A.09.01_Presolicitation_Questions_-_Government_Responses_041717.pdf

Document Pg # Para # Question Government Response

Draft_Solicitation_W81K04-17-R-0001 100 52.212-2

According to page 100, the resulted awarded contracts will be a Regional IDIQ, Single Award Task Order contracts. So assume that means no Multiple award

IDIQ contracts, so how will you add the RHC-Atlantic at a later date (assuming it will be a SATOC also)?

The RHC-Atlantic has been removed from scope.

Draft_Solicitation_W81K04-17-R-0001 94 52.216-1

Base on the evaluation criteria of LPTA and awards per CLIN (3 RHCs), isn't possible for there to be any where from one to three awarded bidders? Can you explain the statement of page 94 that there will be

"two" IDIQ contracts awarded if the above is true?

Noted for revision.

Draft_Solicitation_W81K04-17-R-0001 Can a bidder submit a proposal/price for a particular

CLIN/RHC or must you bid on all RHCs/CLINs?

An offeror may propose on a particular

CLIN/RHC or all CLINs/RHCs.

Draft_Solicitation_W81K04-17-R-0001 44 1.2.3

Is performance at an individual's home considered

"contractor facilities'? Will coding from an employee's home to be allowed or must they be in a contractor facility?

Yes, PWS 1.2.3 revised to state, "For purposes of off-site remote coding, a contractor facility is inclusive of

Contract Service Personnel (CSP) performing services at home."

Draft_Solicitation_W81K04-17-R-0001 64 4.3.3.1

Will you consider allowing numerous years (more than

5) managing DoD coding contracts/programs to be substituted for the specific certifications required for the contract manager in the PWS, if the contract manager has a bachelor's degree in another field and many more years experience managing coding programs in DoD (beyond the minimum of 2)?

No.

Draft_Solicitation_W81K04-17-R-0001 80-83 Attachment 2-5

The totals in the tables for each year for each Coding category (OP, APV, IPSR, & ED) seem to be incorrect.

Can you verify that either the MTF numbers are correct and the totals are wrong or correct the tables so all numbers are accurate?

Noted for revisions.

Draft_Solicitation_W81K04-17-R-0001 103 C.1.a)

Can you please clarify what is meant by "Periods of creditable performance may have been incurred at more than one site for at least 12 consecutive months at each and cannot be gained at more than two sites concurrently"?

Removed from solicitation.

Draft_Solicitation_W81K04-17-R-0001 65 4.3.4.2

A 95% accuracy rate is standard within the Industry and other Federal Agencies including CMS and the

OIG. Will the government consider changing the accuracy rate requirement to 95%?

No.

Draft_Solicitation_W81K04-17-R-0001 65 4.4.2.2

Our Corporate computer systems and Virtual Desktop

Interface utilizes Microsoft Office 365. Could this be used in lieu of the Microsoft Office 2010 Standard?

Per the PWS, the contractor shall provide computer software "equivalent" to Microsoft Office 2010 Standard.

The offeror shall provide narrative describing how it is equivalent.

Draft_Solicitation_W81K04-17-R-0001 65 4.4.2.5

Our Corporate computer systems and Virtual Desktop

Interface utilizes Kaspersky Enterprise Endpoint

Security . Could this be used in lieu of the McAfee

Anti-Virus requirement?

Per the PWS, the contractor shall provide computer software "equivalent" to McAfee Anti-Virus. The contractor shall provide narrative describing how it is equivalent.

Draft_Solicitation_W81K04-17-R-0001 65 4.4.2.1

Our Corporate computer systems and Virtual Desktop

Interface utilizes a mixture of Windows 7 and Window

10 Professional environments. Could this be used in lieu of the Windows 8 Professional requirement?

Per the PWS, the contractor shall provide computer software "equivalent" to Windows 8 Professional. The contractor shall provide narrative describing how it is equivalent.

Draft_Solicitation_W81K04-17-R-0001 67 5.2.7

Turn around time within the Industry and other Federal agencies is 7 days for Outpatient encounters. Will the

Government consider changing the turn around time to

7 days?

No.

Draft_Solicitation_W81K04-17-R-0001 1.9

ISO 9000 or equivalent, what is the government considering as equivalent to ISO 9000? In commercial practice there isn't an equivalency, and if the government rating a company who claims to be ISO

9000 equivalent equally to an ISO 9000 certified company, than the government is marginalizing the commercial standard.

"ISO 9000 or equivalent" has been removed.

Draft_Solicitation_W81K04-17-R-0001

Volume: with the roll out of the new EHR, has the number been adjusted to accommodate the potential redundancy for the legacy and new EHRs?

No.

Draft_Solicitation_W81K04-17-R-0001 101

Factor 1 Price: The resulting awards will be Indefinite

Delivery Indefinite Quantity (IDIQ) Single Award

Task Order Contracts (SATOCs). Can government state the number of Basis IDIQ contract awardees?

Three IDIQ SATOCs will be awarded.

Draft_Solicitation_W81K04-17-R-0001 101

Factor 1 Price: The resulting awards will be Indefinite

Delivery Indefinite Quantity (IDIQ) Single Award

Task Order Contracts (SATOCs). Price reasonableness will be utilized in the evaluation of the IDIQ effort.

Can the government explain whether the IDIQ unit price will be the ultimate price of orders by the activities or, that is considered ceiling price for later competition among Basis IDIQ contract awardees?

The IDIQ unit prices will be firm fixed price for each SATOC.

Draft_Solicitation_W81K04-17-R-0001 63 4.1-4.3

Paragraph numbering jumps from 4.1 to 4.3. Was section 4.2 removed temporarially for presolicitation purposes (and will be added in upon final solicitation release) or was this an oversight?

Noted for correction.

Draft_Solicitation_W81K04-17-R-0001 65 4.4

Section 4.4, Equipment Header is wrapped to the previous subheading. Upon final solicitation release, will the government correct this?

Yes

Draft_Solicitation_W81K04-17-R-0001 N/A N/A

For each MTF under each region, which ones are currently under other contracts and when will they expire?

This is a new requirement for remote coding of excess outpatient records; no current contract exists for this requirement.

Draft_Solicitation_W81K04-17-R-0001 64 4.3.3.1

Will a combination of years and specialized experience be considered as qualifying equivalents? Example:

Currently an AAPC Credentialed Contract Manager with >10 yrs DoD experience

No.

Draft_Solicitation_W81K04-17-R-0001 47 1.2.3

Section 1.2.3. Place of Performance states "The services provided under this contract will be performed remotely (off-site) at contractor facilities." Our plan of action will include coders working from their homes under the oversight of our Contract Manager. Is this process acceptable for meeting the program requirements?

For purposes of off-site remote coding, a contractor facility is inclusive of

Contract Service Personnel (CSP) performing services at home.

Draft_Solicitation_W81K04-17-R-0001 63 4.3.1

"The contractor shall also maintain a working knowledge of

MHS coding guidelines…. Etc” Is the Vendor to be selected required to have prior coding experience working for the DOD or MHS? If yes, please clarify the years of experience?

No. Recommend reviewing FAR

52.212-1, Instructions to Offerors, Paragraph 2.d., Factor 3, Past and/or

Current Performance regarding relevant and recent performance ratings.

Draft_Solicitation_W81K04-17-R-0001 63 4.3.1

“The contractor shall also maintain a working knowledge of

MHS coding guidelines…. Etc” As a Vendor that has no direct coding experience contractually with the DOD or

MHS, but we have performed extensive analyses of the

MHS coding guidelines, is this sufficient to respond to this

RFP or is direct experience required?

Recommend reviewing FAR 52.212-1, Instructions to Offerors, Paragraph 2.d., Factor 3, Past and/or Current

Performance regarding relevant and recent performance ratings.

Draft_Solicitation_W81K04-17-R-0001 5 CLINs Should contractors include a five-year maximum for the Travel CLINs?

Page 101 of 123, Para

4.a.(2)(a),…Offerors shall not provide pricing…an estimated amount will be established by the Government in the basic IDIQ for each CLIN with maximum ceilings"

Draft_Solicitation_W81K04-17-R-0001 24

52.216-22

INDEFINITE

QUANTITY.

(OCT 1995)

According to the Period of Performance, the contract ends in 2022. Please clarify the end date, "30

September 2023" of the contract referenced in point

(d). Can the task orders extend beyond 2022, ending in

2023?

Page 23 - 24 of 123, FAR Clause

52.216-22, Para (d), "Any order issued during the effective period of this contract and not completed within that period shall be completed by the

Contractor within the time specified in the order." Task orders could not extend beyond 30 September 2023.

Draft_Solicitation_W81K04-17-R-0001 27

52.222-42

STATEMENT

OF

EQUIVALENT

RATES FOR

FEDERAL

HIRES (MAY

2014)

The RFP lists the minimum wage rate for Medical

Record Technician (Outpatient Coder), GS-04, as

$11.80. Our market research indicates medical outpatient coder wages range from $17-28/hour. Does the government anticipate that $11.80 is a realistic and feasible base wage for this position?

Page 27 of 123, FAR Clause 52.222-42, second paragraph, "THIS

STATEMENT IS FOR

INFORMATION ONLY: IT IS NOT A

WAGE DETERMINATION."

Draft_Solicitation_W81K04-17-R-0001

44 1.2 SCOPE.

1.2.1

Regarding the addition of the Regional Health

Command, Atlantic contract:

1) Will all awardee(s) bid on the contract, or will the awardee(s)' contract be amended to include the additional region?

2) How does the government intend to distribute the

Atlantic MTF/volumes to the awardee(s)?

The Regional Health Command -

Atlantic scope has been removed from the requirement.

Draft_Solicitation_W81K04-17-R-0001 80-

Attachment 2

We noted that the following totals for Attachments 2 -

5 are not accurate:

Attachment 2: Totals for each year and the five years totals

Attachment 3: Totals across the rows, for each year, and five years total

Attachment 4: Totals across the rows, for each year, and five years total

Attachment 5: Totals across the rows, for each year, and five years total

Will the government please update the volumes for the final solicitation?

Noted for revision.

Draft_Solicitation_W81K04-17-R-0001 94

52.216-1 TYPE

OF

CONTRACT

(APR 1984),

ADDENDUM

TO FAR 52.212-

2, 1. Basis for

Award

On page 94, the RFP states, "The Government contemplates award of two Indefinite Delivery

Indefinite Quantity contracts resulting from this solicitation."

On page 100, the RFP states, "Three regional

Indefinite Delivery Indefinite Quantity (IDIQ), Single

Award Task Order Contracts (SATOCs) will be awarded (Central, Pacific, and Europe); one offeror may win all three SATOCs."

Will the government please reconcile these two statements to clarify how many awardees the government anticipates?

Noted for revision.

Draft_Solicitation_W81K04-17-R-0001 N/A N/A

Is the Government looking for 3 different responses for each of the regions or would we submit one proposal speaking to each of the regions within that proposal?

The final solicitation will include the instructions to offerors and evaluation criteria.

Draft_Solicitation_W81K04-17-R-0001 71 Exhibit B

FT Leavenworth, Munson AHC is a MTF listed in the

RHC-C, however it does not have any Workload Data for OP/APV/IPSR/ED. Is Workload Data forthcoming or will it remain No Data?

Pages 80 - 83, the data is in Attachment

2.

Draft_Solicitation_W81K04-17-R-0001 44 & 45 1.4 & 1.5

Management Reporting & Reconciliation: Will the

Contractor's Contract Manager / Alternate Manager have access to generate reports, i.e. TAT, coder hours, productivity,etc. for each MTF through the MTF's system?

No.

Draft_Solicitation_W81K04-17-R-0001 80 Attachment 2

Regarding the estimated annual Workload Data, i.e.

OP records in Year 1 of 10,133,903, does this total include the records that will be coded by each MTF's coding staff or is this the estimated records that will be the responsibility of the contractor to code?

Contractor's workload

Draft_Solicitation_W81K04-17-R-0001 44 1.1.1

Government Coding Staff: Will the KO share the

MTF's internal coding staff's actual hourly coding productivity or the MTF's hourly production requirement that the MTF expects from their internal coding staff for OP/APV/IPSR/ED?

No.

Draft_Solicitation_W81K04-17-R-0001 45 1.5.1.1 What is the current uptime for the hosted applications

(AHLTA, Essentris, CCE, and CHCS)?

Unknown.

Draft_Solicitation_W81K04-17-R-0001 63 3.2.1 Will a separate CLIN be provided in order for the contractor to bill for CSP training time?

No.

Draft_Solicitation_W81K04-17-R-0001 66 5.2.4.4

What information should be captured per coded record for reconciliation? (ex: Pt. First Name, Last Name, DOS, FMP/SSN, etc.)

TBD

Draft_Solicitation_W81K04-17-R-0001 67 5.2.9 MSR: Will a standard monthly status report template be provided?

No.