Q. Will they be under an existing Tax ID number or a new Tax ID number?

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1 RFP P01: Medical Cycle Revenue Management Clarification No. 1: Questions and Answers From Pre-Proposal Conference Held on January 15, 2014, 4:00 p.m. Section 1 Introduction Q. How many physicians are involved in this project? A physicians to begin. Q. Will they be under an existing Tax ID number or a new Tax ID number? A. There will be a new tax id number by the time we are ready to move forward. Q. Do you have plans to expand the number of physicians and specialties? Timetable? A. Yes. There is a strategic plan for that University. It will include planned expansion of the residency programs focused at Valley Baptist and around the Doctor s Hospital Renaissance facilities. Initially to get the Residency Program up and running, we will hire 20+ core faculty members to get the education program off the ground. This is before we even get resident #1. As we get the other residents, and as they start to come in for 1 st class, then we ll start hiring additional folks. Thus, as enrollment and case volume increases so will the need for additional physicians and specialties/subspecialties grow. Q. From a logistical point of view, are there already scheduling and registration systems in place? A. No, and those will be different for Valley Baptist and Doctor s Hospital Renaissance. Q. From a logistical point of view, are there already billing and clinical systems in place? A. We ll be looking at getting information from their systems (Valley Baptist and Baptist Hospital). We re not going to have a separate system. Q. Will there be a central depository where you can share at Valley Baptist and Doctor s Hospital Renaissance? A. We ll be documenting in their systems and we ll be able to access. Q. Are the systems currently integrated? A. No Q. Is this centered on one or more than one facillitiy? A. We ll be focused on those two facilities. There could be a 3 rd in McAllen/Weslaco area. Q. Will all services be hospital based? Is that why there will be no additional EMR? A. Right now we are looking to get the project off the ground.

2 Q. Do you know what the EMR systems are currently? eclinical Works or ecw? A. Cerner at DHR. I don t know what they have at Valley Baptist, something very rudimentary. WebMed or WebMD or something like that. Q. Do you have estimates of patient volume? A. Right now we don t have a lot of volume just yet because, we want to make sure our system is robust in order to bill and collect. We really don t have good estimates on what our volume might be. It is likely that at least some initial physicians will have heavy academic responsibilities as residency program faculty. For example, one general surgery residency program director will be around 25% clinical. Its going to be a small volume. Those of us around the room are completely new to that market and we do not fully know how much of that market will be available to us relative those needs already being met by the private physicians. We really don t know. So for Internal Medicine, we look at those that will be hospital based, hospitalists and there will be some outpatient. Q. Did you say Emergency Department as well? A. No you didn t but it is my understanding that they are interested in doing that and maybe Neurology as well. Section 3 Submission of Proposal Q. Submittal Checklist. There is no reference to Appendix 6 & 7. A. Yes, they should be included. (See Addendum No. 3, issued on January 16, 2014) Section 4: Terms and Conditions Q. There are different references to invoicing timetables in the Agreement? A. This is just our boilerplate. That will be revised and specific to this agreement, as we get closer. This is our sample agreement Q. How would you like legal changes or question relating to the BAA or other agreements written out? A. Provide a list of any exceptions you may have. (Reference Section of the RFP) If Proposer takes exception to any terms or conditions set forth in the Agreement (ref. APPENDIX TWO), and Business Associate Agreement (ref. APPENDIX FOUR), Proposer must submit a list of the exceptions.

3 Section 5: Scope of Work Q. There are a lot of statements and not a lot of questions. How should we acknowledge that these are within our minimal requirements etc. A. Note them as agreed or acknowledge them as such. Q. Who is responsible for credential verification? 1.2 vs. 5.4 is a bit confusing. A. The Practice Plan will be responsible for credential verification. Q. If there are other services related to that effort or similar should we note those. A. Yes, we would like to know what you are able to offer but note that it is separate and price it as such. Q. When will you be ready to bill? A. When we have people to whom we are ready to bill for we are just waiting to get the management project started. Q. Reference Section Who will be responsible for scheduling? A. The Practice Plan we will handle the scheduling from our own site. Q. Is there an interface or a data dump. A. We have to find a mechanism to do that for our mutual benefit, it is not yet defined. Q. In terms of I.T., would you encourage us to put together what has proven successful for our customers? A. Yes, tell us what works well. Appendix 8 Q. Are there any restrictions in respect to using non-texas labor? A. Are we talking about international? Q. A lot of us have national presence. A. We would like full disclosure, especially use of international labor. Reference page 11 of 19, Section 5.4 Scope of Work: 5.4 If the Contractor plans to subcontract any part of any work; contractor must provide a detailed description of how that work is to be accomplished and by whom.

4 Q. Will there be a lock box set up? A. Initially there will be a lock box for payments set up here [San Antonio], then to the valley once large enough to support a team. Q. Since there are no estimates of volume at this time, no historical estimates GNR. A. No historical data, internal forecast that we are not in a position to share. Q. Are you anticipating keeping Accounts Receivable policies and procedures consistent with UT System? A. Yes, UT System will be used as the framework. Q. Do you have an estimate of Gross Net Revenue? A. We have an internal forecast that it used for framework, however we do not have historical volume. Q. Will you supply computers or are you looking to us to supply? A. We will supply general equipment in the general Practice Plan to do business. However, if you have something proprietary you will need to supply what is needed. Q. Do you anticipate a central repository or interface; full connectivity? A. I do not anticipate it at this time and we will have a basic level of office connectivity to access the data. Q. Do you anticipate the need for us to have a representative on site? A. Initially it may be helpful in an effort to train staff members. We may have a need on an occasional basis however; we do not expect that you will keep a fulltime representative on hand long term. Q. There are varying ways that are outlined that the services can be priced, is this also boilerplate? A. Yes Q. Reference Section 1.4 references Group Purchase Authority. Please elaborate. A. It is a standard clause to look toward the future. Take into consideration the potential for growth. Austin

5 Historically Underutilized Business (HUB) Subcontracting Plan Q. In terms of the evaluation process, if we self-perform is that viewed as negative? A. Absolutely not. There is no preferred method. We ask that you use a good faith effort if you are going to subcontractor that you seek out HUB, Texas certified HUB. Also, there are not any extra points. Questions regarding the HSP may be directed to: Vikki Ross, Sr. Director of Supply Chain Management, Phone: , rossv@uthscsa.edu