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FBO DAILY ISSUE OF NOVEMBER 15, 2012 FBO #4009
DOCUMENT

Q -- Breast Imaging Services for Crown Point (ABL) VA Outpatient Clinic beneficiaries - Attachment

Notice Date

11/13/2012
 

Notice Type

Attachment
 

NAICS

621512 — Diagnostic Imaging Centers
 

Contracting Office

Great Lakes Acquisition Center (GLAC);Department of Veterans Affairs;115 S 84th Street, Suite 101;Milwaukee WI 53214-1476
 

ZIP Code

53214-1476
 

Solicitation Number

VA69D13Q0073
 

Response Due

11/26/2012
 

Archive Date

11/26/2012
 

Point of Contact

Pamela J. Brown
 

Small Business Set-Aside

N/A
 

Description

Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to the Department of Veterans Affairs, in accordance with the services and prices specified herein. Contractor will provide Breast Imaging Services to the veteran patients at the Adam Benjamin, Jr. (ABJ) VA Outpatient Clinic in Crown Point, Indiana (a division of the Jesse Brown VA Medical Center, Chicago, Illinois). The services will include and are limited to mammography type procedures (screening, diagnostic, bilateral, unilateral, additional views), stereotactic image guided biopsy, computer aided detection technology, breast ultrasound, ultrasound guided breast biopsy/cyst aspiration, and associated cytology. All work performed under this contract will be completed at the contractor's facility. This contract is a non-personal services contract in accordance with FAR 37.401. 1. SCHEDULE OF ITEMS a. BASE YEAR - 01 December 2012 through 30 November 2013 CLINDescription UnitUnit PricePercent (%) of Medicare Reimbursement Rates 0001Breast Imaging ServicesPer ProcedureBased upon 2012/2013 Medicare Reimbursement Rates b. OPTION YEAR 1 - 01 December 2013 through 30 November 2014 CLINDescription UnitUnit PricePercent (%) of Medicare Reimbursement Rates 0001Breast Imaging ServicesPer ProcedureBased upon 2013/2014 Medicare Reimbursement Rates c. OPTION YEAR 2 - 01 December 2014 through 30 November 2015 CLINDescription UnitUnit PricePercent (%) of Medicare Reimbursement Rates 0001Breast Imaging ServicesPer ProcedureBased upon 2014/2015 Medicare Reimbursement Rates d. OPTION YEAR 3 - 01 December 2015 through 30 November 2016 CLINDescription UnitUnit PricePercent (%) of Medicare Reimbursement Rates 0001Breast Imaging ServicesPer ProcedureBased upon 2015/2016 Medicare Reimbursement Rates e. OPTION YEAR 4 - 01 December 2016 through 30 November 2017 CLINDescription UnitUnit PricePercent (%) of Medicare Reimbursement Rates 0001Breast Imaging ServicesPer ProcedureBased upon 2016/2017 Medicare Reimbursement Rates 2. ESTIMATED PROCEDURES: An estimated 350 procedures will be ordered during the BASE and each OPTION Year. The procedures will include, but are not limited to the following codes: CODEDESCRIPTION 77051CAD for Diagnostic Exams 77052CAD for Screening Exams 77054X-ray of mammary ducts 77055Mammogram, one breast 77056Mammogram, both breasts G0202Screening Mammography, Bilateral G0206Diagnostic Mammography, Unilateral G0204Diagnostic Mammography, Bilateral 10021Fine Needle Aspiration (FNA) w/o image guidance 10022FNA w/image guidance 88172Evaluation of FNAB 88173Breast Biopsy Interpretation/Report, FNA 19000Puncture Aspiration of cyst 19001Puncture Aspiration of cyst (additional) 77031Stereotactic breast biopsy 77032Mammographic Guidance for Needle Placement 76098Radiological Examination of surgical specimen 76942Ultrasound Guidance for needle placement 19100Biopsy breast percutaneous w/o image 19101Biopsy of Breast, open 19102Biopsy breast percutaneous w/image 19103Biopsy breast percutaneous w/device 19120Excision of Cyst 19125Excision of Breast Lesion 19126Excision of each additional breast lesion 19290Preoperative place needle wire, breast 19291Place needle wire, breast (additional) 19295Image Guided Placement of clip, percutaneous 88305Breast Biopsy Interpretation 76645Ultrasound 3. SOLICITATION NOTICE: This procurement is being conducted under Federal Acquisition Regulation (FAR) combination of Part 12, Acquisition of Commercial Items and Part 15, Negotiated Acquisition Procedures, and VAAR Part 873, Simplified Acquisition Procedures for Health-Care Resources. NOTE: As this is a Commercial Item Request for Quotation (RFQ) with price quotes and additional information as indicated in Addendum to 52.212-1. The above Schedule of Supplies/Services may not be in line with your commercial practice, you may provide an alternative proposal (*). If you are providing an alternative proposal, the Standard Form (SF) 1449 [pages one and two of the solicitation] and Clause 52.212-3, Offeror Representations and Certifications - Commercial Items, must be completed as well as written documentation for the alternative proposal. 1.General Contract Requirements: Breast Imaging Services are to be performed at the contractor's facility during the contractor's regular business hours. The facility will be located within 15 miles of the ABJ Outpatient Clinic. a)The contractor shall provide the services of an appropriately credentialed Radiologist. The contracting facility will have an accredited American College of Radiology (ACR) and Federal Drug Administration (FDA) inspected mammography program in good standing. Contractor will provide compliance documentation to the VA. b)An American Registry of Radiologic Technologists (ARRT) technologist will provide technical services. Documentation of license, continuing education and continuing experience is required. c)Equipment compliance and documentation performed by a licensed Medical physicist will be required for each mammography unit. d)Interpreting radiologist will meet ACR license, continuing education and continuing experience requirement. Documentation is required. e)The contractor will insure that staff provides high quality compassionate patient care for breast imaging procedures. This should be provided in a safe, sanitary and therapeutic environment. Patients should be treated with dignity and respect. f)Exams will be interpreted by the contractor and a verified final report faxed to designated number preferably within 24 hours of the exam but no later than 48 hours. g)Notification of results to the patient is to be communicated in accordance with Mammography Quality Standards Act (MQSA). h)Exam findings that are suspicious for significant abnormality biopsy recommended (BI-RAD 4) or highly suggestive of malignancy (BI-RAD 5) is to be communicated by the interpreting radiologist directly and immediately to VA designated physician/number. 2.Scheduling Exams: a)Appointments will be made by the VA with the contractor. Contractor will provide available appointment times. b)Contractor must be able to have appointments available within three weeks of request. c)Contractor will track and document no show, refusal of procedures or inability to contact patient; and, provide a report minimally on a monthly basis. d)Transportation is not the responsibility of the contractor. Patients or VA facility are to provide transportation to the contractor facility. 3. Image Archiving: Contractor shall retain mammograms for an indefinite period in accordance with Mammography Quality Standards Act (MQSA) regulations. 4. Film Release: Original mammograms, if requested, are to be released directly to the patient or to the VA Release of Information in accordance MQSA. 5. Exam Supplies: Contractor will provide all supplies needed for the listed exams and are fee inclusive. 6.Transportation: Transportation is not the responsibility of the contractor. Patients or VA facility are to provide transportation to the contractor facility. 7.Adverse Events: The contractor will provide to the VA data on 100% of adverse events associated with the care of VA patients on a quarterly basis.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VAGLHS/VAGLHCS/VA69D13Q0073/listing.html)
 

Document(s)

Attachment
 

File Name: VA69D-13-Q-0073 FBO-DESCRIPTION.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=524755&FileName=VA69D-13-Q-0073-001.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=524755&FileName=VA69D-13-Q-0073-001.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Place of Performance

Address: Within 15 mile radius of:;Adam Benjamin, Jr. VA Outpatient Clinic;9330 Broadway;Crown Point, IN

Zip Code: 46307
 

Record

SN02929411-W 20121115/121113234149-38c94caf1325c4cc863f497cb888823f (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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