Questions and Answers_0002.pdf

Questions and Answers:

1. Could you please tell me if the Combined Synopsis/Solicitation posted as solicitation number 140P2120R0033 will be a follow-on requirement to any work performed currently or in the past, or will this be a new requirement?

Answer: This is not a follow-on requirement. However, there was an IDIQ in place prior to this one P15PC00016 issued to Code 3 Billing Services, Inc. All work on the new award under this solicitation will be new.

2. If possible, can you please provide the most recent contract or task order number?

Answer: The most recent IDIQ award is P15PC00016

3. Why has this bid been released at this time? This bid is being released since the legacy contract expired in May, 2020.

Answer: This award is released now due to program and contracting timelines.

4. Please describe your level of satisfaction with your current or recent vendor(s) for the same purchasing activity, if applicable.

Answer: Contracting will not answer this question.

5. Has the current contract gone full term?

Answer: Yes.

6. Have all options to extend the current contract been exercised?

Answer: Yes.

7. Who is the incumbent, and how long has the incumbent been providing the requested services?

Answer: The incumbent is Code 3 Billing Services, Inc.

8. To what extent will the location of the bidder’s proposed location or headquarters have a bearing on any award? There is no impact on the Bidders headquarters location.

Answer: Since these services are for all National Park Units the bidder’s location or headquarters have no bearing on the award.

9. How are fees currently being billed by any incumbent(s), by category, and at what rates?

Answer: This is confidential information and it will not be shared.

10. What estimated or actual dollars were paid last year, last month, or last quarter to any incumbent(s)?

Answer: This is confidential information and will not be shared.

11. What were your annual gross charges last year or for the last 12 months?

Answer: This is confidential information and will not be shared.

12. What were your annual gross collections last year or for the last 12 months?

13. What were your annual billable transports last year or for the last 12 months?

14. Do you currently outsource EMS Billing? If so, can you provide the name of the vendor and the fee you are being charged?

Answer: The incumbent is Code 3 Billing Services, Inc.

15. Are you currently using an electronic patient care (ePCR) reporting system? If so, which system are you currently using? Are you interested in different ePCR options?

Answer: Yes. We utilize emsCharts (https:www.emscharts.com/) currently and have not considered switching at this time.

16. Will the vendor be financially responsible for the cost of your ePCR software and hardware? If so, please provide all specifications.

Answer: No, the vendor will not be responsible for emsCharts cost.

17. Please provide the net charges for fiscal 2019?

Answer: This is confidential information and will not be shared.

18. Please provide the total collections for 2019?

19. Please provide the average revenue collected per transport for fiscal year 2019?

20. Please provide a breakdown of FY 2019 transports by primary payor for the following categories?

a. Medicare

b. Medicaid

c. Commercial Insurance

d. Patient Pay

Answer: Previous, billing data was maintained at each individual park unit and this information was maintained at the local level. The aggregated information is not available for FY 2019.

21. Please provide the average loaded mileage per transport?

information was maintained at the local level. The aggregated information is not available.

22. Can you please confirm how many invoices do you require and at what interval?

Answer: Monthly Invoicing is assumed, but the vendor is free to propose otherwise for consideration.

23. Please provide the number of transports for each call type for fiscal year 2019?

a. ALS Emergency

b. ALS Non-Emergency

c. BLS Emergency

d. BLS Non-Emergency

e. ALS 2

f. SCT

Answer: FY 2019 numbers are as follows based on the current service levels available via our reporting system, but note that due to the nature of how park data is currently maintained, this may / may not reflect the actual totals, which are thought to be higher.

ALS: 131

BLS: 1,905

Fixed Wing: 12 Rotary Wing: 49 No Data Available: 712

24. Please provide the current charges for each level of service?

a. ALS Emergency (A0427)

b. ALS Non-Emergency (A0426)

c. BLS Emergency (A0429)

d. BLS Non-Emergency (A0428)

e. ALS 2 (A0433)

f. SCT (A0434)

g. Mileage (A0425)

h. Treatment No Transport (A0998)

25. Please describe your current practice for managing Notice of Privacy Practice (NPP). Will the successful vendor be responsible for mailing NPP’s?

Answer: Yes, the current vendor is responsible for all necessary correspondence, including all applicable privacy notifications, between patients, insurance carriers, etc.

26. Do you currently use a lockbox for all payments and correspondence? If so, who will be responsible for the cost of the lockbox?

Answer: Lockboxes were not part of the proposal requirements, but the vendor is free to propose otherwise for consideration.

27. Does the NPS provide ground and air ambulance transports?

Answer: NPS does provide ground transport directly, but not have licensed air ambulance services. However , NPS works directly with local air transport agencies.

28. What is the NPS’ current Charge Structure and Annual Transport Volume broken out by acuity level? (Please add additional rows as necessary)

Service Category Billing Fee Charge Annual Volume Ground BLS Emergency $ Ground BLS Non-Emergency $ Ground ALS Emergency $ Ground ALS Non-Emergency $ Ground ALS Intercept (If applicable)

Ground ALS2 $ Ground Specialty Care Transport $ Ground Mileage (per loaded mile) $ Avg loaded mileage Treatment/No Transport $ Air BLS Emergency $

Air BLS Non-Emergency $ Air ALS Emergency $ Air Non-Emergency $ Air ALS Intercept (If applicable) $ Air ALS2 $ Air Specialty Care Transport $ Air Mileage (per loaded mile) $ Avg loaded mileage

29. If possible, please also provide ambulance transport volume by acuity level for each NPS site.

Answer: The current reporting system does not allow for this exact information. The basic transport information is available in question #23 above.

30. What is the NPS’ Ambulance Transport Volume by Payer Category (Payer Mix)?

Payer Type Annual Volume Medicare Medicaid Commercial Self-Pay

31. If possible, please also provide ambulance transport volume by payer category for each

NPS site.

Answer: The current reporting system does not allow for this information.

32. Please provide the following information by Payer Category for the Last Annual

Reporting Period.

Payer Type Gross Charges Net Charges Net Collections Medicare $ $ $ Medicaid $ $ $ Commercial $ $ $ Self-Pay $ $ $ Total $ $ $

33. If possible, please also provide this information by each NPS site.

34. With regards to PART A – SF 1449: Supplemental Information 1. and Addenda 1.0:

Submission Instructions Specific to this Solicitation 1. VOLUME II, e. Small Business Subcontracting Plan in the RFP, please explain the small business et. al. set aside requirements in more detail to ensure that your goals are understood and addressed in our response.

Answer: This will be taken out as this award is set aside small business.

35. With regards to Addenda 1.0: Submission Instructions Specific to this Solicitation in the RFP, please clarify whether the response should include two separate files or two “Volumes” in separate sections of the same document. Further, please confirm that Volume I should be comprised of the response to Evaluation Factors I and II?

Answers: Two separate files Volume I factors I and III and Volume II pricing.

36. What is the anticipated and desired “Go Live” date for the successful bidder to begin billing services on behalf of the NPS?

Answer: Although there is no hard “Go Live” date it is NPS goal to make award and have the Contractor start by November 2, 2020.

37. Please provide the number of billable runs from last year.

Answer: The basic transport information is available in question #23 above.

38. Please provide your current charge list.

39. Please provide last year’s total charges, payments, contractual adjustments and write-offs.

40. What is your current payer mix? (i.e. % of Medicare, Medicaid, Commercial Insurance, Self-pay, etc.)

information was maintained at the local level. The aggregated information is not available.

41. Deposit criteria? (Will paper payments come into client for deposit or will the vendor deposit payments on behalf of client) is a lockbox required?

Answer: It was assumed that the vendor will deposit on behalf of clients, and lockboxes were not part of the proposal requirements, but the vendor is free to propose otherwise for consideration.

42. Are credit card payments allowed? If yes, who will be responsible for the credit card transaction fees?

Answer: Yes, Credit card payments are allowable and the vendor should propose a fee structure with their proposal.

43. Who is your current billing services vendor? What is their commission rate? Are you happy with their services?

Answer: The incumbent is Code 3 Billing Services, Inc. Commission rates and satisfaction levels are confidential information and will not be shared.

44. Will the agency provide the transport incident details in a NEMSIS v3 .XML file? Will the agency provide access to your current ePCR solution for data retrieval?

Answer: We will work with the chosen vendor to provide incident details available as necessary.

Yes, the chosen vendor will be provided access to your current ePCR solution for data retrieval?

45. Will the agency consider switching their ePCR solution through this RFP?

Answer: Not at this time.

46. Will the government consider changing the solicitation NAICS code to one of the following?:

624230 - Emergency and Other Relief Services

518210 - Data Processing, Hosting, and Related Services

511210 - Software Publishers

The current “NAICS, 621910 – Ambulance Services”, is for industry that “comprises establishments primarily engaged in providing transportation of patients by ground or air, along with medical care.” This effort is not providing the patient transport, but the billing services for that activity, for which these NAICS are more appropriate.

Answer: The NAICs Code has been updated as suggested to 624230 as requested. I can not change it on the form until award since it is locked. But NAICs code 624230 is the new NAICs code to be used.