The Rural Collaborative (TRC), a network of 31 independent Washington State hospitals (28 CAHs and 3 PPS hospitals), seeks proposals from consulting firms to conduct comprehensive, root cause Revenue Cycle Assessments as funded under the Rural Health Transformation Program grant. The objectives are to deliver current-state assessments, EHR/ERP configuration reviews, actionable operational playbooks, prioritized roadmaps with quantified opportunity sizing, board-ready presentations, and collaborative benchmarking deliverables. Vendors must address staffing/workflow bottlenecks, payer friction, technology/process gaps, and financial controls, with deliverable ownership residing fully with TRC and its members. Minimum requirements include named, qualified consultants, a realistic engagement plan, 6–8 on-site days per hospital, and alignment with TRC's grant reporting and data standards. Network-level outputs such as collaborative opportunity identification, benchmarking, and structured databases are also required to foster shared learning. Proposals must provide a detailed work plan, itemized budget by role/phase, and explicit CAH/PPS adaptation. Post-assessment 90-day remote check-in is required at no extra cost.
Eligibility
Eligible applicants are consulting firms with deep experience in healthcare revenue cycle assessment for Critical Access Hospitals (CAHs) and rural PPS hospitals. Minimum requirements include prior multi-hospital collaborative engagement, relevant revenue cycle certifications, ability to work with minimal rural data infrastructure, a proven track record supporting grant-funded rural health projects, and demonstrated adaptation for Washington State payer mix and CAH/PPS-specific issues.
Consulting FirmHealthcare Revenue Cycle ConsultantVendor with demonstrated CAH/rural PPS hospital experience and relevant certifications
Requirements Checklist
Proposals must include: firm overview and CAH/rural references, sample deliverables (assessment report, roadmap), outcome evidence, explicit scope domain confirmation across all required domains (Patient Access, Clinical/Mid-Cycle, Back-End/Business Office, ERP/GL, Payer Dynamics, Operating Model/Staffing, EHR/ERP Configuration, Interfaces, and Performance Management), detailed root cause methodology with named frameworks (e.g., 5-Whys, fishbone, Pareto), data approach with periods and contingency for incomplete data, named consultant bios with CAH/rural/EHR experience, hospital engagement team structure (roles, allocation, on-site/remote split), specific on-site commitments (minimum 6–8 on-site days per hospital with listed activities and roles), detailed hospital staff time estimate per role (benchmark 75–130 hours total, aligned with TRC's breakdown), explicit multi-hospital engagement/staggering plan for Year 1, itemized budget by phase/role/hospital and total hours breakdown, hourly rates by role for additional services, travel/accommodation estimate or travel cap, volume/collaborative pricing for 31-member contract, explicit data ownership confirmation (all deliverables to TRC/hospitals), milestone-based invoicing approach and terms, 90-day post-assessment check-in plan at no cost, and menu of optional implementation support. Proposals must distinguish hospital/TRC versus vendor responsibilities.
Required attachments
Firm Overview & Qualifications
CAH/Rural Hospital RCA References
Sample Assessment Report
Sample Prioritized Roadmap & Business Case
Outcome Evidence
Functional Scope Statement (domain confirmation)
Root Cause Methodology Description (frameworks & approach)
Data Request List & Data Handling Approach
Named Consultant Bios & EHR/CAH Experience
Engagement Team Structure & On-Site Plan
Hospital Staff Time Estimate (role-by-role)
Multi-Hospital Staggering Plan
Engagement Timeline/Milestones
Per-Hospital Deliverables List
Collaborative Deliverables Description
Data Ownership Confirmation Statement
Itemized Budget Table (by phase/role/hospital)
Hourly Rates by Role (for extra work/optional tasks)
Travel/Accommodation Cost Estimate and Plan
Volume/Collaborative Pricing Structure
Invoicing Approach and Terms
Submission Instructions
Written proposal via instructions in full RFP; email submissions accepted (no external portal listed); address and guidance provided in general RFP announcement.
Source Documents
Primary: 1
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RFPPDF
Application Prep
Application #: Not stated
Reference: Not stated
Program: Rural Health Transformation Program (WA)
Match: Not required
Performance: Year 1: 2026 (5–15 hospitals assessed); Year 2: 2027 (remainder); Per-hospital duration: defined by proposed engagement plan; required 90-day post-assessment follow-up