RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software
Updated
Sources Sought from the Department of Veterans Affairs. Due Nov 6, 2026, 3:00 PM (UTC-5), 13 days left.
| Title as posted | DA01--RFI Action Only Healthcare Data Auditing Billing and Coding Optimization Software |
|---|---|
| Solicitation number | 36C10B27Q0073 |
| Agency | Department of Veterans Affairs |
| Office | Technology Acquisition Center NJ (36C10B) |
| Notice type | Sources Sought |
| Set-aside | None |
| Trade (NAICS) | Other Computer Related Services (541519) |
| Product or service code | DA01 |
| Posted | Oct 23, 2026 |
| Response deadline | Nov 6, 2026, 3:00 PM (UTC-5) (13 days left) |
| Add the deadline to | Google Calendar · Apple / Outlook (.ics) |
Official notice and attachments
Description
Request for Information (RFI) Healthcare Data Auditing Billing and Coding Optimization Software - This is a Request for Information (RFI) only. Do not submit a quote. The 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).
This 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. VA 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.
VA 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.
Desired Outcomes Improve the accuracy, timeliness, consistency, and traceability of coding and billing activities. Provide configurable workflows for coding, clinical documentation integrity, billing, utilization review, compliance, and supervisory functions. Enable secure, standards-based, near-real-time or real-time exchange with Government clinical, scheduling, billing, identity, analytics, and enterprise data services.
Provide enterprise, regional, facility, workgroup, and user-level reporting with auditable metrics. Reduce avoidable manual work, duplicate data entry, proprietary dependencies, and lifecycle cost. Maintain continuity of operations, cybersecurity, privacy, accessibility, and records-management compliance.
Capability Requirements Enterprise Platform and User Experience An enterprise-capable solution or interoperable suite available to authorized users across geographically distributed facilities. Role-based access, configurable menus, work queues, dashboards, alerts, and administrative controls. A coherent user experience across coding, documentation integrity, billing, compliance, workflow, and reporting functions, while allowing modular components when beneficial.
Support for large user populations and workload growth without per-user barriers that discourage adoption. Accessibility consists of applicable Federal information and communication technology requirements and compatibility with common assistive technologies. Coding and Encounter Management Support identification, assignment, review, coding, recoding, completion, and tracking of inpatient, outpatient, surgical, emergency, behavioral health, long-term care, and other encounters.
Support current diagnosis, inpatient procedure, professional procedure, supply, dental, and other applicable code sets, including effective-date validation and version management. Validate code relationships, age, clinical attributes, modifiers, provider data, coverage, medical necessity, payer rules, and Government-configurable edits. Support code lookup and integration with one or more coding reference or encoder products through documented interfaces.
Maintain status, assignment, reassignment, comments, communications, original values, changed values, user identity, reason, and date-time audit history. Clinical Documentation Integrity Provide independent, role-appropriate work queues for concurrent and retrospective review. Identify potential documentation improvement opportunities using configurable criteria and transparent logic.
Create, route, communicate, and track documentation clarification requests and responses. Capture documentation-review codes, grouping results, severity, risk, expected length of stay, quality indicators, and comparison with final coded outcomes where applicable. Provide workload, response, impact, quality, and productivity reporting for documentation integrity programs.
Billing, Claim Editing, and Compliance Provide institutional and professional claim review before and, where needed, after submission. Apply national, local, payer, technical, coding, medical necessity, provider identifier, present-on-admission, grouping, sequencing, and Government-defined edits. Support individual and batch claim review, transparent edit explanations, configurable messages, and authorized maintenance of custom rules.
Identify incomplete, duplicate, non-billable, held, cancelled, retrospective-insurance, and same-day related encounters and preserve supporting rationale. Provide random and targeted sampling, compliance monitoring, complete audit trails, and exportable review results. Workflow and Auditability Provide configurable work assignment, prioritization, routing, escalation, suspense, alerts, and closure across organizational levels.
Enable secure communication among coding, documentation integrity, billing, clinical, utilization review, compliance, supervisory, and technical personnel. Maintain tampe
The description continues in the official notice.
Contracting contact
- Michael Frank · Contract Specialist · [email protected] · 848-377-5121
As published on the official notice. Ask questions in writing and before any questions deadline the notice sets.
Is your business small enough?
For NAICS 541519, a business counts as small if it has no more than $34.0 million in average annual receipts (SBA size standard). This notice is not set aside, but the size decides your small business status on it. SBA table, current as of Oct 15, 2026.
Companies that win this kind of work
Federal contractors paid for other computer related services work, who also hold VA contracts (last 12 months): possible competitors, or partners to team with.
- Thundercat Technology, LLC $1.2 billion in this trade
- V3Gate, LLC $1.0 billion in this trade
- Four Points Technology, L.L.C. $996.6 million in this trade
- FCN, Inc. $899.2 million in this trade
- CGI Federal Inc. $578.8 million in this trade
About the buyer
The Department of Veterans Affairs awarded $84.2 billion in contracts in the last 12 months; its biggest suppliers were Optum Public Sector Solutions, Inc., Mckesson Corporation and Triwest Healthcare Alliance Corp. See what VA is buying now.
Other Computer Related Services contracts right now
There are 127 open government contract opportunities in this trade (NAICS 541519), 45 posted in the last 7 days; 25% are set aside for small businesses. The agencies buying the most are Department of Veterans Affairs, Defense Logistics Agency and Department of State. Most of the work with a stated place is in District of Columbia, Virginia and Maryland. A notice in this trade gives a median of 13 days from posting to deadline; this one gives 14 days.
All open other computer related services contracts
Coming up in this trade
Planned contracts from the agencies' procurement forecasts, often months before a solicitation. Plans can change.
Recent awards in this trade
- Alvarez LLC $1.5 million · Department of Veterans Affairs · Oct 20, 2026
- Optical Systems Group, Inc. $2.3 million · Department of Veterans Affairs · Oct 16, 2026
- Architechture Solutions LLC $3.0 million · Department of Veterans Affairs · Oct 13, 2026
- Dell Federal Systems L.P $1,783 · Environmental Protection Agency · Oct 7, 2026
- Minburn Technology Group, LLC $290,357 · Department of Veterans Affairs · Oct 1, 2026
From the award notices agencies publish.