BUS FPX 4126 Assessment 2 Requesting Information
Phillip March 17, 2024 No Comments

BUS FPX 4126 Assessment 2 Requesting Information

BUS FPX 4126 Assessment 2 Requesting Information

Name

Capella university

BUS-FPX4126 Health Care Information Management

Prof. Name

Date

Request for Information (RFI) for Compliance, Data Management, and Communication Solutions for AxessPointe Community Health Centers, Inc.

AxessPointe Community Health Centers, Inc. (API) seeks proposals from vendors capable of meeting various needs related to compliance, data management, and communication. This document delineates AxessPointe’s specific requirements and expectations while providing pertinent information for potential vendors.

Compliance and Privacy Needs and Requirements

As a covered entity under the Health Insurance Portability and Accountability Act (HIPAA), AxessPointe necessitates comprehensive compliance solutions to ensure the safeguarding of Protected Health Information (PHI). This encompasses the development of a Compliance Work Plan for monitoring and auditing PHI use and disclosures, as mandated by the Ohio Inspector General (OIG) and recommended by the Centers for Medicare and Medicaid Services (CMS, 2019). Additionally, there is a crucial requirement for monitoring cyber threats against the organization to protect sensitive information.

Data Storage

AxessPointe presently utilizes client-based data storage with servers located at the Kent facility. However, these servers are overwhelmed and fail to meet the organization’s efficiency standards. Migration to cloud-based servers is endorsed by the Electronic Health Record (EHR) vendor due to its cost-effectiveness and enhanced performance (IntakeQ, 2018).

Communication Needs and Requirements

Effective communication is paramount for AxessPointe, necessitating user-friendly websites, employee intranets, and mass communication systems for patients. While recent updates have improved the patient-facing website, enhancements are required for employee access and internal reporting mechanisms. Streamlining communication platforms such as Microsoft Teams or Cisco Jabber is also recommended for organizational efficiency.

Billing and Coding Needs and Requirements

To ensure fiscal stability, AxessPointe aims to diversify its payer mix and optimize reimbursement rates. Transitioning from the Medicaid Prospective Payment System (PPS) to an Alternative Payment Method (APM) is deemed crucial, alongside expanding the payer mix and negotiating contracts with insurance providers (API, 2021; NACHC, 2020).

Key Components to Address Strategic Needs

AxessPointe’s strategic plan underscores the significance of compliance, data management, and revenue optimization. Key components include conducting thorough risk assessments, benchmarking compliance audits, and enhancing patient experience through feedback mechanisms. Additionally, bringing revenue cycle management activities in-house and strategic staffing are imperative for long-term success.

Conclusion

AxessPointe appreciates the interest of potential vendors in addressing its needs. The organization is committed to considering all proposals and input received through this RFI process to inform its decision-making and future initiatives.

References

AxessPointe Community Health Centers, Inc. (2021a, July 24). Community Health Care | About Us | AxessPointe Health Center. Axesspointe Community Health Centers. https://axesspointe.org/meet-axesspointe/

Centers for Medicare & Medicaid Services. (2019, November 19). Compliance Program Policy and Guidance | CMS. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance

eClinicalWorks. (2021). Automate Health and Wellness Reminders. EClinicalWorks, Improving Healthcare Together. https://www.eclinicalworks.com/products-services/patient-engagement/messenger/

BUS FPX 4126 Assessment 2 Requesting Information

Humpert, S. (2019). Denial Prevention: Understanding Common Culprits and How to Avoid Them. American Health Information Management Association. https://bok.ahima.org/doc?oid=302721#.YQa1-45KjIU

IntakeQ. (2018, June 11). Cloud-Based or Client-Server? What to Know About Your EHR System. Online Intake Forms – IntakeQ Blog. https://blog.intakeq.com/cloud-based-or-client-server-what-to-know-about-your-ehr-system/

National Association of Community Health Centers. (2020). FQHC Payment. https://www.nachc.org/focus-areas/policy-matters/medicaid-and-medicare/fqhc-payment/

BUS FPX 4126 Assessment 2 Requesting Information