Request for Proposal Responses to Questions

The table “Request for Proposal Responses to Questions” was last modified at 2019-10-16 15:09:40 by Jennifer Searfoss.

RFP#Question#TopicQuestionResponse
RFP-2019-ENT-EVC1.1RFPHow many Vendor resources are supporting Buyer for the 2019 reporting period? Is Searfoss planning on continuing their support in any capacity? SCG Health provides one senior support FTE to act as a full-time point person, support contact and ongoing data maintenance. SCG Health has not captured cost-center hours for this Client. SCG Health will not continue support in any capacity.
RFP-2019-ENT-EVC1.2RFPOn page 4, under Project Team it states: “Vendor shall provide at least 3 examples and references of performance on similar projects that the vendor has completed.” On page 6, under References it states: “Provide organization names and specific individual contacts for at least two similar projects…..”Please provide three examples and references to similar clients. These references should be from two organizations.
RFP-2019-ENT-EVC2.1MeasuresWhat measures are being tracked/reported for 2019? For 2019, the following Quality measures are being tracked/reported:
• MIPS Measure # 91: Acute Otitis Externa (AOE): Topical Therapy
• MIPS Measure # 93: Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy- Avoidance of Inappropriate Use
• MIPS Measure # 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
• MIPS Measure # 130: Documentation of Current Medications in the Medical Record
• MIPS Measure # 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
• MIPS Measure # 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Not all systems collect data on the following:
• MIPS Measure # 331: Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse)
• MIPS Measure # 332: Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
• MIPS Measure # 333: Adult Sinusitis: Computerized Tomography 9CT) for Acute Sinusitis (Overuse)
• MIPS Measure # 334: Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 days for Chronic Sinusitis (Overuse)

Reported measures will depend on performance (score) and data adequacy.
RFP-2019-ENT-EVC3.12019 performanceWhat is the anticipated score for 2019 for this organization for each performance category? Due to the stale nature of current benchmarks (and unavailability for several measures), we are unwilling to provide preliminary scores to Respondents. For historical purposes, the Buyer mitigated the MIPS cut in 2018 with a score of 25.56/100.
RFP-2019-ENT-EVC3.22019 PerformanceWhat percentage of Eligible Instance are represented by each of the EMRs that are utilized?Due to the nature of EMRs having overlapping patient populations, we are unable to calculate these percentages.
RFP-2019-ENT-EVC3.32019 PerformanceWhat is the percentage of Eligible Instances for which the organization has reported each quality measure? Per the instructions of CMS, cherry-picking the selection of data for submission to meet the data adequacy requirements is prohibited.
RFP-2019-ENT-EVC4.1Data StructureIs the organization interested in utilizing this information for other initiatives (other than MIPS)?At this time the Buyer is not. It is likely that they may in the future.
RFP-2019-ENT-EVC4.2Data StructureAre there patients that are represented in multiple EHRs? If so, do the patients have the same ID in each system or a unique ID that can be used to identify each individual patient? If not, are we expected to perform patient matching?Yes. The same patient may be seen by multiple clinicians, in different locations, using different EMRs. There is not a uniform patient identifier adopted by the Buyer between platforms – or even within the same platforms. The successful Awardee will be responsible for performing patient matching using patient demographic information included as structured data from the EMR and/or by claims data obtained from the clearing house. The clearinghouse does NOT generate a unique patient identifier and encounter ID.
RFP-2019-ENT-EVC4.3Data StructureFor 2019, how is the data being extracted from the EHRs (e.g., CCDAs, direct API integration, spreadsheet downloads)?Depending on the integrity of the certified EMRs, the inherent reporting functionality of the system is being used to extract structured and verified data (QRDA I, spreadsheets). For measures without structured data, other methods are being used to obtain data which include surveys and chart abstraction (electronic and hardcopy).
RFP-2019-ENT-EVC4.4Data StructureIs the Practice Management (PM) software housed within each EMR or separate? It separate, identify EMR and PM used.No. Claims data and the 837 is not accessible from most EMR installations. A 835 data feed (EOB) is available from a third-party vendor used by the Buyer. The data feed is extracted from the Buyer's clearinghouse.
RFP-2019-ENT-EVC5.1EMRFor the eClinicalWorks EMR, please let us know the version and whether it is cloud based or hosted.Cloud-based and server based eCW installations exist within this group on v10, v11 and v11e. Upgrades are likely, but have not been scheduled.
RFP-2019-ENT-EVC5.2EMRFor Allscripts, which product(s) are utilized?SCG Health uses the quality portals and is unable to confirm which version(s) of Allscripts the Buyer is using.
RFP-2019-ENT-EVC5.3EMRFor NextGen, which product(s) are utilized?The Buyer submits code based quality performance data. They do not capture quality performance in the EMR.
RFP-2019-ENT-EVC5.4EMRWill “Read-Only Access” be provided for each EMR? If not, what level of EMR access will be granted?The level of access granted to each EMR will vary depending on the practice. This access will range from quality portal access to full EMR access.
RFP-2019-ENT-EVC5.5EMRAre there restrictive security protocols that must be addressed and if so, which ones?Several EMR systems for the Buyer use VPN access to authenticate the user. The location IT staff are able to facilitate the VPN set up following authorization from the division administrator.
RFP-2019-ENT-EVC5.6EMRAre all of the EMRs based upon SQL Server? If not, what are the other DBMS’s involved? Will an ODBC connection be available? Due to the restrictive covenants and contractual limitations of EMR licensing, database level data extraction is prohibited. See Question 4.3 for license compliant structured data extraction methods.
RFP-2019-ENT-EVC6.1BuyerIs the Buyer reporting under one TIN? Yes. The Buyer is a large group organization with 43 locations all billing Medicare under one tax identification number (TIN).
RFP-2019-ENT-EVC6.2BuyerIdentify the number of practices, providers, patients associated with each EMR identified in the RFP.The Buyer is one large group practice with 43 locations with a wide range of EMRs and versions. Currently, the fewest number of providers to an EMR is 1 eligible clinician. The largest amount of providers to an EMR is 19 eligible clinicians. In some locations, audiologists and physical therapists do not have access or use the EMR. See question 4.2 regarding patient counts.
RFP-2019-ORTHO-EVC1.1RFPIs the deadline for questions October 1 or October 15?Thank you for indicating the typo in the RFP. It has been corrected to reflect the deadline of October 1, 2019 at 3 pm EDT.
RFP-2019-ORTHO-EVC1.10RFPShould the proposal include costs to provide general support and best-practice workflow recommendations for all EMRs in use?Yes. See Question 7.6.
RFP-2019-ORTHO-EVC1.11RFP Should the proposal include costs for extraction services for both claims from practice management systems and relevant clinical data from all EMRs in use?  Yes.
RFP-2019-ORTHO-EVC1.12RFP Should the proposal include costs for services to help the Buyer select, lead and document Improvement Activities attestation and maximizing the points awarded in this MIPS Performance Category? Yes. See Questions 3.7 and 5.7.
RFP-2019-ORTHO-EVC1.13RFPPlease clarify the scope and meaning of "Material utilization"."Material utilization" may also be described as "resource utilization." Please describe Respondent physical resources (including staff) including current and optimal resources required to meet the scope of service and technical knowledge described in the RFP.
RFP-2019-ORTHO-EVC1.2RFPWhat relationship does SCG Health have with the Buyer?SCG Health is an authorized consultant for the Buyer and is facilitating the publication and distribution of this Request for Proposals.
RFP-2019-ORTHO-EVC1.3RFPThe RFP states: “Bids selection criteria will include but not be limited to the following: "Historical reports from CMS describing errors in submission for correction." In the PQRS days, we received a report from CMS regarding errors, but we don’t have anything from the past two years that would qualify as such. Please clarify the request. SCG Health is aware of this programmatic change. We are confirming with CMS that such reports will not be issued for the 2018 reporting cycle. Once confirmed, SCG Health will send out a notice to all via email and post on this site the expectations for response.
RFP-2019-ORTHO-EVC1.4RFPWhat does SCG stand for? Who is SCG Health?SCG stands for the Searfoss Consulting Group. SCG Health is a Medicare Qualified Clinical Data Registry since 2016 with a nimble infrastructure for consulting, secure-data hosting and customized analytics.
RFP-2019-ORTHO-EVC1.5RFPIs the Buyer interested in a multi-year contract? At this time, the Buyer is requesting a 1 year contract that is renewable. They are open to a multi-year term as an additional proposal.
RFP-2019-ORTHO-EVC1.6RFPWe noticed that subcontractors are not allowed in the RFP.  We wanted to clarify whether this included "cloud-based" data processing. Yes, sub-contractors for the performance of consulting, support and data aggregation are not permitted. AWS and other cloud-based, HIPAA-compliant web services are a Business Associate and not a sub-contractor prohibited by the scope of the RFP.
RFP-2019-ORTHO-EVC1.7RFPSome of our clients may choose to require that their data remain in our physical co-location, even though if it will mean that their fees will increase.  What requirement are there on data location?Due to the sensitive nature of protected health information, the Buyer would strongly prefer that all data remain on servers located within the United States to provide the federal protections afforded under HIPAA. We suggest to Respondents that if any data is to be stored in off-shored servers that this fact be disclosed in the RFP. Clarification on Business Associate Agreements with HIPAA-compliant server vendors is welcome.
RFP-2019-ORTHO-EVC1.8RFPHow many Vendor resources are supporting Buyer during 2019 reporting period? How many hours per month are needed to assist Buyer with MIPS performance management?SCG Health provides one senior support FTE to act as a full-time point person, support contact and ongoing data maintenance. SCG Health has not captured cost-center hours for this Client since 2016. Based on historical data, consulting, support and data aggregation/reporting SCG Health estimates 173 hours of work per reporting cycle (calendar year - reporting deadline) with various technical skill levels of staff.
RFP-2019-ORTHO-EVC1.9RFP Clarification is requested re:
On page 4, under Project Team it states: “Vendor shall provide at least 3 examples and references of performance on similar projects that the vendor has completed.” On page, 6, under References it states: “Provide organization names and specific individual contacts for at least two similar projects…..”. 
Please provide three examples and references to similar clients. These references should be from two organizations.
RFP-2019-ORTHO-EVC2.1MeasuresWhat measures are being tracked / reported for 2019?For 2019, the Buyer is tracking:
* MIPS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
* MIPS Measure #130: Documentation of Current Medications on the Medical Record
* MIPS Measure #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
* MIPS Measure #424: Perioperative Temperature Management
* MIPS Measure #23: Perioperative Care: Venous Thromboembolism Prophylaxis
* MIPS Measure #357: Surgical Site Infection
* MIPS Measure #376 Functional Status Assessment for Total Hip Replacement
* MIPS Measure #470: Average change in Functional Status Following Total Knee Replacement Surgery

Reported measures will depend on performance (score) and data adequacy.
RFP-2019-ORTHO-EVC2.2MeasuresWhat Quality measures are currently included in 2019 processing? See Question 2.1 answer.
RFP-2019-ORTHO-EVC2.3MeasuresIs the Buyer targeting both CQM and eCQM measures? See Question 2.1. Data may be captured using registry and eCQM measure specifications.
RFP-2019-ORTHO-EVC3.12018 performanceWhat was the 2018 Quality score? The Buyer received a Quality score of 39.45/50 for the 2018 performance year.
RFP-2019-ORTHO-EVC3.22018 performanceWhat was the 2018 PI score? The Buyer received a Promoting Interoperability score of 24.5/25 for the 2018 performance year.
RFP-2019-ORTHO-EVC3.32018 performanceWhat was the 2018 IA score? The Buyer received an Improvement Activities Score of 15/15 for the 2018 performance year.
RFP-2019-ORTHO-EVC3.42018 performanceWhat was the 2018 Cost score? The Buyer received a Cost score of 7.53/10 for the 2018 performance year.
RFP-2019-ORTHO-EVC3.52018 performanceWhat were the Quality measures submitted in 2018 and the performance scores?For 2018, the following Quality measures were submitted with the following performance rates:
* MIPS Measure #23: Perioperative Care: Venous Thromboembolism Prophylaxis - 100%
* MIP Measure # 128: Preventive and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan - 52.01%
* MIPS Measure #130: Documentation of Current Medications on the Medical Record - 74.16%
* MIPS Measure #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - 47.94%
* MIPS Measure #424: Perioperative Temperature Management - 100%
* MIPS Measure #426: Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) - 100%
RFP-2019-ORTHO-EVC3.62018 performanceWhat was the 2018 Medicare payment total for the TIN? Since the payment is in 2020, the amount is unknown. The 2018 score of 88.21/100 resulted in a 1.13% bonus on 2020 Medicare receipts.
RFP-2019-ORTHO-EVC3.72018 performance What is the percentage of Eligible Instances for which the organization has reported each quality measure? Per the instructions of CMS, cherry-picking the selection of data for submission to meet the data adequacy requirements is prohibited.
RFP-2019-ORTHO-EVC3.82019 performanceWhat is the anticipated score for 2019 for this organization for each performance category? Due to the stale nature of current benchmarks (and unavailability for several measures), we are unwilling to provide preliminary scores to Respondents. For historical purposes, the Buyer has achieved Exceptional Performer scores since MIPS inception, achieving 88.21/100 in 2018 and 72.47/100 in 2017.
RFP-2019-ORTHO-EVC3.92019 PerformancePlease list the current IA measures being tracked for 2019 and explain the current process used to verify performance. The Buyer is performing the following Improvement Activities during the 2019 reporting year:
* IA_PSPA_21 Implementation of fall screening and assessment programs
* IA_BE_8 Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive
* IA_PSPA_7 Use of QCDR data for ongoing practice assessment and improvements
* IA_PSPA_20 Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement change

These measures are documented by SCG Health and verified by our staff. Verification is documented by recorded MIPS-related meetings hosted by SCG Health with Buyer clinician attendance which occur monthly throughout the reporting year and audited documentation of policies, programs and education.
RFP-2019-ORTHO-EVC4.1Data structureAre there patients that are represented in multiple EMRs?  If so, do the patients have the same ID in each system or a unique ID that can be used to identify each individual patient?  If not, are we expected to perform patient matching? Yes. The same patient may be seen by multiple clinicians, in different locations, using different EMRs. There is not a uniform patient identifier adopted by the Buyer between platforms - or even within the same platforms. The successful Awardee will be responsible for performing patient matching using patient demographic information included as structured data from the EMR and/or by clams data obtained from the clearinghouse. The clearinghouse does generate a unique patient identifier and encounter ID.
RFP-2019-ORTHO-EVC4.10Data structure How many instances of each source system does SCG Health have? How many physicians are in each instance? Are the database instances on premise, remote or cloud? SCG Health hosts a single instance per calendar year for this Buyer. The server is onsite and air locked. We do not limit data per physician and instead look at eligible clinician. Each instance contains 150-1000 eligible clinicians (PTs are out of scope for this RFP). Results are exported to a reporting portal which is updated every-other-month (every 60 days).
RFP-2019-ORTHO-EVC4.11Data structurePlease clarify the current process used to support Denominator processing – include known data gaps.SCG Health uses the clearinghouse information to standardize denominators for each measure. Known gaps are claims dropped to paper due to prior authorization (Medicaid procedures) and some workers compensation claims.
RFP-2019-ORTHO-EVC4.2Data structureFor 2019, how is the data being extracted from the EMRs (e.g. CCDAs, direct API integration, spreadsheet downloads?)Depending on the integrity of the certified EMRs, the inherent reporting functionality of the system is being used to extract structured and verified data (QRDA I, spreadsheets). For measures without structured data, other methods are being used to obtain data which include surveys and chart abstraction (electronic and hardcopy).
RFP-2019-ORTHO-EVC4.3Data structureAre 837 claim files accessible from each EMR to support Denominator processing?No. The 837 is not accessible from most EMR installations. A 835 data feed (EOB) is available from a third-party vendor used by the Buyer. The data feed is extracted from the Buyer's clearinghouse.
RFP-2019-ORTHO-EVC4.4Data structureDoes each EMR have existing report(s) to extract comprehensive clinical data required to support selected measure numerator evaluation (PM, PNM, PE)? Example: If (12) CQM measures are tracked by each of the (8) EMRs, (96) distinct clinical reports could be needed for Numerator processing. Please clarify the current process used to support Numerator processing - include known data gaps. See Question 4.2.
RFP-2019-ORTHO-EVC4.5Data structureDo the EHRs listed in the RFP have the ability to generate comprehensive QRDA I files?See Question 4.2. All EMR platforms are 2015 certified.
RFP-2019-ORTHO-EVC4.6Data structure Is the Buyer supplying data to the Vendor using a specified format a possible alternative to the Respondent providing extraction services? The Awardee will be expected to be able to extract data from the Buyer’s multiple EMRs and aggregate it to create a performance score for the entire organization. The Buyer will not be able to provide data in a uniform format. See Questions 4.2, 4.3 and 5.5.
RFP-2019-ORTHO-EVC4.7Data structureHow have the eight EMRs currently in use throughout the company previously delivered data for MIPS reporting? See Question 4.2 and 4.5.
RFP-2019-ORTHO-EVC4.8Data structure What is the preferred method or format for transfer of claims data? There is no preferred method. The Respondent should clarify their ability to capture and aggregate data based upon the available formats.
RFP-2019-ORTHO-EVC5.1EMRFor the eClinicalWorks EMR users, please let us know the version and whether it is cloud based or hosted. Cloud-based and server based eCW installations exist within this group on v10, v11 and v11e. Upgrades are likely, but have not been scheduled.
RFP-2019-ORTHO-EVC5.10EMR Is the Practice Management (PM) software housed within each EMR or separate? If separate, identify EMR and PM used. See Question 4.3 regarding claims level data.
RFP-2019-ORTHO-EVC5.11EMR Are all of the EMRs based upon SQL Server?  If not, what are the other DBMS's involved? Will an ODBC connection be available? Due to the restrictive covenants and contractual limitations of EMR licensing, database level data extraction is prohibited. See Question 4.2 for license compliant structured data extraction methods.
RFP-2019-ORTHO-EVC5.12EMR What percentage of Eligible Instance are represented by each of the EMRs that are utilized? Due to the nature of EMRs having overlapping patient populations, we are unable to calculate these percentages.
RFP-2019-ORTHO-EVC5.2EMRWhat is the NPI count for each of the EMRs? The Buyer is a large organization with a wide range of EMRs and versions. Currently, the fewest number of NPIs to an EMR is 1 NPI. The largest amount of NPIs to an EMR is 54. There are 80 locations total.
RFP-2019-ORTHO-EVC5.3EMRAre there any additional EMR vendors likely to be added in 2020? The Buyer is actively evaluating acquisitions of new clinicians. It is possible that new EMR platforms could join the Buyer in 2020. Since publishing the RFP, a new EMR, Inteligent Medical Systems, has come online with billed services since October 1, 2019.
RFP-2019-ORTHO-EVC5.4EMRAre the eight EMRs listed in the RFP 2015 certified?Yes. Respondents are welcome to review the official statements on the CHPL regarding these vendor statuses.
RFP-2019-ORTHO-EVC5.5EMRAre each of the EHRs capable of generating a PI report for Registry upload? Please clarify the current process – include known data gaps. Each EMR is capable of generating a report for registry upload. These are typically collected as an Excel spreadsheet, QRDA III or PDF depending on the EMR.
RFP-2019-ORTHO-EVC5.6EMRThe 2020 Data Validation Execution requires audit of PI performance. Is each EHR capable of providing auditable data to support PI scores?For this reason, SCG Health does not submit PI data for our clients in 2019. Therefore, we are unable to confirm whether the PI data provided by any EMR is auditable.
RFP-2019-ORTHO-EVC5.7EMRIs each EHR capable of providing auditable data to support IA scores? The Buyer does not report any Improvement Activity (IA) that includes a PI bonus. Therefore, we are unable to confirm whether the PI data provided by any EMR is auditable. Please see Question 3.7 answer regarding 2018 IA measures, performance facilitation and verification.
RFP-2019-ORTHO-EVC5.8EMR Will “Read-Only Access” be provided for each EMR? If not, what level of EMR access will be granted? The level of access granted to each EMR will vary depending on the practice. This access will range from quality portal access to full EMR access.
RFP-2019-ORTHO-EVC5.9EMR Are there restrictive security protocols that must be addressed and if so, which ones? Several EMR systems for the Buyer use VPN access to authenticate the user. The location IT staff are able to facilitate the VPN set up following authorization from the division administrator.
RFP-2019-ORTHO-EVC6.1RespondentsWe do not respond to blind RFPs due to concerns that this these requests are competitive information fishing expeditions.We understand and all Respondents may choose not to respond. RFP responses are held in close confidence by SCG Health and the Buyer. They are not made public. SCG Health's owner, Jennifer Searfoss, is held to the ethical obligations of her law license in this matter.
RFP-2019-ORTHO-EVC6.2RespondentsIf a Respondent is a privately-held organization and prohibited from certain disclosures by an operating agreement with shareholders, will this detrimentally affect the RFP response? It depends. More likely it will not due to the technical nature of the RFP response. Thorough responses will be scored better as demonstrated in the scoring rubric in the RFP.
RFP-2019-ORTHO-EVC6.3RespondentsWould the Buyer be interested in a demo of our software as part of the proposal? It is possible that three finalists will be identified following the submission closure for this RFP. Demos would need to be scheduled quickly due to the tight turnaround for the contract award.
RFP-2019-ORTHO-EVC7.1BuyerIs the Buyer interested in utilizing this information for other initiatives (other than MIPS)?At this time the Buyer is not. It is likely that they may in the future.
RFP-2019-ORTHO-EVC7.10BuyerHow has the Buyer reported Quality data in the past? Was reporting at a group or individual level? The Buyer has reported as a Group since 2013. Individual reporting, when greater than the group score, is also permitted since 2018. This individual reporting may be done by another registry/QCDR or EMR vendor.
RFP-2019-ORTHO-EVC7.2BuyerIs the Buyer reporting under one TIN? Yes. The Buyer is a large group organization with 80 locations all billing Medicare under one tax identification number (TIN).
RFP-2019-ORTHO-EVC7.3BuyerDoes the Buyer have IT staff to support the MIPS initiative? No. The Buyer does not provide their own staff to assist with the MIPS initiative.
RFP-2019-ORTHO-EVC7.4BuyerDoes the Buyer have IT support for each of the eight EMRs?The Buyer has support contracts with their respective EMR vendors for support. Each location may have IT support for hardware and non-EMR software issues. These staff are not available for MIPS support. These MIPS support services are within the scope of the RFP.
RFP-2019-ORTHO-EVC7.5BuyerDoes the Buyer have in house staff to support the MIPS initiativeSee Questions 7.3 and 7.4.
RFP-2019-ORTHO-EVC7.6BuyerIs the Buyer open to Vendor suggestions for workflow changes to optimize data capture in support of MIPS quality measure performance? The Buyer is open to workflow changes. Please keep in mind that the Buyer and this RFP require high-touch services and support for continued success. Changes may require development and publication of educational resources, quick reference guides, job aides with screen shots and support over the phone, by email, and in-person visits. This will vary from location to location.
RFP-2019-ORTHO-EVC7.7BuyerIs the Buyer open to Vendor suggestions for automation of EMR report generation to optimize data processing in support of MIPS outcomes? The Buyer is open to all HIPAA compliant technological and/or workflow changes and automation that will make EMR use easier and have less burden on the physicians.
RFP-2019-ORTHO-EVC7.8Buyer Identify the number of practices, providers, patients associated with each EMR identified in the RFP. See Question 5.2.
RFP-2019-ORTHO-EVC7.9BuyerHow has the Buyer reported for the MIPS program in the past?Since 2013, the Buyer has reported for PQRS/MIPS through a registry/QCDR.

SCG Health is a tradename of the Searfoss Consulting Group, LLC. You may reproduce materials available on this site for your own personal use and for noncommercial distribution. For more information, please read the Content Sharing Policy. DISCLAIMER: You should consult an attorney for individual advice regarding a particular set of facts and circumstances. SCG Health reserves the right to change the information on this website without notice. © Copyright 2019 SCG Health, LLC. All right reserved.

Log in with your credentials

or    

Forgot your details?

Create Account