36C26118Q0003-00001000.docx

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

BY

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) 00001 11-14-2017 none Department of Veterans Affairs Network Contracting Office (NCO21) VA Northern California HealthCare System 5342 Dudley Blvd. Bldg 209 (90/NCO) McClellan

CA

95652-1012 Department of Veterans Affairs Network Contracting Office (NCO21) VA Northern California HealthCare System 5342 Dudley Blvd. Bldg 209 (90/NCO) McClellan

CA

95652-1012 To all Offerors/Bidders

36C26118Q0003 11-14-2017

X X X x

a. The purpose of this amendment is to answer questions from interested offerors. See next page for Q and A.

b. No more questions will be addressed or accepted after this amendment. The due date to submit offers remain the same; 11/16/2017 1:00 M PST

c. All other terms and condition remain unchanged.

MARIA TEODORO

Contracting Officer Questions and Answers (Q&A)

Q1- Is there a page limitation for the different volumes? For the Technical Approach? Are there any other typographic restrictions, limitations, or requirements?

A1-Technical proposal is limited to 30 pages excluding resumes. Follow the instructions as written.

Q2-The solicitation is called “Offsite Medical Coding” but the Place of Performance (1.2) is listed as:

San Francisco VA Health Care System (SFVAHCS) 4150 Clement Street San Francisco, CA 94121

Please clarify whether services are to be provide onsite at SFVAHCS or remote/offsite in support of SFVAHCS operations.

A2-This is remote/offsite in support of SFVAHCS operations.

Q3-Pricing Schedule – Will you please provide clarification to the services that are included under CLIN0001 and CLIN0002? Outpatient services include laboratory and radiology, professional fees, clinical and prosthetic encounters and require different levels of effort.

A3-CLIN0001-Ancillary encounter for outpatient is a veteran seen once a day on an outpatient basis in a clinic setting. Ancillary services would be for example Lab and radiology services. Inpatient professional Services is a veteran seen while in the acute care hospital by a physician provider and is coded by using the Evaluation and Management CPT codes.

CLIN0002 - An outpatient encounter is a veteran seen once a day on an outpatient basis in a clinic setting such as in the Medicine, Mental Health or Orthopedic Clinic.

Q4- On page 33, j.5., what are VASQIP events?

A4- VA Surgical Quality Improvement Program (VASQIP). The VASQIP method uses nurse chart review to detect a defined list of 20 surgical Adverse Events (AE) occurring within 30 days following a major operation. Currently, the VASQIP is the most reliable and validated method to date for surgical AE detection, and has been adopted in the private sector by the American College of Surgeons (ACS-NSQIP).

Just a reminder Per SF1449, block 20 this solicitation is “Set Aside for SDVOSB currently registered in VIP”. Therefore, offeror must be currently registered in VIP.