Opportunity Detail

Questions and Answers

SURS Statisticians Services Project
Document #:  JFSR1011118038


Question:   1. Should the total costs for deliverables 1 and 2 be “per audit”? If not, and for comparability of bids, will the Department please provide the estimated number of audits to be completed from April, 2010 through June 30, 2011? (Page 1, Attachment E) 2. Does ODJFS currently contract with a statistician for these services? (Page 1, I. Purpose) 3. Historically, what would ODJFS estimate is the percentage of overpayment projections that are resolved through administrative or court hearings? (Page 6, Section VI, Scope of Work)

Answer:   1. Yes, deliverables 1 and 2 should be a per audit price. ODJFS estimates 10 to 15 audits to be conducted for SFY 11. 2. ODJFS does not have a current contract with a statistician to extrapolate samples. 3. ODJFS estimates 10% - 20% resolved through administrative or court hearings.

Date: 3/2/2010

Inquiry: 19821


Question:   Can you provide a range or estimate of the estimated cost or hours required for each deliverable or overall? Alternatively, or in addition, can you provide an estimate of the number of providers to be sampled?

Answer:   It is hard for to estimate the number of hours per deliverable since there are a lot of variables. Based upon the work. The Surveillance and Utilization Review Section (SURS) would select a Medicaid provider to perform an audit of that would require a statistical sample. The sample may be from one common procedural terminology (CPT-billing type codes) code or several CPT codes for one provider. The statistician would then be required to create a valid statistical sample that can be projected to the population, which may include stratifying several CPT codes into one end product. ODJFS can not estimate this work time for a statistician. ODJFS would only need expert testimony on anything that goes to a 119 hearing or to a court of common pleas. This is dependent on each unique situation and how well the work is supported by the working papers. The statistician would have to testify at these hearings to support their work. ODJFS doe not know the exact amount of time but it would generally be in Columbus and ODJFS would assume the testimony would take at least an hour or two. The main problem is that the hearing officer controls the agenda and it is hard to estimate how long someone may have to wait in order to testify. For SFY2011 ODJFS estimates 10 to 15 audits will be conducted.

Date: 3/2/2010

Inquiry: 19802


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Inquiry period ended:  2/26/2010 8:00:00 AM