\nDescribe available VA-hosted, contractor-hosted, cloud, hybrid, and managed-service deployment models and the security authorization implications of each.\nSupport high availability, backup, restore, disaster recovery, continuity of operations, capacity monitoring, performance monitoring, and geographically distributed use.\nDescribe measurable service levels for availability, response time, incident triage, restoration, data recovery, and support.\nProvide separate development, test, training, staging, and production capabilities with controlled promotion and rollback.\nSupport coexistence, phased deployment, pilot operations, and rollback during transition.\n\nImplementation, Training, Support, and Transition\nProvide program management, discovery, configuration, integration, data migration, testing, deployment, change management, adoption, and risk management services.\nProvide role-based product documentation, administrator guides, release notes, interface documentation, installation instructions, validation checklists, and training materials.\nProvide virtual and, if required, on-site training for users, administrators, support personnel, and report developers.\nProvide a service desk with ticket tracking, escalation, status communications, knowledge management, and performance reporting.\nProvide transition-in and transition-out support, including data and configuration export, interface documentation, knowledge transfer, and cooperation with successor providers.\n\nLicensing and Commercial Terms\nOffer clear pricing for software, subscriptions, hosting, environments, interfaces, implementation, migration, training, support, maintenance, reporting, storage, and optional services.\nDisclose all metrics that affect price, including users, facilities, transactions, encounters, claims, interfaces, environments, storage, processing, reports, and data egress.\nDescribe enterprise, consumption, concurrent-user, named-user, facility, transaction, and other licensing alternatives.\nIdentify third-party products, code sets, cloud services, and pass-through charges required for full operation.\nProvide terms that support Government data rights, portability, continuity, interface access, competition, and reasonable exit costs.\n\nQuestions\n\nDescribe your organization, relevant health care market experience, role in the proposed offering, and whether you are the software publisher, prime integrator, reseller, managed service provider, or another participant. \n\nDescribe the recommended architecture and explain which capabilities are provided by a single platform versus modular or third-party components. Include major technology, data, interface, and deployment layers.\n\nIdentify which capabilities are commercially available today, generally available delivery dates for planned capabilities, and any capability that would require VA funded development. \n\nDescribe supported health data standards, application programming interfaces, messaging methods, integration engines, batch exchanges, and legacy integration approaches. Explain how interface specifications, test tools, and version changes are managed.\n\nDescribe VA ownership and access rights for all operational, configuration, rule, audit, metadata, and reporting data. Explain full and incremental export methods, formats, frequency, egress charges, and transition support.\n\nDescribe how the offering integrates with multiple coding reference or encoder products. What effort, cost, testing, or downtime would be required to change such a component?\n\nDescribe how the solution identifies, prioritizes, routes, tracks, and reports documentation improvement opportunities. Explain whether the logic is explainable, configurable, and auditable.\n\nDescribe supported institutional and professional claim edits, payer rules, national and local edits, custom-rule administration, batch processing, and transparency of edit rationale.\n\n\nDescribe built-in and external analytics capabilities, data refresh options, historical data support, semantic models, data dictionaries, and integration with common business intelligence platforms.\n\nDescribe conformance with applicable accessibility standards, available conformance reports, testing with assistive technologies, known exceptions, and remediation practices.\n\nProvide relevant production-scale examples and measurable performance characteristics. Explain capacity planning, concurrent-user handling, peak transaction management, and performance monitoring.\n\nProvide proposed service levels for uptime, planned maintenance, incident response, restoration, recovery time, recovery point, backup validation, and disaster recovery testing.\n\nProvide a notional phased implementation approach, including discovery, configuration, interfaces, migration, testing, pilot, training, deployment, stabilization, and enterprise rollout. Identify key Government dependencies.\n\nDescribe how the solution can coexist with incumbent workflows and systems. Explain migration of active work, history, configuration, rules, interfaces, reports, users, and audit data, including validation and rollback.\n\nProvide available licensing models and identify every quantity or event that may change cost. Explain treatment of non-production environments, disaster recovery, temporary surge users, service accounts, interfaces, automation, analytics, and third-party access. \n\nProvide notional price ranges or unit pricing for software, implementation, interfaces, migration, environments, hosting, training, maintenance, support, storage, data egress, and transition. State assumptions and identify one-time versus recurring costs. \n\nIdentify the technical, operational, and commercial factors the Government should use to distinguish value among competing approaches. Identify common hidden costs or acquisition structures that may reduce competition or increase lifecycle cost.\n\nRecommend an acquisition structure that promotes competition, modularity, accountability, and successful integration. Discuss advantages and risks of a single prime, multiple awards, modular tasking, software subscriptions, managed services, or other approaches.\n\nIdentify the most significant technical, operational, security, data, organizational, schedule, and commercial risks, together with practical mitigations and Government decisions needed early.\n\n\nRespondent Information and Business Profile\n\nTo support VA market research, socioeconomic analysis, and acquisition planning, respondents shall provide the following information:\nLegal business name and Unique Entity Identifier (UEI).\nBusiness size status under the identified NAICS code (currently anticipated as NAICS 541512).\nSocioeconomic status, including whether the respondent is an SBA-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), HUBZone Small Business, 8(a) Small Business, Women-Owned Small Business (WOSB), Economically Disadvantaged Women-Owned Small Business (EDWOSB), Small Disadvantaged Business (SDB), or other Small Business concern.\nCurrent registration status in SAM.gov and SBA VetCert status, if applicable.\nRelevant Government-wide, multi-agency, or agency-specific contract vehicles through which the respondent could provide the required services.\nWhether the respondent anticipates performing as a prime contractor, subcontractor, or member of a contractor team arrangement.\nEstimated percentage of contract performance that would be performed directly by the respondent.\nIf the acquisition were set aside for small business, SDVOSB, or VOSB participation, whether the respondent believes it can comply with applicable limitations on subcontracting requirements and any associated assumptions.\nRelevant experience operating, integrating, modernizing, or supporting enterprise-scale data, analytics, integration, interoperability, or related mission-critical environments of similar size, complexity, and risk.\nRecommended NAICS code(s) and Product Service Code(s) (PSC), including rationale if the respondent believes a different NAICS code or PSC would better describe the requirement.\nThe Government will use this information to support market research, acquisition planning, analysis of available sources, assessment of small business participation opportunities, consideration of the Veterans First Contracting Program, and any resulting set-aside determinations. Responses will not be used for proposal evaluation purposes.\n\nSubmittal Information:\n\nPlease provide your response by 3:00PM ET on Friday November 6, 2026, \nvia email to Michael.Frank@va.gov with the subject line: RFI Response - Healthcare Data Auditing Billing and Coding Optimization Software. \n\nRequest page count to not exceed 20 pages. \n\nAll VA current requirements identified herein are subject to change at any time. If you experience any problems or have any questions concerning this announcement, please contact Michael.Frank@va.gov. VA appreciates your time and anticipated response.","origin":"detail"},"contacts":[{"name":"Michael Frank","role":"primary","email":"Michael.Frank@va.gov","phone":"848-377-5121","title":"Contract Specialist"}],"place_of_performance":null,"office_address":{"zip":"07724","city":"EATONTOWN","state":"NJ","country":"USA"},"naics_codes":["541519"],"award":{"awardee":{}},"attachments":[{"resource_id":"b18dacc7a3f94f999dc36afe881b69dd","name":"36C10B27Q0073.docx","kind":"file","mime_type":".docx","size_bytes":34919,"posted_at":"2026-10-23T17:24:13.213Z","export_controlled":false,"sha256":null,"url":"https://sam.gov/api/prod/opps/v3/opportunities/resources/files/b18dacc7a3f94f999dc36afe881b69dd/download","mirrored":false}],"awards":[],"related":[{"key":"36C10B26Q0822","latest_notice_id":"a577282552584333bb3839c486e39c82","title":"DA10--New Action: TIC Application Firewall Maintenance Renewal (VA-27-00009587)","solicitation_number":"36C10B26Q0822","notice_type":"k","first_type":"k","first_posted":"2026-10-26","last_posted":"2026-10-26","notices":1,"due_at":"2026-11-02T15:00:00Z","due_date":"2026-11-02","closes_at":"2026-11-02T15:00:00Z","awardable":true,"open":true,"removed":false,"dept_key":"d-036","dept_name":"VETERANS AFFAIRS, DEPARTMENT OF","sub_key":"s-3600","sub_name":"VETERANS AFFAIRS, DEPARTMENT OF","office_key":"o-36C10B","office_name":"TECHNOLOGY ACQUISITION CENTER NJ (36C10B)","naics":"541519","psc":"DA10","set_aside":"SDVOSBC","state":null,"county":null,"county_name":null,"city":null,"city_name":null,"country":null,"place_scope":"unknown","state_source":null,"state_evidence":null,"site":null,"site_key":null,"winner":null,"winner_key":null,"amount":null,"linked_awards":0,"cancelled":false,"archived":false,"removed_at":null,"updated_at":"2026-10-27T03:50:29.852134Z"},{"key":"36C10B27Q0079","latest_notice_id":"eb80c29839894402a785de234cdd89d4","title":"7G21--FY27 Brand Name Vocera Service and Support (VA-27-00012318)","solicitation_number":"36C10B27Q0079","notice_type":"r","first_type":"r","first_posted":"2026-10-27","last_posted":"2026-10-27","notices":3,"due_at":"2026-11-02T22:00:00Z","due_date":"2026-11-02","closes_at":"2026-11-02T22:00:00Z","awardable":true,"open":true,"removed":false,"dept_key":"d-036","dept_name":"VETERANS AFFAIRS, DEPARTMENT OF","sub_key":"s-3600","sub_name":"VETERANS AFFAIRS, DEPARTMENT OF","office_key":"o-36C10B","office_name":"TECHNOLOGY ACQUISITION CENTER NJ (36C10B)","naics":"334220","psc":"7G21","set_aside":"SDVOSBC","state":null,"county":null,"county_name":null,"city":null,"city_name":null,"country":null,"place_scope":"nationwide","state_source":null,"state_evidence":"Product purchase (PSC 7G21)","site":null,"site_key":null,"winner":null,"winner_key":null,"amount":null,"linked_awards":0,"cancelled":false,"archived":false,"removed_at":null,"updated_at":"2026-10-28T04:01:09.175983Z"},{"key":"36C10B27Q0061","latest_notice_id":"6164c997c3984a4cb65db17e56de270e","title":"DA01--VA-27-00015330 - 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