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FBO DAILY - FEDBIZOPPS ISSUE OF OCTOBER 28, 2018 FBO #6183
DOCUMENT

R -- Medical coding - Martinsburg Base plus 4 option years - Attachment

Notice Date

10/26/2018
 

Notice Type

Attachment
 

NAICS

541219 — Other Accounting Services
 

Contracting Office

Department of Veterans Affairs;VA Maryland Health Care System;Contracting Officer (90C);P.O. Box 1000, Bldg. 101, Room 24;Perry Point MD 21902
 

ZIP Code

21902
 

Solicitation Number

36C24519Q0019
 

Response Due

11/2/2018
 

Archive Date

11/17/2018
 

Point of Contact

georgina.bantum@va.gov
 

E-Mail Address

georgina.bantum@va.gov
(georgina.bantum@va.gov)
 

Small Business Set-Aside

Service-Disabled Veteran-Owned Small Business
 

Description

36C24519Q0019 Q and A Is there a current contractor providing the services requested? Axiom Page 6:   Would the government consider revising the TAT to seven days to be in line with other VA facilities? No, we would not. Page 10: Can you provide additional details on your process to query the provider?   In other VA contracts, we have not been provided the necessary VA tools to query VA providers, rather, the process has been to suspend the encounters with a note of the ambiguous information that needs clarification.   These suspended encounters are then used to query the provider by the VA COR. The contractor is able to query using outlook with RMS encryption. 4.Page 11: Requires reporting of Inpatient Pro-Fees, however that is not required.   Should we provide pricing for Inpatient/Outpatient Professional Coding, even though it is not listed on the Price Schedule on page 18? per VHA HIM, professional fee services are considered part of the inpatient or outpatient total. Ref. Page 6 3-day TAT. Please confirm that these are business days. If calendar days, then encounters assigned on a Friday before a Monday Federal holiday would require the contractor to complete work during non-working hours, thus unnecessarily increasing the cost to the government to pay overtime rates to SCA employees. The 3 days is calendar days Ref. Page 6 - 3-day TAT. All the VHA VISNs and hospitals we provide with medical coding support have a seven (7) day turnaround time (TAT). To understand how to properly address this requirement, what is the reason that this contract requests a three (3-day TAT)? To ensure our facility TAT Ref. Page 6 - 3-day TAT. How should the contractor account and report on IT system downtime that could create TAT delays that are out of the control of the contractor? This would be taken in consideration Ref. Page 18 To properly develop SCA-based pricing the duration of the Base Period and each Option Period is required. What are the durations of the Base and each Option Period? 1 year Is there an incumbent contractor performing this work, and if so, please provide the name of the contractor company? Axiom As an SCA contract, the new contractor is required by DOL law and SCA compliance to offer the positions to incumbent contractor personnel. The employment information of all current staff is required to develop a price that includes the vacation and sick pay of incumbent staff performing the work, protecting their compensation. Can the government provide a list of all the current staffs Labor Categories and their anniversary dates so that we can correctly calculate the labor cost base? Please look at the Wage Determination. 1. Pg. 77, E.3 Evaluation - (a) b. states 3 VA references are required. Can subcontractors have 1 or 2 of the references as long as the prime has a good reference to submit? Yes. 2. Pg. 6, B.4 PWS - A.6 states Coding must maintain a minimum of 95% accuracy with a desired accuracy rate of 98% to be the goal. Will the contractor be expected to reach a 95% accuracy immediately and grow into 98%? How long does the contractor have to reach the goal  of 98% accuracy? 95% is what is required, we are requesting a higher accuracy 4. There appears to be no requirement for a technical write up. There is no requirement to submit technical write up with your bid. 5. pg52, D.2 CPARS - states a requirement for registration with CPARS. Typically, CPARS evaluations are done at the end of the contract. Our companies are in the  middle of long-term  contracts. Can we submit past performance information in lieu of having CPARS ratings for our past performances? Yes, as long as it is VA references. What software does VA Martinsburg use for coding?   Nuance Encoder Product software 16.. What is expected start date and period of performance of this solicitation?     On award of the contract. 17. Are there specific instructions to guide vendor responses, such as a response page limit?   no 18. Will the coders have access to VA provided encoder software?   yes 19. What are the productivity standards per patient type?   National VHA HIM productivity standards 20. Inpatient Encounters/PTF s - What is the average length of stay for your facility?      4 days 21. Inpatient Encounters/PTF s - Of the 150 Inpatient PTF s per month (150 x 3 = 450) does this record amount estimate include the quarterly CENSUS numbers?  No, it does not 22. CENSUS What record volume estimate will be required of the contractor during CENSUS?  At this point, we do not use contractor for census 23. Inpatient Profees What record volume estimate of Inpatient Profees will be required of the contractor?    Very few per month 24. Inpatient Profees Can these be assigned through CCM to the Profee coder? No, they cannot 25. Surgery Encounters (10 per month) Does this include processing the surgeries through Surgical Package/Surgical Case Management?    yes 26. Surgery Encounters (10 per month) Do we need a CPT surgery coder available all throughout the month or just during certain coverage times?   Will depend on our facility staffing   27. How are these services currently being performed?   By VA employees and contractor 28. What are the current contract staffing levels?   1 29. Are there incentives or disincentives in contract performance? For example, since we assume payment will be based on a transaction based structure, are there service level agreements in-place regarding transaction volumes?     no 30.There are four categories of services and only three services listed in the Pricing table.    The four services in the solicitation are:                 Outpatient Encounters - including Inpatient Professional Evaluation & Management, ER, Radiology, Surgery, Lab or other Ancillary Services Inpatient (PTF) Encounters - includes all episodes of care for acute care hospitalizations, observation stays, nursing home care, substance abuse, residential rehabilitation treatment program, census, inpatient fee service, contract nursing home, and domiciliary Surgical Encounters - includes the surgery, anesthesia and pathology for the surgical episodes Professional Fee Encounters includes initial, subsequent, surgeries and discharge services during the hospital stay The pricing table includes three services.   Should Professional Fees have a designated CLIN or are they included under OP Encounters?   Surgery Encounters are also listed under Outpatient Encounters in the solicitation and have a separate CLIN. Professional Fees usually have their own CLIN. Per VHA HIM, professional fee services are considered part of the outpatient total.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VAMHCS512/VAMHCS512/36C24519Q0019/listing.html)
 

Document(s)

Attachment
 

File Name: 36C24519Q0019 36C24519Q0019_2.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4656400&FileName=36C24519Q0019-001.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4656400&FileName=36C24519Q0019-001.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN05135889-W 20181028/181026230506-9151e8bed4a5d8cca2779c8b32a7ba4c (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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