Past Performance Evaluation Questionnaire.docx

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Reference Solicitation: 36C24220Q0987 Contractor Seeking Reference: ___________________________________ Contract # Reference: __________________________________________ CO/COR Providing Reference (name and email): ________________________________

The VA Medical Centers of VISN 2 South (Metro NYC area and Hudson Valley, NY) are conducting a past performance evaluation to select a company to provide remote coding and auditing services. Your name was provided as a reference by one of the competing vendors as a contact person. Your assistance in evaluating your experience with respect to the services provided by this Contractor and service performance is requested. Your responses will be held in the strictest of confidence and your cooperation is sincerely appreciated.

1- How long has your organization utilized this vendor to provide:

· Remote Medical Coding?

· External Coding Audits?

2- What is the total volume of medical coding performed by this vendor, for your organization on an annual basis?

3- Upon implementing services with this vendor, have you experienced any problems during the transition?

4- Has the vendor provided services in full alignment with your agreement with them? If not, how have you addressed any deviations with them? Have they been responsive to changing when necessary?

5- What performance problems have you had with this vendor?

6- Did the vendor ever present an invoice that you felt exceeded their documented productivity? If so, were the invoice problems resolved in a timely manner?

7- What are your quality and technical expectations as they relate to these services?

· Coding:

· Coding Audits:

8- Has the vendor provided service which has met or surpassed with your expectations?

9- Are you satisfied with the quality of services provided by this vendor? Is the vendor proactive in resolving problems in quality and delivery of services? If the answer is “no”, please provide an example.

10- Describe your experience with the vendor’s service e.g. handling of your calls, warranty, claims etc.?

11- What was/is your overall opinion of the vendor? Would you do business with them in the future, if services were required?

12- Would you recommend this vendor for future business dealings?