36C77620R0014 0001_1.docx
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- Solicitation number
- 36C77620R0014
About this file
This document is an amendment to a solicitation for third party outpatient medical billing services. The Department of Veterans Affairs seeks proposals to provide billing and collection services for outpatient medical services provided at its St. Louis healthcare facilities. Offerors must acknowledge receipt of this amendment by September 4, 2020. In addition to answering questions that were submitted, the amendment revises the request for proposal, price schedule, and performance work statement. The selected contractor will bill both public and private insurers for medical services, utilizing established billing codes and procedures, and will pursue collection of unpaid claims. The contractor must also provide regular reports on billing activities and results.
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Text version
Contract Opportunity Special Notice
PRODUCT SERVICE CODE
SUBJECT
CONTRACTING OFFICE'S
ZIP-CODE
SOLICITATION NUMBER
ARCHIVE
DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
NAICS CODE
CONTRACTING OFFICE
ADDRESS
POINT OF CONTACT
(POC Information Automatically Filled from User Profile Unless Entered)
DESCRIPTION
See Attachment
AGENCY'S URL
URL DESCRIPTION
AGENCY CONTACT'S EMAIL
ADDRESS
EMAIL DESCRIPTION
GENERAL INFORMATION
ADDITIONAL INFORMATION
* = Required Field Contract Opportunity Special Notice R499 Third Party Outpatient Medical Billing Services 63129 36C77620R0014 N 541219 Department of Veteran Affairs
PCAC-ST. LOUIS
4401-D Meramec Bottom Rd Saint Louis MO 63129
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 NUMBERE
D 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 amendmen t, 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)
NONE
00776 Department of Veteran Affairs
PCAC-ST. LOUIS
4401-D Meramec Bottom Rd Saint Louis MO 63129 William J. Singleton william.singleton2@va.gov Y 00776 Department of Veterans Affairs
PCAC-ST. LOUIS
4401-D Meramec Bottom Rd St. Louis MO 63129 To all Offerors/Bidders
36C77620R0014 09-04-2020
X X X
See CONTINUATION Page X The purpose of this amendment is to answer the questions that were asked for this request for proposal.
Attached are those questions and the answers. Also attached is a revised copy of the RFP, Price Schedule, and the PWS. The Wage Determination, Special Contract Requiements and the Business Associate Agreement were not changed and therefore not attached to this amendment.
CONTINUATION PAGE
See attached document: S05 - Q_A_3rd Party Outpatient Medical Billing.
See attached document: P09 - PWS_CPAC Billing Services_Revised_9-4-2020_FINAL.
See attached document: S02 - RFP_36C77620R0014_3rd Party Outpatient Medical Billing_9-4-2020.
See attached document: Price Schedule_8-24.
See attached document: S05 - Q_A_3rd Party Outpatient Medical Billing.
See attached document: P09 - PWS_CPAC Billing Services_Revised_9-4-2020_FINAL.
See attached document: Price Schedule_8-24.
See attached document: S02 - RFP_36C77620R0014_3rd Party Outpatient Medical Billing_9-4-2020.
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