36C24919Q0370-003.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- Radiology Oncology Peer Review Services
- Solicitation number
- 36C24919Q0370
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36C24919Q0370 D.2. PRICE WORKSHEET 36C24919Q0370.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C24919Q0370-0001000.docx | DOCX document | |
| 36C24919Q0370-001.docx | DOCX document | |
| 36C24919Q0370-002.doc | DOC document | |
| 36C24919Q0370-000.docx | DOCX document |
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TOTAL PRICING
| 36C24919Q0370 | |
| CONTRACTOR NAME: | (fill in Your Company Name) |
| ORDERING PERIOD 1 TOTAL: | $0.00 |
| ORDERING PERIOD 2 TOTAL: | $0.00 |
| ORDERING PERIOD 3 TOTAL: | $0.00 |
| ORDERING PERIOD 4 TOTAL: | $0.00 |
| ORDERING PERIOD 5 TOTAL: | $0.00 |
| GRAND TOTAL: | $0.00 |
Ordering Period 1
| Ordering Period 1: September 1, 2019 through August 31, 2020 | ||||
| CLIN | Item Description | Estimated # Records | Unit Price | Estimated Total Amount |
| 1001 | Quarter 1. Contractor shall accomplish a radiation oncologist peer review of 10% of all Radiation Oncology Department records since Department Accreditation per the Performance Work Statement. | 50 | $0.00 | |
| 1002 | Quarter 2. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of the new available Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 1003 | Quarter 3. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of the new available Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 1004 | Quarter 4. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of the new available Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 1005 | Quarter 1. Contractor shall accomplish a physicist peer review of 5 Radiation Oncology new Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 1006 | Quarter 2. The Contractor shall accomplish a physicist peer review of 5 patient Radiation Oncology new Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 1007 | Quarter 3. The Contractor shall accomplish a physicist peer review of 5 patient Radiation Oncology new Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 1008 | Quarter 4. The Contractor shall accomplish a physicist peer review of 5 patient Radiation Oncology new Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 1009 | ADHOC onsite Oncologist peer review. | 1 | $0.00 | |
| 1010 | ADHOC onsite Medical Physics peer review. | 1 | $0.00 | |
| Ordering Period 1 Estimated Total Value: | $0.00 |
Ordering Period 2
| Ordering Period 2: September 1, 2020 through August 31, 2021 | ||||
| CLIN | Item Description | Estimated # Records | Unit Price | Estimated Total Amount |
| 2001 | Quarter 1. Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 2002 | Quarter 2. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 2003 | Quarter 3. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of the new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 2004 | Quarter 4. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of the new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 2005 | Quarter 1. Contractor shall accomplish a physicist peer review of 5 new patient radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 2006 | Quarter 2. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 2007 | Quarter 3. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 2008 | Quarter 4. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 2009 | ADHOC onsite Oncologist peer review. | 1 | $0.00 | |
| 2010 | ADHOC onsite Medical Physics peer review. | 1 | $0.00 | |
| Ordering Period 2 Estimated Total Value: | $0.00 |
Ordering Period 3
| Ordering Period 3: September 1, 2021 through August 31, 2022 | ||||
| CLIN | Item Description | Estimated # Records | Unit Price | Estimated Total Amount |
| 3001 | Quarter 1. Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 3002 | Quarter 2. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 3003 | Quarter 3. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 3004 | Quarter 4. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records per the Performance since the last review Work Statement. | 10 | $0.00 | |
| 3005 | Quarter 1. Contractor shall accomplish a physicist peer review of 5 new patient radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 3006 | Quarter 2. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 3007 | Quarter 3. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 3008 | Quarter 4. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 3009 | ADHOC onsite Oncologist peer review. | 1 | $0.00 | |
| 3010 | ADHOC onsite Medical Physics peer review. | 1 | $0.00 | |
| Ordering Period 3 Estimated Total Value: | $0.00 |
Ordering Period 4
| Ordering Period 4: September 1, 2022 through August 31, 2023 | ||||
| CLIN | Item Description | Estimated # Records | Unit Price | Estimated Total Amount |
| 4001 | Quarter 1. Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 4002 | Quarter 2. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 4003 | Quarter 3. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 4004 | Quarter 4. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 4005 | Quarter 1. Contractor shall accomplish a physicist peer review of 5 new patient radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 4006 | Quarter 2. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 4007 | Quarter 3. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 4008 | Quarter 4. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 4009 | ADHOC onsite Oncologist peer review. | 1 | $0.00 | |
| 4010 | ADHOC onsite Medical Physics peer review. | 1 | $0.00 | |
| Ordering Period 4 Estimated Total Value: | $0.00 |
Ordering Period 5
| Ordering Period 5. September 1, 2023 through August 31, 2024 | ||||
| CLIN | Item Description | Estimated # Records | Unit Price | Estimated Total Amount |
| 5001 | Quarter 1. Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 5002 | Quarter 2. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 5003 | Quarter 3. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 5004 | Quarter 4. The Contractor shall accomplish a radiation oncologist peer review of 10 percent of all new Radiation Oncology Department records since the last review per the Performance Work Statement. | 10 | $0.00 | |
| 5005 | Quarter 1. Contractor shall accomplish a physicist peer review of 5 new patient radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 5006 | Quarter 2. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 5007 | Quarter 3. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 5008 | Quarter 4. The Contractor shall accomplish a physicist peer review of 5 new patient Radiation Oncology Department records since the last review per the Performance Work Statement. | 5 | $0.00 | |
| 5009 | ADHOC onsite Oncologist peer review. | 1 | $0.00 | |
| 5010 | ADHOC onsite Medical Physics peer review. | 1 | $0.00 | |
| Ordering Period 5 Estimated Total Value: | $0.00 |
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