Q502--Invasive/Interventional Cardiology /Electro Physiologist Services - Wichita VAMC

This is a SOURCES SOUGHT NOTICE. This notice is a market survey and is for information only, to be used for preliminary planning purposes. No proposals are being requested or accepted with this notice. THIS IS NOT A SOLICITATION FOR QUOTES AND NO CONTRACT SHALL BE AWARDED FROM THIS NOTICE. The VA Network Contracting Office 15 has been tasked to solicit for and award for the provision of on-site Invasive, Interventional and Electrophysiologist Cardiologists. No solicitation is currently available at this time. The proposed project is anticipated to be a firm, fixed-price contract. The type of solicitation to be issued will depend upon the responses to this notice. No reimbursement will be made for any costs associated with providing information in response to this notice or any follow up information requested. The purpose of this notice is to gain market knowledge of potential businesses to include large business sources, small business sources and their size classifications; HUBZone, 8(a), Small Disadvantaged Business, Woman Owned Business, Veteran Owned Business, Service-Disabled Veteran Owned Small Business relative to NAICS Code 621111, with a small business size standard not to exceed $14 million in gross annual receipts. After review of the responses to this sources sought announcement a synopsis and/or solicitation announcement may be published at a later time. The Government must ensure there is adequate competition among the potential pool of responsive contractors. The duration of this requirement is anticipated for a base year with four each one-year option periods. The North American Industrial Classification System (NAICS) Code applicable to this acquisition is 621111 Offices of Physicians. Please provide a capability statement addressing your organization s ability to perform as a prime contractor the work described in the draft Schedule (below) specific to the provision of Invasive, Interventional, Electrophysiologist Cardiologist services and respond to the questions posed below. This is not a request for proposal and in no way obligates the Government to award any contract. Please include the following information: Your company s name, addresses, point of contact, phone number, and email address. Your company s interest in submitting an offer on the solicitation when it is issued. Your company s capability to meet the requirements. Provide comparable work performed within the past three years to include a brief description of the project, period of performance, and dollar value of the acquisition. How many providers in your candidate pool are providers, in your practice group or candidate pool, are available to provide contracted services in the Wichita, Kansas geographic region? Would providers be able to perform cardiac procedures on a per-procedure basis (100-120 procedures annually) and available within 50 miles of the Wichita VA Medical Center Cardiac Cath Lab? How many Invasive, Interventional, Electrophysiologist, and Cardiologist have you successfully placed in the past 24 months? Would you be able to support on call/emergency coverage? Describe your abilities to track and invoice using Common Procedural Codes (CPT). Define the number of acquisitions held in past three years where the reimbursement method was CPT, see Schedule. Identify your socioeconomic size for NAICS 621111. Interested companies are asked to respond to this Sources Sought Notice no-later-than 3:00 PM (CST) on December 19, 2022. All interested companies must be registered in SAM (http://www.sam.gov/) to be eligible for award of government contracts. Please email your response to: Colleen Donahue-MacDonald, NCO 15 Contracting Office, Email Address: Colleen.Donahue-MacDonald@va.gov. Please reference the following sources sought number in the subject line of all correspondence submitted: Invasive/Interventional Cardiology /Electro Physiologist Services. Performance Work Statement The contractor shall furnish a Board Certified Invasive Interventional Cardiologist and a Board-Certified Electro physiologist to perform services for veteran patients enrolled for health care at the Robert J. Dole VA Medical Center (VAMC). The services performed shall include, but are not limited to: The electro physiologist shall provide consultations for complex cardiac Arrhythmia patients. The Cardiologist shall conduct clinics each Thursday 9:00 to noon The Cardiologist shall provide on-call services when necessary. The Cardiologist shall periodically provide services in the Cardiac Cath Lab. The Cardiologist shall diagnose, treat, and manage Veterans with interventional cardiology needs according to standard, usual and customary methods and techniques. The physicians shall be expected to cooperate with and participate in medical duties and functions related to quality of care, review and improvement. It is anticipated that the VAMC will need approximately 60-110 interventional procedures annually. These services are to be available 24/7. The services to be provided will include both medically stable (elective) and non-medically stable (emergent) cases. The contract cardiologist adheres to and complies with The Joint Commission (TJC) (http://www.jointcommission.org) standards to provide an integrated, interdisciplinary delivery of health care services to the veterans. Includes coordinating, providing and improving health care services responsive to the patients needs and health care. Care shall be appropriately documented in medical records in accordance with standard commercial practice and Wichita VA Medical Center bylaws. The contract cardiologists shall comply with Patient-Focused Functions in delivery of patient care. This includes Patient Rights and Organizational Ethics, Assessment of Patients, Care of Patients, Education and Continuum of Care. Schedule Below is an example for one performance period. LINE-ITEM NUMBER DESCRIPTION OF SERVICES UNIT 0001 On-Call, Weekday, Monday through Friday, 4:30 pm to 8:00 am, as needed per 15.5-hour shift Shift 0002 On-Call, Weekend, Saturday through Monday, 8:00 am to 8:00 am, as needed per 48-hour shift Shift 0003 On-Call, Holiday, 8:00 am to 8:00 am, as needed per 24-hour shift Shift 0004 CPT Per-Procedure Cost. See Below Schedule of Values for CPT Codes and estimated quantities. LT SUB-LINE ITEM NUMBER (Sub-LIN) CPT CODE DESCRIPTION 0004AA 92928 Percutaneous trans-catheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch. 0004AB 92920 Percutaneous transluminal coronary angioplasty; single major coronary artery or branch. 0004AC 93015 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report. 0004AD 33249 Insertion or Replacement of Permanent Implantable Defibrillator System, with Transvenous Lead(s), Single or Dual Chamber. 0004AE 93320-26 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete 0004AF 93325-26 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) 0004AG 93350-26 Echocardiography, transthoracic, real-time with image documentation (2D), with or without M-mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report 0004AH 93451-26 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed. 0004AJ 93460-26 Right & Left heart art/ventricle angio catheter placement in coronary artery(s) for coronary angiography, including intra-procedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intra-procedural injection (s) for left ventriculography, when performed. 0004AK 99221 Initial hospital care, per day, for the evaluation and management of a patient, which requires these three key components: A detailed or comprehensive history; A detailed or comprehensive examination; and medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 30 minutes at the bedside and on the patient's hospital floor or unit. 0004AL 99222 Initial hospital care, per day, for the evaluation and management of a patient, which requires these three key components: A comprehensive history; A comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Physicians typically spend 50 minutes at the bedside and on the patient's hospital floor or unit. 0004AM 99223 Initial hospital care, per day, for the evaluation and management of a patient, which requires these three key components: A comprehensive history; A comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Physicians typically spend 70 minutes at the bedside and on the patient's hospital floor or unit. 0004AN 99238 Hospital discharge day management; 30 minutes or less. 0004AP 99239 Hospital discharge day management; more than 30 minutes. 0004AQ 99202 Office/Outpatient visit new office or other outpatient visit for the evaluation and management of a new patient which requires these three key components: An expanded problem focused history and expanded problem focused examination and straight forward medical decision making. 0004AR 99203 Office/Outpatient visit new office or other outpatient visit for the evaluation and management of a new patient which requires these three key components: A detailed History, A detailed Examination and medical decision making of low complexity. 0004AS 99204 Office/Outpatient visit new office or other outpatient visit for the evaluation and management of a new patient which requires these three key components: A comprehensive history, a comprehensive examination and medical decision making of moderate complexity. 0004AT 99212 Office/Outpatient visit new office or other outpatient visit for the evaluation and management of a new patient which requires these three key components: A comprehensive history, a comprehensive examination and medical decision making of moderate complexity. 0004AU 99213 Office/Outpatient visit est. office or other outpatient visit for the evaluation and management of an established patient which requires these three key components: An expanded problem focused history, and expanded problem focused examination, medical decision making of low complexity. 0004AV 99214 Office/Outpatient visit est. office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history, a detailed examination, medical decision making of moderate complexity. 0004AW 93454-26 Coronary artery angio S&I catheter placement in coronary artery(s) for coronary angiography, including intra-procedural injection(s) for coronary angiography, imaging supervision and interpretation. 0004AX 93458-26 Left heart artery/ventricle angio Catheter placement in coronary artery(s) for coronary angiography, including intra-procedural injection (s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intra-procedural injection(s) for left ventriculography, when performed. 0004AY 93459-26 Left heart art/graft angio catheter placement in coronary artery(s) for coronary angiography, including intra-procedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intra-procedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography. 0004AZ 92960 Cardioversion, Elective, Electrical Conversion of Arrhythmia; External 0004BA 93461-26 Right and left art/ventricle angio catheter placement in coronary artery(s) for coronary angiography, including intra-procedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intra-procedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts with bypass graft angiography. 0004BB 33225 Insertion of Pacing Electrode, Cardiac Venous System, for Left Ventricular Pacing, at time of Insertion of Implantable Defibrillator or Pacemaker Pulse Generator (EG, for Upgrade to Dual Chamber System) 0004BC 75716-26 Artery x-rays arms/legs angiography, extremity, bilateral, radiological supervision and interpretation. 0004BD 92978-26 Intravasc us heart add-on intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (list separately in addition to code for primary procedure) 0004BE 33207 Insertion of New or Replacement of Permanent Pacemaker with Transvenous Electrode(s); Ventricular, 0004BF 99306 Echocardiography, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography. 0004BG 93312-26 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report. 0004BH 92933 Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch. 0004BJ 92937 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel. 0004BK 92941 Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel. 0004BL 92943 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel 0004BM 33967 Insertion of Intra-Aortic Balloon Assist Device, Percutaneous. 0004BN 33208 Insertion of New or Replacement of Permanent Pacemaker with Transvenous Electrode(s); Atrial and Ventricular. 0004BP 93505 Biopsy of Heart Lining, Endomyocardial Biopsy 0004BQ 33206 Insertion of New or Replacement of Permanent Pacemaker with Transvenous Electrode(s); Atrial 0004BR 93571 Intravascular Doppler Velocity and/or Pressure Derived Coronary Flow Reserve Measurement (Coronary Vessel or Graft) During Coronary Angiography including Pharmacologically Induced Stress; Initial Vessel 0004BS 93641- 26 Electrophysiologic Evaluation of Single or Dual Chamber Pacing Cardioverter Defibrillator Leads including Defibrillation Threshold Evaluation (Induction of Arrhythmia, Evaluation of Sensing and pacing for Arrhythmia Termination) at time of Initial Implantation or Replacement; with Testing of Single or Dual Chamber Pacing Cardioverter Defibrillator Pulse Generator 0004BT 33215 Repositioning of Previously Implanted Transvenous Pacemaker or Implantable Defibrillator (Right Atrial or Right Ventricular Electrode 0004BU 33282 Implantation of Patient Activated Cardiac Event Recorder. 0004BV 33284 Removal of an Implantable, patient Activated Cardiac Event Recorder 0004BW 33210 Insertion or Replacement of Temporary Transvenous Single Chamber Cardiac Electrode or Pacemaker Catheter (Separate Procedure) 0004BX 33212 Insertion of Pacemaker Pulse Generator Only; with Existing Single Lead 0004BY 33213 Insertion of Pacemaker Pulse Generator only; with Existing Dual Leads 0004BZ 33233 Removal of Permanent Pacemaker Pulse Generator Only 0004CA 33234 Removal of Transvenous Pacemaker Electrode(s); Single Lead System, Atrial or Ventricular Single lead system 0004CB 33235 Removal of Transvenous Pacemaker Electrode(s); Dual Lead System 0004CC 33240 Insertion of Implantable Defibrillator Pulse Generator Only; with Existing Single Lead 0004CD 33241 Removal of Implantable Defibrillator Pulse Generator Only 0004CE 33222 Relocation of Skin Pocket for Pacemaker 0004CF All other Cardiology health procedures not listed will be reimbursed at a ______% discount (-) to the Medicare Geographic Practice Cost index, locality Name of Kansas