N62645-16-R-0009_Amendment_03-_Extend_Due_Date_and_QA.doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS AND ANSWERS

NOTE: PAGE NUMBERS AND SECTIONS REFERENCED ARE FROM THE ORIGINAL SOLICITATION POSTED TO FBO.GOV

GENERAL QUESTIONS

Q1: “Can you please tell me if this is a new requirement? If not, who is the incumbent, and what is the contract number?”

A1: This is not a new requirement. The current contractors are:

Caban Resources, LLC

Peak Government Sources, Inc.

Diamond Solutions, Inc.

The previous contract numbers are N62645-15-D-5044; N62645-15-D-5045; and N62645-15-D-5046.

Q2: “Is this a new requirement? If not, who is/are the incumbent(s) and what is/are the contract number(s)? “

A2: Please refer to A1.

Q3: “Who is incumbent for this project?”

A3: Please refer to A1.

Q4: “What is the number of incumbents in place at each facility, by service type (IP Coder/ OP Coder/ Auditor/ Trainer/ CDIS)?”

A4: It is up to the contractor to decide how best to staff a requirement under a non-personal services contract.

Q5: ”Are subcontractors allowed to be on more than one team when submitting proposals for solicitation N62645-16-R-0009?”

A5: No, subcontractors are not allowed to be on more than one team when submitting proposals for the solicitation.

Q6: “Can a small business bring large business as sub?”

A6: Refer to FAR 52.219-14.

Q7: “Will the government provide the SCA schedule in each required location identified in the Addendum Enclosures?”

A7: A list of applicable Wage Determinations along with the website to access them has been included after the Addendum to 52.212-1 Enclosures.

Q8: “Does the Service Contract Act apply to this solicitation?”

A8: Refer to A7.

Q9: “CLIN 0009 CDIS Services lists the Unit as “Months.” Request the Government clarify that this unit represents full-time services by a CDIS specialist for a month, i.e., effort equal to “one person-month.””

A9: Yes, one month for CDIS services represents effort equal to one person per month.

Q10: “Can we bid for partial work e.g. LOT A only 3. Can we bid partial within a Lot e.g. Only Outpatient Coding for LOT-A 4. Can we bid for only one Geographical area e.g. only for MD 5. does quantity in the price book for CLIN 1-7 represents number of records ?”

A10: No, an offeror must propose on all Lots.

Q11: I am inquiring as to whether a vendor is allowed to respond to solicited services for remote coding and auditing only?

A11: This requirement is for both onsite and remote coding and auditing. Interested vendors will need to provide both services.

Q12: I would like to know if there is any mandatory pre-bid meeting to be attended.

A12: No, there is not a mandatory pre-bid meeting to attend.

PERFORMANCE WORK STATEMENT (PWS) QUESTIONS

Q13: Page 17, 2.1.1- “Will the Government provide a sample of the monthly report template?”

A13: No, a template will not be provided.

Q14: Page 17, 2.1.2.3.- “Is this intended to mean that all coding of routine and lower complexity outpatient encounters is done by the provider and/or GS employee, and the contractor will only be coding complex care/high RVU encounters?

A14: No.

Q15: Page 17, 2.1.2.5. - “Request the Government clarify the minimum expected average productivity rate (i.e., data records completed per hour) for coding outpatient and inpatient records.”

A15: Refer to site-specific PWSs. The productivity rate is not broken down by hours, but can be calculated based on the numbers provided.

Q16: Page 17, 2.1.2.7 – “Please clarify if this statement refers to the Auditing tasks or coding tasks. If it refers to the coding tasks, please detail what feedback is to be provided such that a level of effort can be used to develop pricing.”

A16: 2.1.2.7 refers to Coding. The contractor will determine feedback to be provided.

Q17: Page 17, 2.1.2.7 – “Define what is meant by performing a quality assessment of records? Are there a number of records to review? Is there historical data that can be referenced to determine the amount of time this will take? “

A17: Refer to A16. Historical data is unavailable for records review and time for records.

Q18: Page 17, 2.1.2.8- “For those records on the DQ discrepancy list, for which the level of effort to code is approximately 3x that of a standard Outpatient record, will the Contractor be allowed to bill 3x per record coded?”

A18: All references to DQ Audits have been removed from this requirement.

Q19: Page 17, 2.1.2.9- “To confirm, if it is determined that a code requires changing, that the contractor can invoice for the original coding, but not the effort to change the code.”

A19: Confirmed. The contractor can invoice for the original coding but not the effort to change the coding.

Q20: Page 18, 2.1.2.10- “In what percentage of instances is full documentation not included with the encounter, such that medical coders must expend effort to reach out and obtain supporting documentation?”

A20: This data is unavailable.

Q21: Page 18, 2.1.2.11- “Please confirm this task applies only to the Training CLIN. If not, and it applies to the inpatient/outpatient coding CLINS, what is the level of effort to be used for adjusting the per encounter pricing?”

A21: This does not apply to training. This applies to the inpatient/outpatient coding. This is a query to the provider that is a normal day to day practice.

Q22: Page 18, 2.1.2.12- “Please confirm this task applies only to the Training CLIN. If not, and it applies to the inpatient/outpatient coding CLINS, what is the level of effort to be used for adjusting the per encounter pricing?”

A22: Refer to A21.

Q23: Page 18, 2.1.2.13- “When following the SOPs when government systems are down, what is the method for reporting this and are there requirements for a Contingency Plan as annotated in PWS Attachment III? Pricing has been requested for on-site personnel coding at a per encounter rate.”

A23: The contractor must follow the coding compliance plan provided by the MTF. The contingency plan must be worked out with the government PAD Officer. This will vary from site to site.

Q24: Page 18, 2.1.3. – “With regard to inpatient and outpatient record auditing, request the Government clarify that a Contractor staff member that is qualified to perform both medical coding and medical record auditing may perform both functions for an MTF provided that the staff member DOES NOT audit any records that he/she originally coded.”

A24: May perform both functions subject to conflict of interest.

Q25: Page 18, 2.1.3. and 4.3 – “Section 2.1.3 states that “the contractor shall use the government’s auditing tool of choice which is currently the Auditing Prototype (an Access database). However, the Naval Health Clinic Annapolis PWS Section 4.3 states that “the contractor shall use the government’s [auditing] tool of choice which is currently Global Code. Global Code is also listed in other MTF PWS’s.

Request the Government clarify its current auditing tool of choice.

A25: Global Code is the Governments auditing tool of choice. Paragraphs 2.1.3 and 4.3 have been updated.

Q26: Page 18, 2.1.3.1 and 2.1.3.3 – “Does the Government have an Auditing Tool for use under this contract and its subsequent task orders?

If a Government auditing tool in not available, can the contractor use its own coding and/or auditing tool to support remote coding and onsite/remote auditing?

Is there a mechanism for reimbursement for the use of a contractor provided tool for remote coding and auditing?”

A26: Yes, the auditing tool is Global Code. The contractor cannot use its own coding/auditing tool. There is no mechanism for reimbursement for the use of a contractor provided tool for remote coding/auditing.

Q27: Page 18, 2.1.3.1 and page 26, 8.1.1- “Please confirm that the Government’s auditing tool of choice for this contract is currently the Auditing Prototype. We are aware that there may be a different tool utilized at this time.”

A27: Refer to A25 and A26.

Q28: Page 18-19, 2.1.3.6- “Will the Government provide a copy of the typical DQ audit schedule from pull list posting to report submission?

Will an extension of the deadline be granted if at any time the Government does not provide the Contractor with sufficient data (records or coding data) to complete the audit 5 days prior to submission deadline? What if the data that is provided is incomplete and the Contractor has to request additional information in order to complete the audit?”

A28: Refer to A18.

Q29: Page 19, Sect 2.1.3.7. – “How is the contractor to determine whether 1995 or 1997 E&M guidance is to be utilized for audit purposes for each site? Is there a Navy-specific policy regarding the use of 1995 vs. 1997 E&M guidelines or is it a by site determination? “

A29: The use of the 1995 or 1997 E&M guidance utilized for audit purposes is determined by site. The MTFs will have to provide instructions to the contractor staff regarding which version to use.

Q30: Page 19, 2.1.4 – “Neither the PWS nor individual task orders indicate the scope of individual “sessions” in terms of hours per session or number of participants. As these are fixed price events, what is the expectation in terms of hours per training session and how many participants on average per session?”

A30: One training session is equal to one hour. Not all sites offer the same services, so this is site specific. Number of participants depends on the site and services provided.

Q31: Page 19, 2.1.4.3. – “As the number and variety of templates and tools used by health care providers could be significant, is the time required to complete this task to be invoiced hourly on the Training CLIN?

A31: No, invoicing under the Training CLIN will be by Session.

Q32A: Page 19, 2.1.4.4. –A. “Request the Government clarify that “onsite training” means that the Government trainees will receive the training at the site to which they are assigned and perform their work, but the Contractor trainer(s) may be located at whatever site is appropriate to the training method of delivery.

A32: This will vary by site.

Q32B: With regard to training services, request the Government clarify that a Contractor staff member that is qualified to perform both medical coding or medical record auditing and medical coding training may perform both functions depending on their time availability.”

A32B: Refer to A24.

Q33: Page 20, 2.1.5.1 and Page 24, 4.2 Schedule of Deliverables – “The program scope requires new health care provider reviews under CDI Services. Will baseline reviews be required for current inpatient health care providers if baseline reviews have already been completed at their MTF?”

A33: A baseline review shall be done regardless of having one done at a previous MTF.

Q34: Page 20, 2.1.5.1.1. – “Please provide the estimated time for AIS access for contractor personnel. Is there to be a transition in period prior to Contract Startup and if so, what is the expected transition period?

A34: The contractor must follow the procedures of the MTF and complete all required training to access the system. There is no transition period.

Q35: Page 24, 3.1. – “Request the Government clarify that onsite medical coders and medical record auditors (both inpatient and outpatient) ARE NOT required to be onsite during ALL normal site hours of operation IF the contracted site workload does not require full-time effort (i.e., 8 hours per day) to complete.”

A35: Onsite medical coders and onsite medical record auditors (both inpatient and outpatient) must be onsite for the full 8 hours per day.

Q36: Page 26, 6.2.1. – “Request the Government provide a list of certifying bodies (e.g., American Health Information Management Association) that are acceptable to the Government.

A36: No list will be provided. Any nationally recognized certifying professional body for coding professionals is acceptable.

Q37: Page 26, 7.1 and PWS attachment IV CDRL DD1423 – “7.1. Thirty (30) days after contract award, the contractor shall submit a resume to the COR for each contract employee. Fifteen (15) days after contract award, the contractor shall submit a resume to the COR for each contract employee. The two referenced sections have a conflicting timeframe for the contract deliverable. Would the Government please clarify?”

A37: The correct timeframe for the contractor to submit resumes to the COR is 10 days after contract award. Section 7.1 has been updated.

Q38: Page 26, 8.1.2. - “In order to perform services the Government will provide the Contractor with access to the AIS and will maintain all hardware and systems. Since connectivity to these systems directly impacts productivity, would the Government provide the historical average downtime for each system (AVHE, AHLTA, CHCS, and CCE)?”

A38: This data is not available.

Q39: Page 27, 8.1.4. - “In those scenarios where the contractor provides onsite scan techs to upload encounters into the AIS (Option 1), will remote coders access these encounters via contractor provided equipment, or Government furnished equipment?”

A39: This will be site specific. The PWSs have been updated to reflect the method used for that MTF.

Q40: RESERVED.

A40: RESERVED.

Q41: RESERVED.

A41: RESERVED.

Q42: Page 27 and 31- 8.1.4.1 and 12.1- “Request the Government clarify what it considers to be “within commuting distance.”

“Further, Request the Government clarify that there is NO commuting distance requirement for Contractor personnel providing remote services using the Option 1: Scan Technician method of access allowed by Section 12.1.”

A42: The Government considers commuting distance ≤ 50 miles from the MTF. There is no commuting distance requirement for using option 1.

Q43: Page 29, 10.1.3. - “Does this section indicate that the Contractor’s Security Representative submit a package in order to obtain their own clearance, or is this request for them to submit the employees’ packages?

A43: The contractor is to submit employees’ packages to the MTF Security Representative via the COR.

Q44: Page 30, 11.2.3. - “Can we utilize digital signatures on acknowledgements?”

A44: Yes, digital signatures on acknowledgements are acceptable.

Q45: Page 31, 12 - “The first sentence in this section is inconsistent with last two sentences. Furthermore if the contractor is responsible for the entire process, then shouldn’t the contractor determine the experience of the Scan Technician?

A45: Revised 12.1 to remove the first sentence under Option 1: Scan Technician.

Q46: Page 31, 12.1 - “If the contractor chooses Option 1 for remote services, will the Scan Technician position have a billable CLIN under the Task Order?

A46: No, there will not be a billable CLIN for the Scan Technician. This cost should be built into the encounter cost.

Q47(a): Page 31, 12.1 – “Does this mean that the remote coders do not have access to government computer systems, and will not have GFE laptops? Will the remote coder transmit the coded record back to the MTF on an @mail.mil email domain for the on-site contract employee to enter into the AIS?

A47(a): Refer to site specific Performance Work Statements.

Q47(b): Page 31, 12.1 For on-site coders, what non-coding duties are involved; such as filing loose paperwork, retrieving records, answering calls and responding to the PAD office/Business Office, researching omissions such as an operative note or pathology note; and what is the percentage of time involved in those duties?

A47(b): Anything that is not listed or discussed in the Base Performance Work Statement and/or site specific Performance Work Statements is considered outside the scope of the contract and should not be done by contract workers.

Q48: Page 31, 12.1 - “Per this section the options for providing remote services will be identified in the task order. In the Performance Work Statements given as FAR 52.212-1 Addendum Enclosures 1-9, only one of the requesting locations indicates that Option 2 for GFE is requested (NME, Portsmouth). The other work statements require that data associated with remote services shall be provided to the MTF in an Excel spreadsheet, indicating that Option 1 for Scanning Technicians should be used.

Is Option 1 the Government’s preferred method for remote services?

By selecting and providing pricing for only one of the two approved methods of remote connection are we ineligible for award of task orders that request the alternative method of remote connection?

Will we be given the opportunity to price the alternative method at any time?”

A48: The information in the site specific PWSs has been updated to reflect which method is used for each site. No, an offeror is not ineligible for award of task orders that request the alternative method of remote connection. No, an offeror will not be given the opportunity to price alternative methods.

Q49: Page 31, 12.2 – “A contractor may bid different options for different lots. Would the Government provide a pricing spreadsheet to accommodate both Options, which would provide the Government with a best value approach specific to each location?”

A49: No, an updated spreadsheet with both options will not be provided.

Q50: Page 31 12.1 and 12.2- “Section 12.1 states that “The government acknowledges that this is a non-personal services contract and the contractor is to determine the method for delivering services remotely …” and also states “The options for providing remote services will be identified in the task order … and a summary of the methods are described below.” Section 12.2 states that “The contractor shall select one of the above options prior to the submission of pricing.”

Furthermore, the site PWS’s provided in Attachment J simply state that remote services will be provided in accordance with Section 12.1 of the basic contract.

Request the Government clarify that, for purposes of pricing its proposal, the Contractor may select either of the remote service options listed in Section 12.1, and the selection may vary from site to site.”

A50: This information has been updated in the site specific PWSs and also refer to A48.

Q51: Page 109-157, PWS’s- Each of the Medical Treatment Facility (MTF) Performance Work Statements (PWS’s)- “includes a statement that “The contractor shall provide 1/12th of the work each month.”

Request the Government clarify that the Contractor’s workload is anticipated to be provided at a steady rate throughout the year without periods of surge activity. “

A51: The government cannot guarantee the work will not have any surges.

Q52: Page 114-117 – “Will remote services in support of NH Pensacola be provided via Remote Option 1 or Option 2 given by page 31, section 12.1 of the solicitation?”

A52: Refer to A50.

Q53: Page 119, PWS – “The Government specifies that it wants 24 months of CDIS services; however, the table in this section shows 24 months for each contract year (i.e., Base Year, Option Period 1, and Option 2). The Pricing Workbook for Lot B, Row 25, CLIN 1009BA requests pricing for Option Period 1 for 12 months; and Row 26, CLIN 1009BB requests pricing for Option Period 1: 01 September 2017 through 31 August 2018, which is a 12-month period; however, the Quantity column shows 24 months. Please clarify if the Quantity column for CLIN 1009BB should be revised to 12 months.

Would the Government also clarify why FAR 52.121-1 Addendum, Enclosure 2 – Lot B, PWS, NRCS, Naval Hospital, Jacksonville, Florida, Section 7.2, is not consistent with the Pricing Workbook.”

A53: No change. The data in the PWS and workbook is consistent. The quantities needed at each location are different.

Q54: Page 121, 3.1 – “Request the Government clarify the requirement for Contractor staff to maintain a current BLS certification.”

A54: Yes, BLS certification is required for this site.

Q55: Page 121, PWS NHC Cherry Point - "The RFP shows 48 months for each contract year (i.e., Base Year, Option Period 1, and Option 2). The Pricing Workbook for Lot C, Row 10, CLIN 1009CA requests pricing for Option Period 1: 01 September 2017 through 31 August 2018, which is a 12-month period; however, the Quantity column shows 48 months. Please clarify if the Quantity column for CLIN 1009CA should be revised to 12 months.

The table on page 121 of the RFP shows 48 months for each contract year (i.e., Base Year, Option Period 1, and Option 2). The Pricing Workbook for Lot C, Row 11, CLIN 1009CB requests pricing for the Base Year: 01 September 2016 through 31 August 2017, which is a 12-month period. Please clarify why FAR 52.121-1 Addendum, Enclosure 2 – Lot C, PWS, NRCS, Naval, is not consistent with the Pricing Workbook.”

A 55: The Quantity column for CLIN 1009CA in the pricing workbook is correct at 48 months. 1009CA is for Naval Hospital Camp Lejeune which requires 48 months of CDIS services per year.

CLIN 1009CB in the Pricing Workbook is correct at 12 months for NH Beaufort. This now matches the PWS.

Q56: Page 124, 1.4 – “The PWS for Navy Medicine East MTFs includes the requirement that “The contractor shall use contractor furnished equipment to provide remote service via an Application Virtualization Hosting Environment (AVHE) solution. The contractor shall furnish all required equipment to support this solution to include a Common Access Card (CAC) reader.” That is not one of the two options for Remote Service specified in Section 12.1.

Request the Government clarify the allowability of using an AVHE-based solution.”

A56: Section 1.4 of the PWS for Navy Medicine East has been removed.

Q57: Page 125-127 - “Will remote services in support of NMC Portsmouth be provided via Remote Option 1 or Option 2 given by page 31, section 12.1 of the solicitation? “

A57: Refer to A48.

Q58: Page 130, 3.1 – “Request the Government clarify whether Contractor onsite staff is “essential” or “non-essential.” “

A58: Contractors will be notified by the Contracting Officer Representative (COR) if personnel are essential. Revised Performance Work Statement, James A. Lovell Federal Health Care Center, North Chicago, Illinois,

3.1 to remove essential language.

Q59: Page 139, 6.2 – “Request Government verification of the CDIS Services requirements in Section 6.2.”

A59: CDIS Services requirements in Section 6.2 of the Naval Hospital Camp Pendleton have been updated.

Q60: Page 139, 6.2. - “Is the number of months noted for each option year correct?

796 months for Base Year

812 months for Option Year 1

828 months for Option Year 2”

A60: Refer to A59.

Q61: Page 146, 2, 3, and 4 – “Request Government verification of the CDIS Services requirements in Section 6.2.”

A61: There are no CDIS services on this site specific PWS.

Q62: Page 151-157, PWS’s – “The PWS’s for Naval Hospital (NH) Naples, NH Rota and NH Sigonella do not address whether relocation expense will be paid for onsite Contractor personnel.

Request the Government clarify whether relocation expense will be reimbursed for these three European sites.”

A62: No, relocation expenses will not be provided for these locations since regular onsite services are not required.

Q63: PWS Attachment II BUMEDINST 61530 38A, Page 9, Enclosure 1 and PWS Attachment III Coding Program Management and Training Guidelines, Page 5, Example 1 & 2 – “If there is not enough supporting documentation to support coding, can we administratively code them with Z0289/99499? For 7 queries daily- adds up in time, if the queries are not responded to within the 3 days, what are the plans to get credit for these?”

A63: No, the contractor cannot administratively code with Z0289/99499. Once the records are completed you will receive credit.

Q64: PWS Attachment III Coding Program Management and Training Guidelines, Page 5 – “Monitoring Coder Productivity Sect. 3(a) This states that only those encounters coded are counted and those where physician queries are awaiting response or documentation deficiencies disallow coding are not counted.

Is there historical data that indicates what percentage of encounters is returned for query or are not "code-able"? “

A64: This information is not available.

Q65: PWS Attachment III Coding Program Management and Training Guidelines, Page 6, Downtime Back-Up Plans – “What has been the median rate of downtime per month over the last 6 months?”

A65: This information is not available.

Q66: PWS Attachment III Coding Program Management and Training Guidelines, Page 6 – “How does BUMED plan to require this when the systems required to code (AHLTA, CCE, etc.) are down? What is the government's contingency plan to allow the contractor to remain productive especially when pricing is encounter driven for on-site requirements? Is there a plan in place on the government's side rather than requiring the contractor to meet productivity when downtime is beyond the control of the contractor? “

A66: This will be site specific. Plans will be provided by the individual sites.

Q67: PWS Attachment III Coding Program Management and Training Guidelines, Page 7 – “Please explain/clarify that audit results are available NLT the 5th day of the preceding month - should it be the next/following month? “

A67: There appears to be an error in the instruction. The results will be received the following month. Example: April results will be due in May.

SPECIAL CONTRACT REQUIREMENTS QUESTIONS

Q68: Page 55-57 and 68-69 Minimum/Maximum Quantity – “Request the Government clarify if it intends to use the contract as an ID/IQ ordering vehicle. For example, at any given site the Contractor may receive a total number of medical records for coding between zero and the maximum number of records listed in the site SubCLIN but there is no guarantee of receiving the maximum workload listed. “

A68: This will be an ID/IQ ordering vehicle. The initial orders will be based on the proposed lots, and each awardee is guaranteed award of a minimum of one lot.

Q69: Page 61 – “Does the government intend to also reimburse the housing allowance and maintenance allowance for the relocated employees, or does the government envision the contractor includes the cost into their unit price?

A69: The Government will reimburse relocation costs according to the Joint Travel Regulation (JTR). Please see Relocation Cost on page 61.

Q70: Page 61, Relocation Costs – “What is the rate they will provide for relocation and is this included in the annual travel budget?”

A70: Please see A69.

Q71: Page 68 – “How often will TOPRs be issued? Will TOPRs be in addition to the work specified for each lot?”

A71: TOPRs will be issued as the Government has a need for services. TOPRs will be in addition to the work specified in the pricing lot excel sheet.

Q72: Page 69 – “Is there performance metric for contract awardees for submitting responses to TOPR?”

A72: Contract awardees submitting responses to TOPRs will be evaluated according to the TOPR. Please see page 68, Task Ordering Procedures paragraph b.

Q73: Page 79 Background Investigations – “If we provide a security package and completed SAAR-N form for an individual no less than 30 days prior than the start date as required, will the individual be granted interim access on that scheduled start date?

A73: The individual sites will determine if interim access will be granted.

Q74: Page 80 Background Investigations – “Will the Contractor be required to access JPAS directly? Will the Government sponsor the contractor in order to obtain an account?

A74: No, the contractor will submit the package to the MTF security manager via the COR; the MTF Security Managers will be the ones who initiate all background investigations through JPAS.

ADDENDUM TO 52.212-1 QUESTIONS

Q75: Page 98, 2.1 – “it is stated that the size standard for NAICS 541611 is $15 million. However, paragraph 2.4.1 states that the size standard for NAICS 5411611 is $7.5 million. Will the Government please clarify?”

A75: The correct size is $15 million. Section 2.4.1. is updated to $15 million.

Q76: Page 99, 2.2.2. – “What is the expected turn around for the interim clearance and CAC Cards?”

A76: Refer to A73.

Q77 (a): Page 100, 2.2.5. – “Without a seed project or specific TOPR, the requirement suggests the offeror is to provide a labor mix and resource quantities for all Lots within the proposal page constraints. Will the Government remove the requirement to provide labor mix and number of personnel?

A77 (a): No, the government will not remove the requirement to provide a labor mix and resource quantities for all Lots.

Q77 (b): Addendum Enclosures- Please clarify how many hours are in a training session?”

A77 (b): For clarification on how many hours are in a training session, please refer to A30.

Q78: Page 100, 2.2.6. – “Which roles does the Government consider a contractor’s “primary personnel” for whom resumes are required?”

A78: Primary personnel is revised to key personnel. The contractor will determine the key personnel.

Q79: Page 101, 2.3.1 – “Is Attachment 1 of the solicitation the correct form? The instructions state our customer is responsible for completing Section II, but the form is not divided into Sections. Are we to understand that our customer will complete each point after #1? If so, #7 conflicts with the instructions.”

A79: 2.3.1 has been revised to reflect the PPIS originally included with the solicitation and instructions for submission have been updated..

Q80: Page 101, 2.3.1. – “Attachment 1 – Past Performance Information Sheet (PPIS) is a simple Word document with seven questions to be answered by the contractor. There is no Section I or II shown on the PPIS and there is no information to be completed by the customer POC.”

A80: Refer to A79.

Q81: Page 101, 2.3.1 – “The PPIS is provided as Attachment 1 and provides 7 topics to be covered in the PPIS, but does not provide a Section I or Section II.

Please confirm that the Attachment 1 PPIS is the correct PPIS that should be submitted with the proposal?

Is there a Section II that the customer would complete?”

A81: Please see A79.

Q82: Page 101, 2.3.1. – “The above mentioned information, regarding Section 1 and 2 are missing in Attachment 1. No format has been provided for providing the above information. Please suggest us how to provide the above mentioned information or if it has a specific format, kindly provide us with the same.”

A82: Please see A79.

Q83: Page 101, 2.3.1 and page 20 2.1.5 – “CDI Specialist Services are part of the contract, as specified on RFP page 20, Section 2.1.5, which identifies very specific capabilities and is associated with 3 deliverables; however, the 7.6.1 Relevancy Table on page 159 does not show that CDI Services as a “relevant” rating factor. Will the Government add CDI Services to the evaluation criteria, thus enabling the Government to evaluate 100% of the services required for performance?

Attachment 1 PPIS- Should this read “medical coders, auditors, and trainers (Inpatient/Outpatient,ICD-9/ ICD-10, trainers) and CDI Specialists” instead of the listed support workers/services?”

A83: Revised page 159, 7.6.1. to include CDIS services in the Relevancy Table . Attachment 1 PPIS has been revised to reference medical coding, auditing training and Clinical Documentation Improvement Specialist services.

Q84: Page 101; 2.3.6. – “Please clarify our understanding of the referenced statement. If a SBA-approved Mentor-Protégé Joint Venture submits two past performance references from members of the Joint Venture and one past performance reference from Key Personnel will that meet the requirement as stated in Section 2.3.6?”

A84: Yes, submitting two PPIS from members of the Joint Venture and one from Key Personnel would meet the requirement in 2.3.6. The limit of 2 PPIS is for other members than the offeror, SBA approved JV and key personnel.

Q85: Page 102, 2.4.1 – “Will the Government please correct the size standard specified on page 102 paragraph 2.4.1 to reflect the SBA’s size standards for 541611?”

A85: Please see A75.

Q86: Page 103, 2.5.1 – “The information contained in Addendum to 52.212-1 Enclosures 1-27 is provided to assist in the development of pricing for the CLINs.

There are 9 Addendum Enclosures. Please confirm that there are only 9 Enclosures.

A86: There are 9 Addendum Enclosures. Page 103, 2.5.1. and 2.5.2. have been updated to reflect 9 enclosures.

Q87(a): Will those contractors who do not have an already-established B2B Gateway be ineligible for award?

A87(a): Contractors who do not have an already established B2B Gateway are still eligible for award.

Q87(b): What is the expected implementation timeline for certification and implementation of the B2B Gateway?

A87(b): The expected implementation timeline for certification and implementation of the B2B Gateway will vary.

Q87(c): What is the estimated cost to implement the B2B Gateway including all required certifications?

A87(c): The cost to implement the B2B Gateway varies.

Q87(d): If the Offeror enters into a Teaming Arrangement in response to the solicitation is the Prime Contractor required to have the B2B certification or can a Subcontractor possess the certification?”

A87(d): The prime has to possess the B2B certification.

Q88: Page 105, 3.1 – “Request the Government clarify the Section 2.3.1 instructions and/or provide the correct Attachment 1 – PPIS. “

A88: Please see A79.

Q89: Page 105, 3.5.4.3. – “Does the Government intend for the contractor to initiate and monitor personnel security investigations in JPAS?

A89: Refer to A74.

Q90: Page 106, 3.11.1.1. – “May a single device be used to support all remote coding sites?

A90: Yes, a single device may be used to support all remote coding sites.

Q91: Page 108 – 179 – “Different types of services (IPS, AHLTA, APV and ER) require different amount of time to code and have different productivity metrics and therefore impacts both staffing and the price. Could the government provide projected (or at a minimum historical) quantity or percentage of each type per MTF?”

A91: Site specific PWSs have been updated to include this information.

Q92: Page 110, 1.3. – “Works hours vary by month depending on holidays and planned Government closures. Will the Government change the requirement to a formula that represents the number of available work hours in each specific month?”

A92: No, the government will not change the formula to represent hours in each specific month.

Q93: FAR 52-212-1 ADDENDUM ENCLOSURES – “Is the Navy requesting 1 FTE CDIS per 12 months ordered? For example:

NH Pensacola, Base Year = 12 months/ 1 FTE

NH Camp Lejeune, Base Year = 48 months/ 4 FTE” A93: Refer to A9.

ADDENDUM TO 52.212-2 QUESTIONS

Q94: Page 157, 52.212-2(a) – “This paragraph provides inconsistent statements concerning the relative importance of the four evaluation factors – in one place indicating they are all of “equal importance” and in another indicating they are in descending order of importance. Request the Government clarify the relative importance of each of the four evaluation factors.”

A94: Revised to update language.

Q95: Page 157, 52.212-2(a) – “Would the Government please clarify if the factors are of equal importance (per the first sentence in the section) or weighted differently, as described in the second sentence?”

A95: Please see A94.

Q96: Page 158 – “Page 158- Can the Government describe the steps that will be taken upon award of the IDIQ MATO contracts? Will the awarded contractors then bid for specific workloads in Lots?”

A96: Upon award of the IDIQ MATO contracts, initial orders will be awarded based on the specific Lots. Please see page 160, 7.9 Lot Awards. Awarded contractors will then propose for task orders. Please see page 68, Task Order Ordering Procedures.

Q97: Page 159, 7.6.1. - “One of the major initiatives in Industry Best Practices is the use of CDI Specialists. The PWS includes services by CDI specialists. Is this a service that is also relevant in the Past Performance evaluation? “

A97: Please see A83.

Q98: Page 160, 7.8. – “Can the Government explain the Lot Award Determinations process?

A98: Refer to coresponding section 2.5.Pricing and section, 7.9. Lot Awards.

Q99: Page 160, 7.8. – “For pricing purposes, can the Government provide the number of awardees anticipated for each Lot (Lot A to I)?”

A99: One award will be made per lot.

Q100: Page 160, 7.9 – “This section states that “Lots” will be awarded to the three awardees of the basic contract and that “Lots consist of initial quantities to be awarded at the time basic contracts are awarded. Request the Government clarify whether the “Lots” awarded at the time of contract award will fund the maximum number of data records or sessions allowable under each SubCLIN or only a portion of the maximum number. “

A100: Paragraph 7.9 on page 160 does not state that “Lots will be awarded to the three awardees of the basic contract…” Paragraph 7.9 states, “After contract award decisions have been made, lot award determinations will be made. Only those offerors that were selected for an IDIQ contract award in accordance with the evaluation criteria stated in Instructions and Evaluation Criteria of the solicitation will be evaluated for Lot Awards.” The Lots awarded at the time of contract award will not necessarily fund the maximum number of data records or sessions allowable under each SubCLIN. Additional quantities may be ordered to fulfill any future government needs. Funding will be provided in full on each order. Unused quantities and funding will be deobligated.

PRICING QUESTIONS

Q101: Pricing Workbook, Lot I, Excel Line 22 – “The Workbook has CLINS 0007IC and 2007IC, but not CLIN 1007IC. Note, Excel Line 22 on Lot I shows CLIN 0007IC in the Option Period 1 line items, so it is not clear whether this should be CLIN 1007IC with associated volume, or if it should be relocated to the base period and CLIN 1007IC added.

Lot I- Request the Government correct the Lot I pricing worksheet. SubCLINs X007IC for Inpatient Auditing (Remote) at NH Sigonella are not all correctly listed.”

A101: The Pricing Workbook Lot I, is revised to include 0007IC, 1007IC and 2007IC. The total formula is also revised to account for all pricing cells.

Q102: Pricing Workbook – “The Pricing work sheet requires detailed pricing for each Lot for different type of services per MTF; however 1449 Continuation sheet (CLIN structure) requires only a unit price for each type of service regardless of the location and lot, which seems to be the average unit price of all lots for each type of service.

Considering the disbursed locations and the labor market prevailing wages in the different locations, does the government intend to award the task orders based on the contractors’ Unit Price for each location/service (Pricing Work Sheet) or based on the ID/IQ Contract CLINS unit price (SF 1449)?

We also found the Total formula for some of the lots, do not cover all cells in the services columns.”

A102: The pricing on the SF 1449 Continuation sheet (CLIN structure) will be used to develop a ceiling for the base contract. Orders will be made from the initial lots and then from TOPRs. Please see page 68, Task Ordering Procedures, page 160, paragraph 7.9. The pricing workbook has been corrected to make sure the total formula for all lots cover all cells in the services columns.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 22-Apr-2016 01:00 PM to 09-May-2016 01:00 PM.

SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 2010

The IDC type has changed from N/A to Indefinite Quantity.

The following have been added by full text:

SCA WAGE DETERMINATIONS

SCA Wage Determinations In accordance with the Service Contract Act, the following Wage Determinations apply to this requirement:

1. 05-2247 Rev.-18 Annapolis, MD

2. 15-2103 Rev.-2 Patuxent, River, MD

3. 15-4281 Rev.-2 Quantico, VA

4. 05-2507 Rev.-18 Corpus Christi, TX

5. 05-3033 Rev.-17 Pensacola, FL

6. 15-2115 Rev.-1 Jacksonville, FL

7. 15-4389 Rev.-2 Camp Lejeune, NC

8. 15-2393 Rev.-2 Cherry Point, NC

9. 05-2473 Rev.-19 Beaufort, SC

10. 15-4341 Rev.-2 Portsmouth, VA

11. 05-2467 Rev.-17 Newport, RI

12. 05-3023 Rev.-18 Groton, CT

13. 05-2339 Rev.-19 Portsmouth, NH

14. 15-4143 Rev.-2 Saratoga Springs, NY

15. 15-5017 Rev.-2 Great Lakes

16. 05-2559 Rev.-20 Bremerton, WA

17. 05-2153 Rev.-21 Honolulu, HI

18. 05-2073 Rev.-20 Lemoore, CA

19. 05-2333 Rev.-17 Fallon, NV

20. 05-2561 Rev.-22 Oak Harbor, WA

21. 15-5635 Rev.-1 Camp Pendleton, CA

22. 15-5629 Rev-2 Barstow, CA

23. 05-2027 Rev.-21 Yuma, AZ

24. 05-2071 Rev.-19 Port Hueneme & Point Mugu, CA and Twentynine Palms, CA

25. 05-2147 Rev.-19 Guam

Department of Labor Wage Determinations can be found at the following website:

http://www.wdol.gov .

The following have been modified:

52.212-1 ADD. ENCLOSURES

FAR 52.212-1 Addendum Enclosure 1 – Lot A

Performance Work Statement

Medical Records Coding Services

Naval Health Clinic Annapolis, Maryland

1. Description of Services.

1.1. The contractor shall provide remote outpatient coding services, onsite outpatient auditing services, and onsite training services at the Naval Health Clinic (NHC) Annapolis, Maryland. Services shall also be provided in support of the Branch Health Clinics (BHC) Bancroft Hall Annapolis, MD; Earle, NJ; Lakehurst, NJ; Philadelphia, PA; and Mechanicsburg, PA. Coding and auditing support of the BHCs shall be accomplished at the Naval Health Clinic Annapolis. Training services shall be provided on-site at all locations listed above approximately twice per year.

1.2. The facility is comprised of specialties that include Orthopedic, Pediatric, Family Health, Internal Medicine, Mental Health Care, Physical Therapy, and Optometry services.

1.3. The contractor shall provide 1/12th of the work each month.

2. Duty Hours. The hours of operation are from 7:30 AM to 6:30 PM Monday through Friday. Services are not required on weekends or federally observed holidays. The contractor may provide services outside the times noted to manage any backlog at no change in price and with prospective approval from the government.

3. Medical Record Coding (remote).

3.1. The contractor shall provide services in accordance with paragraph 2.1.2. and associated subparagraphs included in the Performance Work Statement of the basic contract. The contractor shall code any type of outpatient record presented (IPS, AHLTA, ER, APV). The contractor shall code and perform quality assessment reviews for outpatient encounters as follows:

3.2. The approximate record breakdown is as follows: 30,000 AHLTA records and 195 APV records.

4. Auditing Service (onsite).

4.1. The audit shall be conducted in accordance with paragraph 2.1.3. and associated subparagraphs included in the Performance Work Statement of the basic contract.

4.2. The contractor shall audit government coded outpatient records as follows:

4.3. The contractor shall perform the audits in accordance with BUMED Instruction 6150.38A to satisfy the audit requirements. In addition, the contractor shall use the government’s tool of choice which is currently Global Code. The government will provide the tool, along with documentation and training on the use of the tool.

5. Training Services (onsite).

5.1. Training shall be provided in accordance with paragraph 2.1.4. and associated subparagraphs included in the Performance Work Statement of the basic contract.

5.2. The contractor shall provide onsite training sessions for NHC Annapolis and the BHCs identified above in paragraph 1.1. as follows:

6. Travel. The government will reimburse the contractor up to $2,000.00 in accordance with the Joint Travel Regulation (JTR) for reasonable travel expenses incurred while performing the duties in this task order.

7. Point of Contact Information.

Primary POC:

LT Pia Francisco Phone: 410-293-1165

E-mail: pia.francisco.mil@mail.mil

Secondary POC:

CDR Michael Klemann

Phone: 410-293-1766

E-mail: Michael.J.Klemann.mil@mail.mil

Local Contracting Officer’s Representative:

Mr. Steve Rogers

Phone: 410-293-1148

E-mail: Steven.Rogers6.civ@mail.mil

Mailing address:

250 Wood Road

Annapolis, MD 21042 Performance Work Statement

Medical Records Coding Services

Naval Health Clinic Patuxent River, Maryland

1. Description of Services.

1.1. The contractor shall provide onsite outpatient coding services at the Naval Health Clinic Patuxent River, Maryland. Services shall also be provided in support of the Branch Health Clinics (BHCs) Naval Air Facility (NAF) Washington Joint Base Andrews, MD; Dahlgren, VA; and Indian Head, MD. Coding support of the BHCs shall be accomplished at the Naval Health Clinic Patuxent River.

1.2. The facility is comprised of specialties that include Family Practice; Primary Care; Internal Medicine; Physical Therapy; Occupational Health; Military Medicine; Optometry; Pediatrics; Hearing Conservation; Nutritional Medicine; Behavioral Health; Substance Abuse Rehabilitation Program; Immunization Clinic; and visiting specialists such as, but not limited to, Dermatology; Orthopedics, ENT, GYN, Neurology, Ophthalmology and Psychiatry.

1.3. The contractor shall perform 1/12th of the work each month.

2. Duty Hours. The hours of operation are from 6:00 AM and 6:00 PM Monday through Friday. Services are not required on weekends or federally observed holidays. The contractor may provide services outside the times noted to manage any backlog at no change in price and with prospective approval from the government.

3. Outpatient Coding Services (onsite).

3.1. The contractor shall provide coding services in accordance with paragraph 2.1. 2. and associated subparagraphs included in the Performance Work Statement of the basic contract.

3.2. Outpatient: The contractor shall code and perform a quality assessment review for AHLTA records as follows:

4. Point of Contact Information.

Primary POC:

Wisdom Henyo Phone: 301-342-1529

E-mail: wisdom.k.henyo.mil@mail.mil

Secondary POC:

Ms. Jeanette Carney

Coding Supervisor

Phone: 301-342-1482

E-mail: Jeanette.Carney.civ@mail.mil

Local Contracting Representative:

Mr. James Summers

Contracting Officer’s Representative (COR)

Phone: 301-995-2776

E-mail address: James.C.Summers.civ@mail.mil

Mailing address:

47149 Buse Road

Building 1370

Patuxent River, MD 20670

Performance Work Statement

Medical Records Coding Services

Naval Health Clinic Quantico, Virginia

1. Description of Services.

1.1. The contractor shall provide remote outpatient coding services and onsite training services at the Naval Health Clinic Quantico (NHCQ), Virginia. Services shall also be provided in support of the Branch Health Clinics (BHCs) The Basic School (TBS) Quantico, VA; Officer Candidate School (OCS), Quantico, VA; Washington Navy Yard (WNY), Washington, DC; and Sugar Grove, West Virginia.

1.2. The facility is comprised of specialties that include Sports Medicine, Military Medicine, Chiropractic and Physical Therapy at OCS; Primary Care at Sugar Gove; Chiropractic, Military Medicine and Physical Therapy at TBS; Primary Care, Optometry, and Preventive Medicine at WNY; and Dermatology, Pediatrics, Behavioral Health, Deployment Health, Primary Care, Optometry, Semper Fi Center, Occupational Health, Physical Therapy and Hearing Conservation at NHCQ.

1.3. The contractor shall provide 1/12th of the work each month.

2. Duty Hours. The hours of operation are from 6:00 AM and 6:00 PM Monday through Friday. Services are not required on weekends or federally observed holidays. The contractor may provide services outside the times noted to manage any backlog at no change in price and with prospective approval from the government.

3.. Medical Record Coding (remote).

3.1. The contractor shall provide coding services in accordance with paragraph 2.1.2. and associated subparagraphs included in the Performance Work Statement of the basic contract.

3.2. The contractor shall code any type of outpatient record presented (IPS, AHLTA, ER, APV). The contractor shall code and perform a quality assessment review for outpatient records as follows:

3.2.1. The 90,760 records are anticipated to be AHLTA records.

4. Training Services (onsite).

4.1. Training shall be provided in accordance with paragraph 2.1.4. and associated subparagraphs included in the Performance Work Statement of the basic contract.

4.2. The contractor shall provide training each month for NHC Quantico and the BHCs identified above in paragraph 1.1. as follows:

5. Travel. The government will reimburse the contractor up to $200 for reasonable travel expenses incurred while performing the duties in this task order in accordance with the JTR. The Washington Navy Yard is considered an alternate work space and the contractor will not be eligible for mileage reimbursement.

6. RESERVED.

7. RESERVED.

8. Travel. The government will reimburse the contractor up to $200 for reasonable travel expenses incurred while performing the duties in this task order in accordance with the JTR. The Washington Navy Yard is considered an alternate work space and the contractor will not be eligible for mileage reimbursement.

9. Remote Services. Remote services shall be provided in accordance with Section 12 and associated subparagraphs included in the Performance Work Statement of the basic contract. The data associated with remote services shall be provided to the MTF in an Excel spreadsheet. The data fields to be included in the Excel spreadsheet will be determined by the government at the time this service is started. The POC will not be involved with the establishment or sustainment of remote services; therefore, the contractor shall be onboard to start and maintain this services when approved in advanced by the government.

9.1. Remote services under this task order will be provided through a Scan Technician.