75H70523Q00001 - Amendment one.pdf

(x)

75H70523Q00001 x x

1 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 ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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.

x

Red Lake MN 56671-0497 24760 Hospital Drive Indian Health Service

Bemidji MN 56601 2225 Cooperative Ct NW, Rm 200 Indian Health Service

10/03/20220001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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: (a) By completing

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

10/03/2022

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Amendment one(l), is issued to provide a Question and Answer.

(Offerors must acknowledge receipt of the amendment by completing SF 30 form, Items 8 and

15, and returning 1 copy of the amendment with proposal.)

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

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

WILLIAM F. FISHER

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

75H70523Q00001 / Amendment one (1)

1. Can you please let me know the current or most recent incumbent and the contract number providing this or similar services?

A. This is a new requirement, no incumbent.

2. In reference to B.6 Schedule of Price/Costs, I was hoping you could clarify the “yearly estimated quantity” of Outpatient coding 22,000/each. Is this considered a chart, encounter, or individual code?

A. Outpatient coding includes Emergency Department and Behavioral Health encounters

3. In reference to B.6 Schedule of Price/Costs, I was hoping you could clarify the “yearly estimated quantity” of Inpatient Admission Coding 240/each. Is this considered a chart, encounter or individual code?

A. Inpatient coding estimate is 240 admissions annually—max volume is 100 inpatient days per month.

4. If an alterative is included, should be a separate RFP or duly noted in the proposal as alternative?

A. Alternate proposals can be submitted for consideration, as long as they follow the scope of work, however, the task orders will be “Fixed-price” only. Question was not specific.

5. Per review of scope of work, we do not see any quantities mentioned for: These medical coding services will support revenue cycle management

Activities. Is this work time billable?

A. This would be in contracting quality assurance meetings and vendor progress reports.

6. Are these documents required to be submitted with the RFP:

a. BUSINESS ASSOCIATES AGREEMENT (DRAFT)

b. D.6 IHS SECURITY AGREEMENT (SAS)

A. Acknowlegement and acceptance of these agreements are required as they will be incorporated into the contract. Upon award, the BAA will be filled in and submitted with the contract, the IHS IT Security Team will reach out to the winning proposer and initiate the Security Agreement.

7. What is included in the outpatient coding? i.e. Labs, Imaging, ED, Urgent, Clinics, ??? any others??

A. Emergency Department (E&M, lab, imaging, immunizations, medications, treatments, etc) and Behavioral Health encounters (E&M, psychotherapy codes, telehealth codes)

8. The RFP states “The Contractor will provide qualified personnel to perform off‐site coding and coding queue services for the Red Lake Hospital as assigned”. Does Red Lake Hospital have any historical data that would provide an estimate (or range) of expected work volume for Contractor based on overall coding/audit/training volumes highlighted in the Schedule of Price/Costs section of RFP (Section B.6) ?

A. These estimates are based upon pre-pandemic volumes and full staffing patterns.

Coding (estimates):

Inpatient Days: 100 days per month – (average length of stay 3 days);

o **Estimate 2-3 swing-bed admissions per month

Emergency Department: 2,400 visits per month Behavioral Health: 200 psych/prescribing; 200 psychotherapy visits per month Provider Coding Reviews (Audit):

10 providers per quarter—40 reviews total Training:

75H70523Q00001 / Amendment one (1) Local Coding Staff: quarterly sessions—2 hours each Providers: annual 2 hour training (repeated 3 times over 2 days)--based upon requested topics or trends from quality reviews

9. Section B.6 of the RFP details order values and I would like to understand the highlighted below. Per my understanding, the maximum value of a task order would not exceed 750,000. Is that correct? Or should I interpret this as “maximum value of the contract for base+option years is not to exceed 750,000? Please clarify.

A. The maximum of $750,000 is not the individual order maximum… it would be for the combined total of all orders for the life of the contract of 5 years.

10. What is the EMR and do they have an Encoder Resource Patient Management System Electronic Health

Record

A. No Encoder

11. Ave. LOS for IP

A. 4 days

12. Do they code the Pro-fee and Facility Component of the ED

A. No

13. How many providers will be audited to do Documentation Audits?

A. 22

14. If we can bid on the consulting/audit only or if this RFP requires both scopes.

A. Both scopes, RFP must be bid on in it’s entirety.

15. For the audits, ask if they are firm in the type of unit. As you know we typically bill by the encounter not hourly.

A. This is a healthcare entity

16. What are the Background Check Requirements and IHS policies referenced is there an attachment that can be shared?

A. This information is in the RFP Text. Please refer to the RFP.

17. If we are awarded the contract does that mean we could provide services to other Indian Health Practices?

A. No