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This document is a Request for Proposal (RFP) from the Department of Veterans Affairs Technology Acquisition Center for a Health Information Coding, Billing, and Auditing (HICBA) Veterans Health Information Systems and Technology Architecture (VistA) Integration, Reporting, and Revenue (VIRR) software solution. The solicitation (36C10B25R0015) seeks a commercial off-the-shelf (COTS) software suite that provides enterprise-wide licensing for unlimited users, with no additional costs for user additions, to support coding, clinical documentation integrity, billing, and revenue management across VA's 140+ medical centers and seven Consolidated Patient Account Centers.

The contract is structured as a firm-fixed-price agreement with a 4-month base period and five option periods extending through November 2029, with a potential total contract value of $34 million. The software must provide real-time bidirectional integration with VistA and the current HICBA Encoder software, support medical coding processes across various care settings, enable clinical documentation improvement, provide comprehensive reporting capabilities, and include technical support and training. Proposals are due by April 10, 2025, with an anticipated contract start date of June 1, 2025. The award will be made to the lowest-priced, technically acceptable proposal, with a small business set-aside and evaluation preferences for HUBZone businesses.

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PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C10B25R0015 04-03-2025

Lauren Sankar 848-377-5125 04-10-2025

10:00 AM EDT

36C10B

Department of Veterans Affairs

Technology Acquisition Center

23 Christopher Way

Eatontown NJ 07724

X

541512

$34 Million

N/A

X

See Delivery Schedule

36C10B

23 Christopher Way

Eatontown NJ 07724

Financial Services Center

PO Box 149971

Austin TX 78714-8971

Health Information Coding, Billing and Auditing (HICBA)

Veterans Health Information Systems and Technology

Architecture (VistA) Integration, Reporting, and Revenue

(VIRR) Request for Proposal

POCs:

Heather Utt, Contracting Officer, Heather.Utt@va.gov

Lauren Sankar, Contract Specialist, Lauren.Sankar@va.gov x x x 1

Heather Utt

Contracting Officer

36C10B25R0015

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 GOVERNING LAW

B.2 SOFTWARE LICENSE, SOFTWARE MAINTENANCE AND SOFTWARE

TECHNICAL SUPPORT:

B.3 CONTRACT ADMINISTRATION DATA

B.4 PRICE SCHEDULE

B.5 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 2021)

C.3 52.217-7 OPTION FOR INCREASED QUANTITY-SEPERATELY PRICED LINE

ITEM (MAR 1989)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 95

C.5 52.227-19 COMMERCIAL COMPUTER SOFTWARE LICENSE (DEC 2007)

C.6 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025)

C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.8 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.9 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 BASIS FOR AWARD

E.9 EVALUATION APPROACH

E.10 PROPOSAL SUBMISSION INSTRUCTIONS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 GOVERNING LAW

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto, as permitted by FAR 12.212. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the

Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation

(shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing data rights regarding the Government’s use, duplication and disclosure of data (e.g., restricted computer software) are included and made a part of this

Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order; those provisions in the commercial license agreement that do not address data rights regarding the Government’s use, duplication and disclosure of data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract/Order Disputes Act (41

U.S.C. § 7101 et seq.), the Anti-Deficiency Act (31 U.S.C. § 1341 et seq.), the

Competition in Contracting Act (41 U.S.C. § 3301 et seq.), the Prompt Payment Act (31

U.S.C. § 3901 et seq.), Contracts for Data Processing or Maintenance (38 U.S.C. §

5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this clause shall prevail. The Contractor shall deliver to the Government all data first produced under this Contract/Order with unlimited rights as defined by FAR

52.227-14. Claims of patent or copyright infringement brought against the Government as a party shall be defended by the U.S. Department of Justice (DOJ) in accordance with 28 U.S.C. § 516; at the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the

Contract/Order must be made by modification (Standard Form 30) and shall only be made by a warranted Contracting Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

B.2 SOFTWARE LICENSE, SOFTWARE MAINTENANCE AND SOFTWARE

TECHNICAL SUPPORT:

(1). Definitions.

a) Licensee. The term “licensee” shall mean the U.S. Department of

Veterans Affairs (“VA”) and is synonymous with “Government.”

b) Licensor. The term “licensor” shall mean the Contractor having the necessary license or ownership rights to deliver license, software maintenance and support of the computer software being acquired. The term “Contractor” is the party identified in Block 17a on the SF1449. If the Contractor is a reseller and not the

Licensor, the Contractor remains responsible for performance under this

Contract/Order.

c) Software. The term “software” shall mean the licensed computer software product(s) cited in the Schedule of Supplies/Services.

d) Maintenance. The term “maintenance” is the process of enhancing and optimizing software, as well as remedying defects. It shall include all new fixes, patches, releases, updates, versions and upgrades, as further defined below.

e) Technical Support. The term “technical support” refers to the range of services providing assistance for the software via the telephone, email, a website or otherwise.

f) Release or Update. The term “release” or “update” are terms that refer to a revision of software that contains defect corrections, minor enhancements, or improvements of the software’s functionality. This is usually designated by a change in the number to the right of the decimal point (e.g., from Version 5.3 to 5.4). An example of an update is the addition of new hardware.

g) Version or Upgrade. The term “version” or “upgrade” are terms that refer to a revision of software that contains new or improved functionality. This is usually designated by a change in the number to the left of the decimal point (e.g., from Version

5.4 to 6).

(2). Software License.

a) Unless otherwise stated in the Schedule of Supplies/Services, the

Performance Work Statement or Product Description, the software license provided to the Government is a perpetual, nonexclusive license to use the software.

b) The Government may use the software in a networked environment.

c) Any dispute regarding the license grant or usage limitations shall be resolved in accordance with the Disputes Clause incorporated in FAR 52.212-4(d).

d) All limitations of software usage are expressly stated in the Schedule of

Supplies/Services and the Performance Work Statement/Product Description.

(3). Software Maintenance and/or Technical Support.

a) If the Government desires to continue software maintenance and support beyond the period of performance identified in this Contract/Order, the

Government will issue a separate contract or order for maintenance and support.

Conversely, if a contract or order for continuing software maintenance and technical support is not received, the Contractor is neither authorized nor permitted to renew any of the previously furnished services.

b) The Contractor shall provide software support services, which includes periodic updates, enhancements and corrections to the software, and reasonable technical support, all of which are customarily provided by the Contractor to its commercial customers to cause the software to perform according to its specifications, documentation or demonstrated claims.

c) Any telephone support provided by Contractor shall be at no additional cost.

d) The Contractor shall provide all maintenance services in a timely manner in accordance with the Contractor’s customary practice or as defined in the

Performance Work Statement or Product Description. However, prolonged delay

(exceeding two business days) in resolving software problems will be noted in the

Government’s various past performance records on the Contractor (e.g., www.cpars.gov).

e) If the Government allows the maintenance and support to lapse and subsequently wishes to reinstate it, any reinstatement fee charged shall not exceed the amounts that would have been charged if the Government had not allowed the subscription to lapse.

(4). Disabling Software Code.

The Government requires delivery of computer software that does not contain any code that will, upon the occurrence or the nonoccurrence of any event, disable the software.

Such code includes but is not limited to a computer virus, restrictive key, node lock, time-out, or other function, whether implemented by electronic, mechanical, or other means, which limits or hinders the use or access to any computer software based on residency on a specific hardware configuration, frequency of duration of use, or other limiting criteria. If any such disabling code is present, the Contractor agrees to indemnify the Government for all damages suffered as a result of a disabling caused by such code, and the contractor agrees to remove such code upon the Government’s request at no extra cost to the Government. Inability of the Contractor to remove the disabling software code will be considered an inexcusable delay and a material breach of contract, and the Government may exercise its right to terminate for cause. In addition, the Government is permitted to remove the code as it deems appropriate and charge the Contractor for consideration for the time and effort expended in removing the code.

(5). Manuals and Publications.

Upon Government request, the Contractor shall furnish the most current version of the user manual and publications for all products/services provided under this

Contract/Order at no cost.

B.3 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT: Contracting Officer/Heather Utt/heather.utt@va.gov

Department of Veterans Affairs

Technology Acquisition Center

23 Christopher Way

Eatontown, NJ 07724

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon Government Acceptance of services and associated Deliverables in Section B.

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.4 PRICE SCHEDULE

Please be advised that in accordance with Federal Acquisition Regulation (FAR) Part 2.101, a “day” means, unless otherwise specified, a CALENDAR day. Additionally, deliverables with due dates falling on a weekend or holiday shall be submitted the following Government workday after the weekend or holiday.

Inspection, Acceptance, and F.O.B.: Destination

Deliverables throughout the performance of this contract shall be provided via electronic submission to: VA Program Manager (PM), Contracting Officer’s Representative (COR), and Contracting Officer (CO).

The Price Schedule contains contract line items identified as not separately priced (NSP). This means the price for the line item is included in the price of another, related line item. The Contractor shall not invoice the Government for any portion of the contract line item which contains an NSP until the Contractor has delivered the total quantity of all related contract line items and the Government has accepted them.

Base Period Period of Performance: June 01, 2025 to September 30, 2025

All deliverables are Inspection: Destination and Acceptance: Destination

Contract Line-Item Number

Description QTY Unit Unit Cost Total Price

0001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

4 MO $ $

0001AA Staffing Assignment Worksheet IAW PWS Section 5.1.1.

1 LO

Not Separately

NSP

Due 30 days after contract award.

Electronic submission to: VA

PM, COR, CO.

Priced

(NSP)

0001AB Project Management Plan IAW PWS Section 5.1.1.

Due 30 days after contract award.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

0001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due at contract kickoff meeting and updated as required to reflect program events.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

0001AD Implementation Plan IAW PWS Section 5.1.1.

Due 30 days after contract award.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

0001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after contract award and updated monthly thereafter.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

0001AF Quarterly Manpower/Government Furnished Equipment (GFE) Report IAW PWS Section 5.1.1.

1 LO NSP NSP

Due the fifth day of each quarter throughout the period of performance (PoP).

Electronic submission to: VA

PM, COR, CO.

0001AG Contractor Staff Roster IAW PWS Section 6.2.2.

Due 30 days after contract award and updated as changes occur.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

0002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

4 MO NSP NSP

0002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due 30 days after contract award

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

Electronic submission to: VA

PM, COR, CO.

1 LO $ $

0003 VHA Clinical Documentation Integrity and Improvement IAW PWS Section 5.3.

4 MO NSP NSP

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

0004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

4 MO NSP NSP

0004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

Electronic submission to: VA

PM, COR, CO.

4 EA $ $

0005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

4 MO $ $

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

0005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

PM, COR, CO

0006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

1 LO $ $

0006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

0006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

BASE PERIOD TOTAL $

Option Period 1 Period of Performance: October 1, 2025 to April 30, 2025

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer. If exercised, this option shall commence immediately after expiration of the base period.

Contract Line- Item Number

Description QTY Unit Unit Cost Total Price

1001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

7 MO $ $

1001AA Staffing Assignment Worksheet IAW PWS Section

1 LO

Not Separately Priced

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1001AF Quarterly Manpower/Government Furnished Equipment (GFE) Report IAW PWS Section 5.1.1.

Due the fifth day of each quarter throughout the period of performance (PoP).

Electronic submission to: VA

PM, COR, CO.

1001AG Contractor Staff Roster IAW PWS Section 6.2.2.

Due 30 days after exercise of option and updated as changes occur.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

7 MO NSP NSP

1002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

Electronic submission to: VA

PM, COR, CO.

1 LO $ $

1003 VHA Clinical Documentation Integrity and Improvement IAW PWS Section 5.3.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all

7 MO NSP NSP

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

1004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

7 MO NSP NSP

1004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

Electronic submission to: VA

PM, COR, CO.

7 EA $ $

1005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

7 MO $ $

deliverables required by the

PWS.

1005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

Electronic submission to: VA

PM, COR, CO..

1 LO NSP NSP

1006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

1 LO $ $

1006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

1006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

OPTION PERIOD 1 TOTAL $

Option Period 2 Period of Performance: May 1, 2026 to November 30, 2026

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer. If exercised, this option shall commence immediately after expiration of option period 1.

Item Number

Description QTY Unit Unit Cost Total Price

2001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

7 MO $ $

2001AA Staffing Assignment Worksheet IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO

Not Separately Priced

2001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2001AF Quarterly Manpower/Government Furnished Equipment (GFE) Report IAW PWS Section 5.1.1.

Due the fifth day of each quarter throughout the period of performance (PoP).

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2001AG Contractor Staff Roster IAW PWS Section 6.2.2.

Due 30 days after exercise of option and updated as changes occur.

Electronic submission to: VA

PM, COR, CO.

2002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

7 MO NSP NSP

2002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

Electronic submission to: VA

PM, COR, CO.

1 LO $ $

2003 VHA Clinical Documentation Integrity and Improvement IAW PWS Section 5.3.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task

7 MO NSP NSP

requirements and associated deliverables required by the

PWS.

2004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

7 MO NSP NSP

2004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

Electronic submission to: VA

PM, COR, CO.

7 EA $` $

2005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

7 MO $ $

2005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

Electronic submission to: VA

PM, COR, CO.

2006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

1 LO $ $

2006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

1 LO NSP NSP

2006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

Electronic submission to: VA

PM, COR, CO.

OPTION PERIOD 2 TOTAL $

Option Period 3 Period of Performance: December 1, 2026 to November 30, 2027

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, this option shall commence immediately after expiration of option period 2.

Item Number

Description QTY Unit Unit Cost Total Price

3001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

12 MO $ $

3001AA Staffing Assignment Worksheet IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Separately Priced

3001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

3001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due: Provide updates as needed.

3001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

3001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

3001AF Quarterly Manpower/Government Furnished Equipment (GFE)

Due the fifth day of each quarter throughout the period of performance (PoP).

3001AG Contractor Staff Roster IAW

Due 30 days after exercise of option and updated as changes occur.

3002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

12 MO NSP NSP

3002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

3003 VHA Clinical Documentation Integrity and Improvement IAW

12 MO NSP NSP

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

3004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO NSP NSP

3004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

12 EA $` $

3005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

3005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

3006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

3006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

3006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

3006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

OPTION PERIOD 3 TOTAL $

Option Period 4 Period of Performance: December 1, 2027 to November 30, 2028

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer. If exercised, this option shall commence immediately after expiration of option period 3.

All deliverables are Inspection: Destination and Acceptance: Destination

Contract Line- Item Number

Description QTY Unit Unit Cost Total Price

4001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task

4001AA Staffing Assignment

5.1.1.

Due: Provide updates as needed.

Separately Priced

(NSP)

NSP

4001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

4001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due: Provide updates as needed.

4001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

4001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

4001AF Quarterly Manpower/Government Furnished Equipment (GFE) Report IAW PWS Section 5.1.1.

Due the fifth day of each quarter throughout the period of performance (PoP).

4001AG Contractor Staff Roster IAW PWS Section 6.2.2.

Due 30 days after exercise of option and updated as changes occur.

4002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

12 MO NSP NSP

4002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

4003 VHA Clinical Documentation Integrity and Improvement IAW PWS Section 5.3.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO NSP NSP

4004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO NSP NSP

4004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

4005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO $ $

4005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

4006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task

4006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

4006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

4006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

OPTION PERIOD 4 TOTAL $

Option Period 5 Period of Performance: December 1, 2028 to November 30, 2029

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer. If exercised, this option shall commence immediately after expiration of option period 4.

All deliverables are Inspection: Destination and Acceptance: Destination

Contract Line-Item Number

Description QTY Unit Unit Cost Total Price

5001 Project Management in Accordance With (IAW) PWS Section 5.1 and all

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

5001AA Staffing Assignment

5.1.1.

Due: Provide updates as needed.

Separately Priced

(NSP)

NSP

5001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

5001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due at contract kickoff meeting and updated as required to reflect program events.

5001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

5001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

5001AF Quarterly Manpower/Government Furnished Equipment (GFE) Report IAW PWS Section 5.1.1.

Due the fifth day of each quarter throughout the period of performance (PoP).

5001AG Contractor Staff Roster IAW PWS Section 6.2.2.

Due 30 days after exercise of option and updated as changes occur.

5002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

5002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

5003 VHA Clinical Documentation Integrity and Improvement IAW PWS Section 5.3.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO NSP NSP

5004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

5004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

5005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

12 MO $ $

5005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

5006 Training IAW PWS Section 5.6.

successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

5006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

5006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

5006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

OPTION PERIOD 5 TOTAL $

Option Period 6 Period of Performance: December 1, 2029 to May 30, 2030

This Option Period may be exercised IAW FAR 52.217-9 “Option to Extend the Term of the Contract” (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer. If exercised, this option shall commence immediately after expiration of option period 5.

All deliverables are Inspection: Destination and Acceptance: Destination

Contract Line-Item Number

Description QTY Unit Unit Cost Total Price

6001 Project Management in Accordance With (IAW) PWS Section 5.1 and all subparagraphs.

This Firm-Fixed-Price (FFP) Contract Line-Item Number (CLIN) includes all tasks required for the successful completion of services detailed in PWS section 5.1 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

6 MO $ $

6001AA Staffing Assignment Worksheet IAW PWS Section 5.1.1.

Due: Provide updates as needed.

Separately Priced

6001AB Project Management Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

6001AC Integrated Master Schedule IAW PWS Section 5.1.1.

Due: Provide updates as needed.

6001AD Implementation Plan IAW PWS Section 5.1.1.

Due: Provide updates as needed.

6001AE Monthly Progress Report IAW PWS Section 5.1.1.

Initial report due 30 days after exercise of option and updated monthly thereafter.

6001AF Quarterly Manpower/Government Furnished Equipment (GFE)

Due the fifth day of each quarter throughout the period of performance (PoP).

6001AG Contractor Staff Roster IAW

Due 30 days after exercise of option and updated as changes occur.

6002 Software Requirements IAW PWS Section 5.2 and all subparagraphs.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.2 and all of its subparagraphs.

6 MO NSP NSP

6002AA HICBA VIRR Software Suite Solution with Product Documentation IAW PWS Section 5.2 and all subparagraphs.

Due at time of option award.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

6003 VHA Clinical Documentation Integrity and Improvement IAW

6 MO NSP NSP

successful completion of services detailed in PWS section 5.3 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

6004 Reporting Capabilities IAW PWS Section 5.4.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.4 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

6 MO NSP NSP

6004AA Monthly reports from the vendor IAW PWS Section 5.4.1.

Due the fifth day of each month.

6 EA $` $

6005 Technical Support IAW PWS Section 5.5.

This FFP CLIN includes all tasks required for the successful completion of

6 MO $ $

services detailed in PWS section 5.5 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated deliverables required by the

PWS.

6005AA Monthly Help Desk Reports IAW PWS Section 5.5.1.

Due the fifth day of each month.

6006 Training IAW PWS Section 5.6.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.6 and all subparagraphs.

Government approval of invoices for payment shall be subject to Contractor’s successful completion of task requirements and associated

6006AA VIRR Training Plan IAW PWS Section 5.6.

Due 10 days before training begins.

6006AB VIRR Training Package IAW PWS Section 5.6.

Due 10 days before training begins.

PM, COR, CO\.

6006AC VIRR System Administration Training Package IAW PWS Section 5.6.1.

Due 10 days before training begins.

OPTION PERIOD 6 TOTAL $

Optional Task 1 This Optional Task may be exercised IAW FAR 52.217-7 “Option for Increased Quantity- Separately Priced Line

Items” (MAR 1989)

Period of Performance: 4 Months

Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer.

Contract Line Item Number (CLIN)

Description QTY Unit Unit Cost Total Price

7001 Transition Out Support IAW PWS Section 5.7.

This FFP CLIN includes all tasks required for the successful completion of services detailed in PWS section 5.7.

The PoP for this Optional Task is 4 months.

This Optional Task may be exercised at any time during the Base Period and/or Option Periods.

1 LO $ $

7001AA Transition Out Plan IAW PWS Section 5.7.

Due one week after Optional Task award.

Electronic submission to: VA PM, COR, CO.

Total Optional Task 1 $

TOTAL BASE PERIOD, OPTION PERIODS 1-6, AND OPTIONAL TASK 1 $

B.5 PERFORMANCE WORK STATEMENT

Office of Information & Technology

Development, Security, and Operations (DSO) and Health Informatics (HI)

Health Information Coding, Billing, & Auditing (HICBA) Veterans Health Information Systems and Technology Architecture (VistA) Integration, Revenue, and Reporting (VIRR) software solution

VA-25-00009154

PWS Version Number: 1.0

1.0 BACKGROUND

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) physicians, advanced practice clinical staff, nurses, therapists and others health care personnel provide quality medical treatment to more than nine million Veterans and their families per year. VHA personnel practice in all medical specialties and provide medical and rehabilitative treatment in all care settings, from acute to long term care to outpatient care.

VHA Directive 1233, “Closeout of Veterans Health Administration Corporate Patient Data Files

Including Quarterly Census”, mandates the use of an enterprise-wide Encoder software solution inclusive of reporting and revenue workload management functions. The Health Information

Coding, Billing and Auditing (HICBA) Veterans Health Information Systems and Technology

Architecture (VistA) Integration, Reporting, and Revenue (VIRR) software solution outlines a solutions or suite of solutions containing components which interface real time with the HICBA

Encoder software procured separately. This Performance Work Statement (PWS) contains requirements for the HICBA VIRR software solution.

The HICBA Encoder vendor’s software solution (Solventum 3M CRS Plus) provides multiple electronic code books and coding references to support code lookup as appropriate and applicable for the care setting. This software provides instructions and guides for the coding professional to aid in accurate coding choices and prevents inconsistencies or non-compliance with legal and regulatory guidance.

VHA’s Health Information Management (HIM) Program Office within VHA’s Office of Health

Informatics, Health Information Governance, is the business owner for two separate HICBA procurements Encoder and VIRR software solutions that complement and assist VHA management, HIM coding, revenue operations, and clinical documentation integrity (CDI) professionals in accurately and consistently coding and billing health care encounters including outpatient, surgical and inpatient stays.

As VHA transitions its Electronic Health Record to a Cerner solution under the leadership of the

Office of Electronic Health Record Modernization, it is imperative that the HICBA VIRR solution continue to meet the mandates of VHA Directive 1233, to include the full spectrum of enterprise-wide capabilities supporting standard processes, communication and record updates: HIM including functions of code assignment for diagnosis using active and valid ICD10-CM, services/procedures using active and valid ICD-10-PCS, CPT, and HCPCS as appropriate, rendering and/or ordering providers as required for both VHA reporting and claim generation, service connection and special authority classification related care identified, stored, and communicated within Revenue Processes, claim edits, documentation integrity and improvement for coding accuracy and specificity, opportunities including customized edits for coding. This solution should aid staff in the accurate selection of codes by providing tools and functionality to aid the users in application of Official and VHA Coding Guidelines. This solution provides for enterprise-wide utilization of a product to expedite coding processes and ensure all patient care services and settings as determined by VHA impacting VHA corporate data collection and revenue are coded in a timely manner (with at least weekly reporting).

2.0 APPLICABLE DOCUMENTS

In the performance of the tasks associated with this Performance Work Statement, the Contractor shall comply with the following:

1. 44 U.S.C. § 3541-3549, “Federal Information Security Management Act…

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