36C25521R0002 Amendment 0002.pdf

36C25521R0002 Amendment 0002

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 7

0002 12-10-2020

N/A

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

To all Offerors/Bidders

36C25521R0002

11-27-2020

X

X X

Wichita IR/DR Radiology Physician Services The solicitation is amended as follows and per attached replacement sections/pages as noted:

1. The solicitation due date, SF 1449 Block 8 remains as previously extended, 01/08/2020, 2:30 PM CT. No Change.

2. This amendment answers questions asked, page 3. Page 3 also addresses the following items 3, 4, 5, and 6 below.

3. Technical Questions due date, solicitation page 86, is changed to 12/18/2020, 4:30 PM CT, no page replacement.

4. Solicitation Page 6 is replaced in its entirety, attachment 1.

5. Solicitation Page 32 is replaced in its entirety, attachment 2.

6. Solicitation Pages 40 and 41 are replaced in their entirety, attachment 3.

No other changes are made. ---Last Entry Amendment 0002---

Michael Cumins Contracting Officer

VA-VHA-2019-C1CA342A

CONTINUATION PAGE

See attached document: Questions and Answers

See attached document: Atch 1 Replacement Page 6 of 114

See attached document: Atch 2 Replacement Page 32 of 114

See attached document: Atch 3 Replacement Pages 40-41 Revised Billing

Questions and Answers:

The following questions (Q.#) have been asked.

Government responses (A. #) are provided under each question.

Q. #1: What is the intent of section 6.2.2.? Can/will the VA provide monthly CPT code and wRVU information to contractor for billing purposes?

A. #1: This section, beginning at 6.2. is revised. See Attachment 3 replacement pages 40 and 41 with revisions, additions and clarif ications. See also Attachment 2 replacement page 6 associated with the above referenced revision.

Q. #2: Each CPT code has a wRVU value assigned to it and a conversion factor applies.

Can/will the VA provide a conversion factor for interventional and neuroradiology also?

A. #2: The offeror is responsible to develop its own pricing in response to the solicitation for the types, quantities and quality of the work required by the solicitation for this competitive acquisition.

Q. #3: Should the offeror break out pricing per modality, e.g. CT, MRI, X-ray, etc.?

A. #3: Please refer to the Price Schedule starting on solicitation pages 6 and 7, including any changes to the Price Schedule by amendment. Please also refer to the Instructions to Offerors Multiple Offers section and Addendum to Instructions to Offerors Multiple Offers section.

Q. #4: Is there a daily expected number of wRVUs or number of wRVUs per modality?

A. #4: Please refer to the Price Schedule starting on solicitation page 6 and 7, including any changes to the Price Schedule by amendment regarding minimum order and minimum contract amounts and the estimated annual wRVUs per discipline – Diagnostic Radiologist and Interventional Radiologist.

Q. #5: How would a contractor get access to completed wRVUs?

A. #5: See response for Q. #1 above and revised sections.

Q. #6: Can/will the VA provide wRVU (pricing) formulas to use?

A. #6: The offeror is responsible to develop its own pricing in response to the solicitation for the types, quantities and quality of the work required by the solicitation for this competitive acquisition.

SF30 Block 14, item 3.: Last day for offeror technical questions is extended to 12/18/2020, commensurate with the previous solicitation offers due date extension to 01/08/2021.

SF30 Block 14, item 4.: Attachment 1 - Paragraph beginning with “Contract type is Fixed Price”, three (3) sentences, is revised to add language beginning with added sentence four (4) and extending to sentence nine (9). This is a 1-page replacement.

SF30 Block 14, item 5.: Section 4.4.3.6. is revised to remove “Surveillance Method” and related information, and to remove “Frequency” and related information. Surveillance Method and Frequency and related information is already addressed in the solicitation’s Quality Assurance Surveillance Plan (QASP). This is a 1-page replacement.

SF 30 Block 14, item 6.: Section 6.2. and subparagraphs are revised with added, removed and revised language and subparagraphs. This is a 2-page replacement.

Attachment 1 (1 page)

B.2 PRICE SCHEDULE

SCHEDULE OF SERVICES

Services, non-personal: The Contractor shall furnish all personnel necessary to provide onsite Interventional and Diagnostic Radiology Physician, including Neuroradiology, Services to eligible benef iciaries of the Department of Veterans Affairs Medical Center, Robert J. Dole (RJD) (hereinafter referred to as VAMC).

The contractor shall be accredited by ACR and follow the standards & guidelines set forth by American College of Radiology (ACR), meeting or exceeding the standards established by ACR, www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional, or www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Practice-Parameters-by- Subspecialty. (either link opens the latter).

Place of Performance: Contractor shall furnish services at the Robert J. Dole (RJD) VA Medical Center, 5500 E. Kellogg, Wichita, Kansas 67218. Locations within the medical center include but are not limited to the Radiology Department, Cardiac Catheterization Lab and portable and bedside patient units.

The unit of measure is work Relative Value Unit (wRVU).

Contract type is Fixed Price Indefinite Delivery Indefinite Quantity. Contractor payments for service are wRVUs actually ordered, performed and validated. wRVUs shall be current to the CMS-established wRVU per CPT code ordered, performed and validated. VA-provided workload reports provided to the contractor will include CPT codes and the respective wRVU values per code. Payments will be based on CMS CPT code wRVU values in effect on the 1st day of the month of services. In accordance with sections 6.2 – 6.2.2.4., the contractor is responsible for verifying accuracy of CPT code wRVU values prior to invoice submittal. Conflicts between VA-provided wRVU values and current CMS CPT code wRVU values shall be resolved by comparing VA-provided values to current CMS values as published in the Federal Register as “Final Rule” and its effective date. Contractor shall provide evidence of conflict to the Contracting Officer prior to invoice submittal. Retroactive wRVU value changes are otherwise prohibited.

The Line Item Numbers (LINs) and SubLINs (SLINs) identify the total estimated quantities required by the physician type and does not differentiate between the quantity of physicians or otherwise suggest or apply a specified quantity to any individual physician.

The Government cannot predetermine, above the stated minimum, the precise quantities of services the Government will require during any period of the contract. While it is impossible to accurately forecast the quantity of exams, CPT codes or wRVUs, or the date, time or scheduling of services required, line items are marked as "Estimated Quantity”.

The pricing shall be inclusive of all work required to perform the services of the exams, studies, interpretations and reports, including but not limited to follow-up consultations, notes and addendums, and f inal reports as stated in the (PWS).

Option years shall be priced up-front.

Replacement Page 6 http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional http://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Practice-Parameters-by-Subspecialty http://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Practice-Parameters-by-Subspecialty

Attachment 2 (1 page)

Acceptable Quality Level: At least 80% of the total contractors shall be deemed satisfactory in a rating period.

4.4.3.3. Measure: Provider Quality Performance

Performance Requirement: No Line-item rating on an OPPE evaluations shall receive a rating below satisfactory in successive rating periods for an individual contractor physician.

Standard: Ratings are categorized as satisfactory vs. needs improvement vs.

unsatisfactory. Expectation is that no contractor physician will EVER receive OPPE ratings of “needs improvement” or “unsatisfactory” on successive OPPE evaluations for the same OPPE line-item.

Acceptable Quality Level: No more than 0% of all individual contractor physician shall EVER receive OPPE ratings of “needs improvement” or “unsatisfactory” on successive OPPE evaluations for the same OPPE line-item.

4.4.3.4. Measure: Qualifications of Key Personnel

Performance Requirement: Contractor physicians shall be board eligible or board certif ied with the ABR or AOBR.

Standard: Contractor physicians are board certified/board eligible with either the ABR or AOBR.

Acceptable Quality Level: 100% of all contractors shall be Board Certified/Board eligible. No deviations.

4.4.3.5. Measure: Qualifications of Key Personnel

Performance Requirement: Board certified contractor physicians with time-limited or continuous ABR/AOBR certificates shall be enrolled in and meet the requirement of

MOC.

Standard: Board certified contractor physicians with time-limited or continuous ABR/AOBR certificates shall be enrolled in and meet the requirement of MOC.

Acceptable Quality Level: 100% of all board certified contractors (ABR or AOBR) with time-limited or continuous certificates shall be enrolled in MOC and meet the requirements of MOC. Those contractor physicians with a lifetime board certificate are exempt. No deviations.

4.4.3.6. Measure: Patient access

Performance Requirement: The Contractor shall provide physicians in accordance with the operating hours and VA clinical schedule outlined in this PWS.

Standard: Physicians are present during duty hours.

Acceptable Quality Level: All: 100% of the time, at least one contractor radiologist is on-site at the RJD during normal duty hours, except when excused by the Government. The Government may adjust the times when contractor physicians are required to be on-site from time to time at the Government’s sole discretion. 100% of the time, the contractor must be compliant.

4.4.3.7. Measure: Patient access

Performance Requirement: The Contractor shall provide appropriately credentialed physicians in accordance with the operating hours and VA clinical schedule outlined in this PWS. Physicians should have mobile communications methods, such as pager or cellular telephone, to receive notifications from VA radiology personnel when working

Replacement Page 32

Attachment 3 (2 pages)

Final interpretation of no less than 90% routine outpatient diagnostic exams obtained during normal hours of operation

Within 48 hours (excluding weekends/holidays) of the exam

Final interpretations of diagnostic reports, no less than 100% Within 48 hours of the exam Final interventional radiology report preparation, no less than 80% Within 48 hours of the exam Detailed EHR note – 100% of patients requiring hospitalization for an interventional radiology complication

Ongoing, Daily notes until complication is successfully managed

At least 95% compliance with no alerts greater than 30 days, AND at least 95% compliance with maintaining HER access

Throughout contract performance period

Respond to CPARS evaluations Within 60 calendar days of CPAR evaluation

Final interventional radiology report preparation, no less than 80% Within 48 hours of the exam Detailed EHR note – 100% of patients requiring hospitalization for an interventional radiology complication

Ongoing, Daily notes until complication is successfully managed

At least 95% compliance with no alerts greater than 30 days, AND at least 95% compliance with maintaining EHR access

Throughout contract performance period

Respond to CPARS evaluations Within 60 calendar days of CPAR evaluation

6.2. Billing:

6.2.1. Invoice requirements and supporting documentation: Supporting documentation and invoice shall be submitted electronically no later than the 15th calendar day of the following month in which services were rendered. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include:

6.2.1.1. Name and Address of Contractor

6.2.1.2. Invoice Date and Number

6.2.1.3. Task Order Number and Billing Purchase Order Number

6.2.1.4. Date(s) of Services

6.2.1.5. Description of Services, segregated by CPT Code and wRVUs per CPT

6.2.1.6. Unit Price Per LIN/SLIN

6.2.1.7. Quantity per LIN/SLIN segregated by physician name

6.2.1.8. Total price

6.2.2. Invoices will be per wRVU procedure performed. The contractor shall be paid only for actual work performed on-site. The contractor shall be responsible for recording and reporting procedures accurately. The Contractor shall be paid for those wRVUs performed.

6.2.2.1. The Government will provide the contractor, the Government’s records of contractor-performed CPT codes, wRVU values, and their quantities, per contractor physician name, information to the Contractor by the 7th day of the month following the month services were performed, for the purpose of contractor billing procedures.

6.2.2.2. The contractor is responsible for invoice submittal in accordance with the terms and conditions of the contract and actual work performed. The Government provision of monthly records of contractor-performed work does not relieve the contractor from tracking CPT codes, wRVU values, quantities or performance per physician accuracy when billing. Government-provided records shall not be construed to be acceptance of any work performed. Acceptance shall be in accordance with contract section C.1, FAR 52.212-4 (a), Inspection/Acceptance.

Replacement Page 40

36C25521R0002

Attachment 3 (continued)

6.2.2.3. The Government will verify contractor invoices on receipt of proper invoices.

6.2.2.4. The contractor shall immediately notify the Contracting Officer of any Government-provided records conflict with contractor records or current CMS CPT code wRVU values. See Price Schedule header regarding conflict resolution.

6.3. Vendor Electronic Invoice Submission Methods

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:

6.3.1. Vendor Electronic Invoice Submission Methods:

Invoices will be electronically submitted to the Tungsten website at https://us.tungsten-network.com/resources/support/ Tungsten direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Taxpayer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. In order to successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror your current submission of Invoice, with the following items required.

Clarif ication of additional requirements should be confirmed with your Certifying Official (your CO or buyer). The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements. For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: https://www.tungsten-network.com/us/support/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov

6.4. Payments:

6.4.1. The contractor shall be paid only for actual work performed on-site.

6.5. In-Full / No Billing VA beneficiaries: The Contractor shall accept payment for services rendered under this contract as payment in full. VA beneficiaries shall not under any circumstances be charged nor their insurance companies charged for services rendered by the Contractor, even if VA does not pay for those services. This provision shall survive the termination or ending of the contract.

6.5.1. To the extent that the Veteran desires services which are not a VA benefit or covered under the terms of this contract, the Contractor must notify the Veteran that there will be a charge for such service and that the VA will not be responsible for payment.

6.5.2. The Contractor shall not bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against, any person or entity other than VA for services provided pursuant to this contract. It shall be considered f raudulent for the Contractor to bill other third-party insurance sources (including Medicare) for services rendered to Veteran enrollees under this contract.

6.6. Contractor Security Requirements (Handbook 6500.6):

IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. GENERAL

Replacement Page 41 https://us.tungsten-network.com/resources/support/ https://us.tungsten-network.com/resources/support/ https://www.tungsten-network.com/us/support/ mailto:vafscched@va.gov