N6264520R0064 Amendment 2.docx

N6264520R0064

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

Question: Is this current or backlog work?

Answer: The work is as described in the PWS; per the MTFs below the work is current.

United States Naval Hospital (USNH) Sigonella, Italy: Current United States Naval Hospital (USNH) Rota, Spain: Current United States Naval Hospital (USNH) Guantanamo Bay, Cuba: Current United States Naval Hospital (USNH) Yokosuka, Japan: Current United States Naval Hospital (USNH) Okinawa, Japan: Current United States Naval Hospital (USNH) Naples, Italy: Current

Question: Is there an Incumbent? If so, what is the Contract Number the current contract is under?

Answer: N62645-17-D-5011 SDV International, LLC; N62645-17-D-5012 STI Standard Technology, Inc.;

N62645-17-D-5013 TEAM Technology, Automation & Management, Inc.

Question: If there is an incumbent contractor, can you please advise of the ONSITE staff in place at the various MTFs?

Answer:

USNH Sigonella: Remote USNH Rota: Remote USNH Guantanamo Bay: Remote USNH Yokosuka: Remote USNH Okinawa: On-site - Currently the onsite staff consist of 2 Coders and 2 CDIS.

Question: Can the Government provide the status of Genesis implementation at each of different MTFs that are part of the solicitation?

Answer: Implementation is anticipated, no ETA has been provided.

Question: Will the Government provide any training to Contract Staff on the use / adoption of Genesis?

Answer: Implementation is anticipated, no ETA has been provided.

Question: All services provided under this contract shall be provided either on-site or remotely for Navy MTFs as specified in the individual task orders. Understanding that Cuba is all remote, are the remaining sites dually onsite and remote coding; Or, are there any onsite only MTFs as part of the contract?

Answer:

Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for Onsite and Remote details. Training is typically onsite, but can be remote with coordination.

USNH Rota: Per Addendum LOT B, Sections 2, 3 and 4 services are Remote.

USNH Guantanamo Bay: Per Addendum LOT A, Sections 2, 3 and 4 services are Remote.

USNH Okinawa: Per Addendum LOT A, Sections 3 and 4 services are Onsite.

USNH Naples: Per Addendum LOT B, Sections 2, 3 and 4 Coding and Auditing services are remote and Training services are Onsite.

USNH Yokosuka: Per Addendum LOT A, Sections 3, 4, 5 and 6 services can be a mixture of Onsite and Remote.

USNH Sigonella: Per Addendum LOT B, Sections 2 and 3 Auditing services are Remote and Training services are Remote.

Question: Can the Government confirm all training tools, equipment, and materials will be provided by the Government?

Answer: The sites will only provide guidance and new coding material

Question: Will the on-site Contract Staff be allowed any level of telework?

Answer: Location of services are specified in 1.1. in the individual Performance Work Statements.

Telework is available at discretion of the government as per section 3.4.

USNH Guantanamo Bay: No services are performed Onsite USNH Okinawa: Yes, when deemed appropriate.

USNH Naples: Yes, when deemed appropriate.

USNH Yokosuka: Yes, when deemed appropriate.

USNH Sigonella: Yes, when deemed appropriate.

USNH Rota: No services are performed Onsite

Question: Can the Government confirm that it will provide technical support related to remote access?

Answer: Yes; the IT department at each MTF will be available to provide the government resources.

Question: Can the Government provide the number of contract staff by location and specialty (e.g. outpatient coding, auditing, etc.) that are currently providing service either at or to the solicitation locations?

Answer: This is a non-personal service contract, the offeror should estimate the number of workers based on the quantities in the PWS and Pricing sheet Refer to PWS Addendum LOTS A&B and Attachment 4_ Pricing Workbook.

Current staffing levels per the MTFs:

USNH Sigonella: 1 USNH Yokosuka: (1) APV/ER, (1) INP/IPRS, (1) A/T, (1) CDIS, (3) OP USNH Okinawa: Outpatient Coding – 1; Inpatient Coding -1; CDIS – 2 USNH Naples: 1 outpatient coding and auditor USNH Guantanamo Bay: Outpatient (.40 FTE), Inpatient (.10 FTE), Outpatient Auditing (.10 FTE), Inpatient Auditing (.60 FTE), Training (.03 FTE).

USNH Rota: (1) APV/ED, (1) INPT, (1) OP/Billable, (1) Auditor/Trainer

Question: Can the Government confirm that for on-site services it will provide current resources and references (e.g. ICD, CPT, and HCPCS)?

Answer:

USNH Sigonella: No, the contractor should have their own resources.

USNH Okinawa: Yes USNH Naples: Yes USNH Guantanamo Bay: No, the contractor should have their own resources.

USNH Rota: Remote services, no on-site resources required.

USNH Yokosuka: No, the contractor should have their own resources.

Question: Can the Government confirm which MTFs will provide laptops or should the Contractor plan on providing laptops for all remote service providers?

Answer: Per the PWS 8.1.4.1. As indicated in the task orders, at some MTFs, the government may issue laptops to the contractor in support of remote services. If a government furnished laptop is provided to perform remote services, as detailed in Section C.12.2., contract employees shall exchange the laptop at the MTF every 60 days starting from issuance, unless the task order states otherwise. The contractor employee shall possess and maintain a National Agency Check with Law and Credit (NACLC) security clearance before being eligible to receive and use the government furnished laptop.

All locations: THE CONTRACTOR SHOULD PROVIDE LAPTOPS FOR ALL REMOTE SERVICE PROVIDERS. Refer to Para: 12.2 of PWS.

Question: It is stated that some MTFs provide laptops. Can you please advise which locations will provide an/or do not provide laptops to assist in pricing calculations?

Answer: Refer to question 12

Question: If the laptop is provided by an MTF, can it be exchanged every 60 days at a different MTF or does it have to be sent back to the MTF for which the services are being billed?

Answer: Refer to question 12. The contractor shall return the equipment to the issuing location as per PWS.

Question: Is there a specific juniper device requested for the LOE?

Answer:

USNH Rota: AVHE solution.

USNH Guantanamo Bay: There is no juniper device required. It is expected that the contractor will use AVHE for CHCS and Essentris access. If VPN access is required the account creation will be handled by DHA.

Refer to the B2B Attachments.

Question: Can the Government provide specific details on the Juniper device to be provided to its staff for remote services requiring a B2B connection?

Answer: Refer to question 15

Question: It is stated that contractor employees must pass a system test before access to systems. When and/or how is the system test administered?

Answer: This is a non-personal service contract, the offeror should review the PWS, Also refer to question 15 regarding “testing”.

USNH Rota: The contractor will need to conduct the required Network access training, prior to gaining privileges to the system. HIPAA, IA, Etc.

USNH Guantanamo Bay: USNH GB will support with remote access to systems required to perform duties as soon as the contract is awarded.

USNH Okinawa: Training is provided but no specific “test” is administered.

USNH Naples: The contractor will need to conduct the required Network access training, prior to gaining privileges to the system. HIPAA, IA, Etc.

USNH Yokosuka: Training is provided but no “test” is administered. MTF provides on-site and remote training for Essentris, AHLTA and CHCS.

USNH Sigonella: The contractor will need to complete the required network access training in order to be granted access to the systems.

Question: As each remote service option impacts productivity, will the issued task order allow for accommodation of rates / service level based on the option chosen by the Government?

Answer: It is the contractor responsibility to ensure all non-personal services required in the PWS are met within a timely manner based on the QASP Matrix. Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for details.

Question: It is stated that Contractor employees will need immunizations and a physical examination. Will this be required of remote staff?

Answer: This is not needed for remote contract workers. Remote contractors may FedEx the equipment in to MTF, refer to 12.2.

Question: You advise of three options for method of delivering services. Can you advise which locations currently utilize which option(s)?

Answer: site specific. Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for site specific details USNH Sigonella: REMOTE AUDITING FOR USNH SIGONELLA & Naval Health Clinic BAHRAIN AND Naval Health Clinic SOUDA BAY. QUARTERLY ON SITE TRAINING USNH Rota: Option 2: Direct Access. The contractor is given direct access to the government’s AIS to provide remote coding and auditing services. The contractor shall be responsible for the entire process, to include a back-up plan in the event of system downtime.

USNH Guantanamo Bay: Option 2 USNH Yokosuka: Option 2 USNH Okinawa: Option 1: Scan Technician. The contractor shall provide personnel on-site at the MTF to obtain the medical records, transmit the records and enter the codes into the government’s AIS. The contractor shall also provide remote medical coders to code the records and return them to the on-site personnel. Onsite personnel shall input all codes into the AIS. Onsite contractor personnel shall have access to government computer systems required for the performance of their duties. The onsite personnel shall have at least 1 year of experience in the last 3 years working with medical records. The government may provide personnel within the MTF to perform on-site responsibilities for retrieving, scanning, and transmitting medical record documentation. Any government resources available to relieve the contractor of this responsibility will be identified in the task order. However, will consider Option 2 if necessary.

Question: Can the Government confirm that, if the contractor provides the laptops and card readers, that the Government will provide technical support for access and troubleshooting? Or should the Contractor plan on providing its own technical support?

Answer: Yes; the IT department at each MTF will be available; see page 10, Section 3.3.

USNH Rota is not expecting to issue GFE however, local support can be provided if laptop and card reader are DHA devices.

USNH Guantanamo Bay: USNH GB will support with remote access to systems required to perform duties only.

USNH Okinawa: Yes USNH Naples: Will support only access to system required to perform duties.

USNH Yokosuka: Yes, MTF IT support is provided.

USNH Sigonella: MTF will only grant access to the systems; troubleshooting through Global System Center (GSC).

Question: Are the scanners provided by the government?

Answer: Scanners are not provided by the Government. Also refer to question # 20 to see which options are required for services. Reference PWS 12.1, option 1, option 2 and option 3.

Question: Who will send the files to us?

Answer: The contractor shall have access to the systems (CHCS, AHLTA & ESSENTRIS). The sites required within this Solicitation will have identified POCs at task order level. For Example:

USNH Guantanamo Bay: Medical Records Technicians USNH Okinawa: PAD Officers USNH Rota: PAD Officer or Medical Records Technicians.

USNH Naples: Ms. Italia Tavano – italia.tavano.ln@mail.mil USNH Yokosuka: PAD Department makes request to IT Department.

USNH Sigonella: IT personnel

Question: Will there be task orders where more than one scan technician will be needed? Is there a location or system that the FTPs will be deposited? Do site personnel perform the FTP protocol when sending and receiving the files?

Answer: Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for site specific details. DoD Safe site shall be used for sending and receiving files; coordination will be done with POC at task order level. The link for DoD Safe site is https://safe.apps.mil/.

Question: How much travel will be expected? Will the Govt. provide a "placeholder" amount for Travel or should the Contractor plug in an amount based on the reply to the travel expectations?

Answer: Per page 19. 13.3. The Joint Travel Regulation (JTR) shall serve as the basis for the cost limits for lodging, per diem, miscellaneous expenses and mileage reimbursement if use of privately owned vehicle is authorized. The contractor shall utilize discount hotel/motel and car rental practices. For additional information regard Per Diem rates refer to the link in Section 2.2.

Once, the contract is awarded the government shall include amount at the task order level, when travel is requested by the site(s). Currently, with the pandemic travel maybe limited.

Question: Can we include a cover page to identify the offeror as part of the Past Performance volume?

Answer: The offeror may choose to include a cover page for the past performance volume; however the cover page will not be evaluated. If a cover page is included it will not count toward the 5 page limit.

Question: These sections indicate the format of Volumes I and II but do not indicate the format of Volume III-Business. Please confirm that Volume III should be in MS Word and that the complete submission should consist of one single email with 4 attachments: 1) Volume I-Past Performance in MS Word; 2) Volume II-Technical in MS Word; 3) Volume III-Business in MS Word; 4) pricing sheet in MS Excel.

Answer: Submission shall consist of one single email with all four attachments. Volume III should only include the form(s)/attachment(s) listed under 2.4 and subparagraphs (2.4.1 – 2.4.5.5); no other information should be included. Attachment 4 _Pricing Workbook shall be in the excel format provided.

Question: If we submit 4 past performance information sheets, can we still use 5 pages for the whole volume?

Answer: per page 85. 2.2. Each Past Performance Information Sheet shall not exceed 1 page, inclusive of the narrative.

i.e. if the offeror only has 4 past performance to reference for this solicitation the offeror shall only submit 4 pages (excluding a title page and consent letters).

Question: Does Volume III: Business have a page limitation?

Answer: Refer to question #27, follow the instructions in the RFP 52.212-1 & 52.212-2.

Question: Given bidders are instructed not to reformat the structure and content of the form, where shall we specify the corporate relationship (per page 85 Section 2.2.1) among those who provided the Services?

Answer: Corporate relationship information shall be provided under #3 of attachment 1.

Question: There are no coding services listed, however Remote Auditing Services are listed. Is this an oversight, or will the auditors be auditing Govt coders work?

Answer: As per Addendum PWS as written.

Question: Is the Government’s intent to award the selected two offerors Lot A and Lot B based on their submitted bids? Or will the Lot A or B be awarded based on a response to a released TOPR?

Answer: No TOPR is intended at onset. It is the Government’s intent to select the awardees for task orders based on the offeror’s overall proposal for the IDIQ; which will result in two TO awards for Lot A and Lot B.

Question: PERFORMANCE WORK STATEMENT; IDIQ Base Performance Work Statement; Medical Coding Services; OCONUS Enterprise-wide. Is this ALL OCONUS work, or would we ever expect to see CONUS work as part of the deliverable?

Answer: This IDIQ is only for OCONUS medical coding services. Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for details.

Reference (f) is included to assist MTFs in evaluating their inpatient and outpatient coding programs and is available at: https://www.oig.hhs.gov/compliance/complianceguidance/ index.asp."

Questions: Will CCE be utilized after coding is completed in Genesis?

If CCE will not be utilized post Genesis implementation, what method will be used to track productivity and Coder's coding efforts? For Genesis, how will training occur?

For Genesis, how will production reconciliation be performed as Genesis reporting does have limitations?

Will the Government provide a current list of MTFs live on the Genesis platform and a roll-out schedule for the MTFs yet to adopt MHS Genesis?

Answer: Implementation is anticipated, no ETA provided for Genesis. Once, Genesis is implemented the government shall have a better understanding of these questions.

Questions: What are consults considered on this Contract? Is there any administrative work involved such as changing provider names, clinic names, etc? If yes, who is responsible for making these administrative changes in the systems?

Answer:

Consults are standard practice coding events, referenced in PWS 6.2. Data Quality, under the Director for Resource Management, and Patient Administration, under the Director for Administration, makes all administrative changes at the MTF level. If administration of a coding record is needed at the contractor level, then that is part of the coding entry.

Question: Are the anesthesia services captured as a second encounter, or are the services combined on the same encounter, or are they not coded at all?

Answer: Documented in the same encounter for now, but future revised guidance from DHA may subsequently replace BUMED language and may separate into individual encounters in the future.

Question: Does the Government want our personnel/coders to communicate directly with providers, or would it be more efficient for each MTF site to designate a sole point of contact for any and all provider communication?

Answer:

USNH Rota: POC will be GS coder at MTF.

USNH Guantanamo Bay: Communicate directly with providers USNH Yokosuka: It is more efficient for the coder to communicate with the provider. Should only contact site if provider has not responded within specific timeframes.

USNH Okinawa: Personnel/coders will communicate directly with providers through queries.

USNH Naples: Communicate directly with the providers and CC MTF POC Ms. Tavano.

USNH Sigonella: Communicate directly with providers and copying the supervisor.

2.1.3.4. The contractor shall verify patient identification and demographic information, reason for admission, disposition date, assignment of diagnoses, procedure documentation and provider’s signature for all inpatient record audits. The inpatient audit includes a comparison of the auditor’s coded record against the original coded record and a comparison of Relative Weighted Products (RWPs).

2.1.3.5. The contractor shall verify patient identification and demographic information, chief complaint/reason for visit, encounter date, assignment of diagnoses, procedures documentation and provider’s signature for all outpatient record audits. The audit shall include a comparison of the auditor’s coded record against the original coded record and a comparison of Relative Value Unit (RVUs).

Question: Will the Government provide a current copy of the Auditing worksheets listed in Bureau of Medicine and Surgery Instruction 6150.38 A (BUMEDINST 6150.38A) (or current version)? Will these be required to be completed (marked) per each encounter audited?

Answer: An Excel Spreadsheet IAW BUMEDINST 6150.38A will be proved to the contractor from each site. And yes, if the government assigns the contractor work in accordance with (IAW) the scope, then the contractor completes it and notes it as such.

Question: Will a CLIN be added for time spent with Government POC training on use of the unique Global Code?

Answer: No, a CLIN will not be added. The contractor will not be doing auditing coder work, only provider work for training purposes; the intent is to structure the CLINs to reflect the Price Workbook. Invoice as relevant to the assignment under the CLINs.

Question: Will a CLIN be added for the 16 hour Command Orientation requirement of on-site contractors? Will the government provide a separate CLIN for training directly related to MHS Genesis?

Answer: At this time it is not the intent of the Government to add a separate CLIN for Command Orientation, since the majority of the sites allow remote services. Also, the Government has no intent to add a separate CLIN for MHS Genesis training at this time; since MHS Genesis currently does not have an ETA on being implemented at these sites.

Question: Will contractor's current employees, who have a valid CAC and access to a mail.mil account, and working on an Army contract, be able to transition between the Navy and Army easily, using the CAC provided by the Army?

Answer: Each contractor worker will need to obtain a new CAC related to the contract under which they are providing service.

PWS_Attachment_II_BUMEDINST_61530.38A i. Feedback Meeting. The coder/auditor will prepare an audit report with an Executive Summary to list identified trends in documentation and error rates and recommendations for improvement. The Executive Summary shall be provided to the MTF designee(s) and shall include NAVMED 6150/49 (03-2013), Outpatient/APV/IPS RNDS Coding Audit Summary; available from Naval Forms Online at: https://navalforms.documentservices.dla.mil/. The audited records and audit sheets shall be retained by the MTF designee(s) for a period of 2 years. The coder/auditor will then meet with the MTF designee(s) (i.e., provider, coder, specialty leader) to review these audit findings and discuss corrections and opportunities for improvement. A plan of action will be required for any coder falling below 95 percent or provider falling below 90 percent accuracy. If a plan of action is required, it will be developed at this meeting and distributed to the participants, including any follow up audits to be performed. In the event the coder remains below 95 percent or the provider remains below 90 percent accuracy, the department head will be notified. Department head will develop a Plan of Action and Milestones document toward meeting coding compliance by relevant individuals.

Question: The website cannot be reached for the NAVMED Coding Audit Worksheet and Coding Audit Summary links. Can we have the updated links?

Answer: https://www.med.navy.mil/directives/Pages/AllForms_copy(1).aspx Note: If a required form is unavailable to the public the COR shall provide the contractor with the required form upon the contractor’s request.

Question: We have first-hand exposure with U.S. ARMY MTFs transitioning to Genesis. The Government and our company have experienced a high reduction in coder hourly production that has proven to be unrecoverable and higher costs directly related to the conversion to Genesis. Q: What are the Government's expectations on pricing for this contract? Should pricing be based upon Genesis being a fully implemented and active system when the contract is awarded, or should pricing be based upon a phase-in of MTFs once converted to Genesis, or some other approach?

Answer: Refer to question #34 regarding current Genesis implementation. Also, per page 48 of the solicitation “The government anticipates the maximum ceiling value of this IDIQ will be $9,999,999.00 for all requirements.”

Question: Coder Production in MHS Genesis has proven to show a decrease of 60% when compared to production output in AHLTA/CCE, and this loss of productivity is non-recoverable. Would the government willingly provide contractor with the opportunity to adjust pricing upon MTF implementation of MHS Genesis?

Answer: Refer to question #40 regarding Genesis implementation.

Question: Section 5 QASP Matrix states the AQL for coding accuracy and auditing accuracy is 97%. However, the QASP Matrix on Page 42 and 43, states the AQL for coding accuracy and audit accuracy is 95%. Can you please clarify?

Answer: This was an oversight on the Government and QASP Matrix in Section 5 will used under this contract. The QASP Matrix on page 42 and 43 has been updated to reflect section 5.

Question: It is our understanding ECMRA was de-commissioned in June of 2020. Can the Government provide guidance as to the new reporting methodology, availability provide active hyperlinks?

Answer: The solicitation has been updated to remove this section.

• APVs shall be coded within 15 calendar days.

• Inpatient medical records shall be coded within 30 calendar days.

Question: Is there a specific report the Contractor and MTF can use to track the turnaround times (TAT) in CCE? Currently, the predefined report in CCE Reporter CCE Productivity by Pt Group CCE Complete with Time – Prompted (3M) field properties Ttl Days from Create Dt to Comp and field properties for Avg Days Create to Comp are set to utilize the (RevCompDt – createDate). These data fields will not provide accurate TAT results because when placing encounters on hold for the MTF to respond to missing documentation or other concerns found, the MTF response time can easily occur after the allowable TAT window. Is there a current TAT report that extracts encounters placed on-hold for the MTF to get accurate TAT results without manual manipulation of the data?

Answer: An encounter is delinquent no matter what the reason is and removing the encounters that are on hold from the report in order to meet the TAT is not reporting accurately. DQ monitors the timeliness portion of the required matrix. MTF can provide any CCE reports as needed by the contractor, however, contractor will not be given access to CCE reporting feature.

Question: Can the tracking and reporting of turnaround time (TAT) in Genesis be accomplished? If so, when placing encounters on hold for the MTF to respond to missing documentation or other concerns found, will the encounters placed on-hold for the MTF be automatically extracted from the TAT reporting, or would this be a manual manipulation of the monthly data which can be overwhelming for both the contractor and MTF?

Answer: Refer to question #47

Question: Will the Government identify which MTF(s), if any have a current coding backlog and will the contractor be required to clear-out the backlog(s)? If a backlog exists, can the government advise as to the volume?

Answer: Refer to question #1

Question: For any backlog, it is assumed that all turnaround time standards are waived, correct?

Answer: Currently, per question #1, there is no intended backlog work, if backlog occurs, the contractor is to work those timely as per PWS at no additional change in price.

Question: What is the current systems uptime for the hosted AVHE applications (AHLTA, Essentris, CCE, and CHCS) or other Government sites or systems the Contractor will need to access in each respective geographical place of performance?

Answer: Average time to gain access to systems and AVHE is one week. The sites does not track downtime internally, since the site does not control AVHE. Government system(s) are up as often as possible, other than maintenance. Perform the PWS tasks while systems are up as normally available as per PWS hours.

Question: What is the current systems uptime for the hosted MHS Genesis applications or other Government sites or systems the Contractor will need to access in each respective geographical place of performance?

Answer: MHS Genesis and other government systems will be up as much as practical. Any downtimes will need to be worked around.

Question: Does the government have a current or planned strategy for awarding multiple contractors (i.e. by region, services offered, etc.)?

Answer: Refer to question #32

Question: The contractor shall comply with the following turnaround times for non-APV’s and APV’s and Inpatient Rounds. Can you please provide the amount or percentage of ER’s, APV’s and Inpatient Rounds are required per site, as it takes longer to code these type of records.

Answer:

USNH Guantanamo Bay: 10,700 outpatient and 140 inpatient.

USNH Yokosuka: Monthly approx. 650/250/900 respectively USNH Rota: ER – 4,011, APV - 321, IPS – 1024, IP – 481, OP - 4693 USNH Naples: ER services are only on as needed basis for unplanned emergencies.

USNH Sigonella: No coding for USNH Sigonella.

USNH Okinawa: Monthly approx. ER - 2,790, APV - 291, IPS - 1,300, IP - 295

Question: The contractor shall perform a quality assessment of records, including verification of medical record documentation (both electronic and hand written), can the government provide the percentage of records that are to be assessed. As reimbursement is paid by the record/encounter and not by the hour.

Answer: 100% records will be assessed.

Question: The contractor shall work with the government to develop training that is specific to the clinical services provided by the MTF, Can the government provide clarification on how the contractor will be reimbursed for training development, updating training materials, creating templates, etc., if we are only allowed to bill the government training session/hour.

Answer: The offeror shall include these service as a combined rate in their proposal under the training CLIN.

Question: Section B – Are we to complete Section B or just the Attachment 4 excel pricing sheets. The CLIN numbers do not match the CLIN numbers is Attachment 4.

Answer: Section B of the solicitation is a placeholder CLINs shall be updated once awards are made. The offeror’s shall only submit pricing on Attachment 4.

Question: Yokosuka Japan, Can you please provide clarification if services are going to be required on-site or off-site.

Answer: Refer to PWS Addendum for Yokosuka and Attachment 4_ Pricing Workbook for Outpatient and Inpatient details. Training is typically onsite, but can be remote with coordination.

Question: Can you provide the number of ER’s, APV’s and Inpatient Rounds are required at Yokosuka.

Answer: Refer to question #54

Question: Travel - $18,500 is allocated for travel expenses, if the work is to be performed on-site this is not sufficient travel dollar for Housing and COLA and relocation costs. Please provide clarification on which services will be required to be provided on-site if any.

Answer: Majority of the services are remote. This travel is for occasional on-site auditing and training services. Allocated travel expenses are within line of short term travel.

Question: Can you provide the number of ER’s, APV’s and Inpatient Rounds are required at Guantanamo Bay, Cuba?

Answer: Refer to question #54

Question: Can you provide the number of ER’s, APV’s and Inpatient Rounds are required at Sigonella, Italy.

Answer: Refer to question #54 Refer to PWS Addendum for LOTS A&B and Attachment 4_ Pricing Workbook for details

Question: Can you provide the number of ER’s, APV’s and Inpatient Rounds are required at Naples, Italy.

Answer: Refer to question #54

Question: Can you provide the number of ER’s, APV’s and Inpatient Rounds are required at Rota, Spain.

Answer: Refer to question #54

Question: Item # 3. Auditing (remote) The PWS doesn’t reference whether it is Outpatient or Inpatient Coding. Pricing Sheet shows Inpatient Auditing. Please provide clarification.

Answer: Refer to IDIQ Base PWS 2.1.3 and PWS Addendums and Attachment 4_ Pricing Workbook for Outpatient and Inpatient details

Question: Rota Spain, Inpatient Auditing CLIN 1007BB the pricing sheet numbers increase in Option Year 1 through Option Year 4. Please provide verification that this is the government’s intention.

Answer: Attachment 4 reflects the government’s intent.

Question: Will the Government assist small businesses in coordinating SOFA with each host country?

Answer: The offeror shall understand and be able to support all services and requirement listed in the solicitation.

Question: Does the government expect the contractor to re-code all records, and provider codes, found to be in error during the course of each audit? Or does this only refer to errors on codes changed by the auditor?

Answer: The contractor would only be required to change codes (at no cost) for results of BUMED audit on records that were improperly coded by contract staff.

Question: Can the government explain why a contract modification would be required for follow-up training to a provider? Is there a limit in the contract to how many training sessions can be conducted with each provider, per audit?

Answer: There is no limit on number of sessions, but there is a time limit of 80-hours (two work weeks) for training. Training will not exceed allotted total time without modification.

Question: If contractor personnel are granted SOFA Article I(b) status, will the contractor personnel be eligible to use base housing or base lodging initially upon arrival and if so for what period of time? Also, will contractor personnel be able to use the services of base housing (notice of housing availability/suitability; review of housing agreements, etc.) as a part of logistic support?

Answer: It depends on the installation commander if he/she will approve contract personnel to use those services. The offeror shall understand all aspects of the OCONUS relocation process to ensure contract personnel receive support of relocation by the contract company without the help of the government.

Question: Will remote services for all MTF’s in Lot A be performed via Direct Access or will the contractor be required to provide spreadsheets with coded data as noted in each respective PWS?

Answer: The contractor shall receive support with remote access to systems required to perform duties only. Spreadsheet will be required when access is interrupted.

Question: Will remote services for all MTF’s in Lot B be performed via Direct Access or will the contractor be required to provide spreadsheets with coded data as noted in each respective PWS?

Answer: Refer to question #71

Question: Will remote services for all MTF’s in Lot B be performed via Direct Access or will the contractor be required to provide spreadsheets with coded data as noted in each respective PWS?

Answer: Refer to question #71

Question: Will remote services for all MTF’s in Lot B be performed via Direct Access or will the contractor be required to provide spreadsheets with coded data as noted in each respective PWS?

Answer: Refer to question #71

Question: Since the solicitation does not contain Sections B and C, can the Government provide those sections which describe required services?

Answer: Section B is the pricing the government shall evaluate for pricing using Attachment 4 Pricing Workbook and Section C in the PWS the list of services required.

Question: Because this is a productivity based contract and the time required to code different types of Outpatient Coding charts varies, can the government provide approximate number (or percentage) of different types of ER, APV, IPS Rounds out of the total quantity of Outpatients charts for each site?

Answer: Refer to question #54

Question: Considering above, and the fact that, part of the services for this contract shall be provided remotely (from United States), are those employees providing remote services subject to SCA, or because the contract is for an American Base overseas, they are not?

Answer: The contractor shall follow the SCA (Now Service Contract Labor Standard (SCLS)) guidelines for…