E.1_MRRC_Business_Proposal_Template.xlsx

XLSX spreadsheet 273 KB Posted

Attached to
MRRC A AND MRRC B Federal contract opportunity
Solicitation number
75FCMC18R0017
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

E.1 MRRC Business Proposal Template

View the file

Other files for this federal contract opportunity

Other files attached to MRRC A AND MRRC B, newest first.
File Type Posted
75FCMC18R0017_SF-30.pdf PDF
RFP-75FCMC18R0017_Amendment_0001.pdf PDF
E.1_MRRC_Business_Proposal_Template.xlsx XLSX spreadsheet
J.1_MRRC_A_SOW,_dated_10.22.2018.pdf PDF
J.2_MRRC_B_SOW_dated_10.22.2018.pdf PDF
E.3_MRRC_A_and_B_Questions_and_Answers.xlsx XLSX spreadsheet
J.2_MRRC_B_SOW.docx DOCX document
J.6__Prime_Proposal_Checklist.docx DOCX document
75FCMC18R0017-SF-33.pdf PDF
J.5__Responsibility_Questionnaire.docx DOCX document
J.7_Subcontractor_Proposal_Checklist.docx DOCX document
J.9_Consent_to_Subcontract.docx DOCX document
J.1_MRRC_A_SOW.docx DOCX document
J.4_Contractor_Business_Ethics_COI_and_Compliance_Program_Requirements.docx DOCX document
E.2_Virus_Detection_Certification.doc DOC document
J.8__Subcontract_Checklist.doc DOC document
J.10_Past_Performance_Questionnaire.docx DOCX document
J.3_Contractor_Personal_Conflict_of_Interest_Financial_Disclosure_Template.docx DOCX document
Show all 18

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Summary

PROJECT TITLE: MRRC A or B
Detailed Price Summary
Contract Line Item DescriptionTotal FTEsBase PeriodOption Year OneOption Year TwoOption Year ThreeOption Year FourTotal
FTEsHoursRatesTotal PriceFTEsHoursRatesTotal PriceFTEsHoursRatesTotal PriceFTEsHoursRatesTotal PriceFTEsHoursRatesTotal PriceFTEsHoursPrice
Project Director
Physican Reviewer
Senior Analyst(s)/Lead Coder
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Line Item Subtotal
Fringe Benefits
Subtotal Line Item & Fringe
Overhead
Subtotal Line Items, Fringe and Overhead
ODC's
Travel
Materials
Subtotal ODCs0
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

&F&D&T

Base Year

PROJECT TITLE: MRRC A or B
Base Year
Contract Line Item DescriptionTotal FTEsTask 1: TransitionTask 2: Medical Record Discrepant ConfirmationTask 3: Medical Record AbstractionTask 4: Operational AnalysisTask 5: QA & Physican Panel AdministrationTask 6: TrainingTask 7: AppealsTask 8: Project ManagementAll Tasks
Direct LaborHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceTotal hoursRatesTotal
Project Director
Physican Reviewer
Senior Analyst
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Direct Labor Subtotal
Fringe Benefits
Subtotal Director Labor & Fringe
Overhead
Subtotal Direct Labor, Fringe and Overhead
ODC's
Travel
Material
Subtotal ODCs
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED ANNUAL VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

(Note: G&A applied to ODCs only)

Option Year 1

PROJECT TITLE: MRRC A or B
Option Year 1
Contract Line Item DescriptionTotal FTEsTask 1: TransitionTask 2: Medical Record Discrepant ConfirmationTask 3: Medical Record AbstractionTask 4: Operational AnalysisTask 5: QA & Physican Panel AdministrationTask 6: TrainingTask 7: AppealsTask 8: Project ManagementAll Tasks
Direct LaborHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceTotal hoursRatesTotal
Project Director
Physican Reviewer
Senior Analyst
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Direct Labor Subtotal
Fringe Benefits
Subtotal Director Labor & Fringe
Overhead
Subtotal Direct Labor, Fringe and Overhead
ODC's
Travel
Material
Subtotal ODCs
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED ANNUAL VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Option Year 2

PROJECT TITLE: MRRC A or B
Option Year 2
Contract Line Item DescriptionTotal FTEsTask 1: TransitionTask 2: Medical Record Discrepant ConfirmationTask 3: Medical Record AbstractionTask 4: Operational AnalysisTask 5: QA & Physican Panel AdministrationTask 6: TrainingTask 7: AppealsTask 8: Project ManagementAll Tasks
Direct LaborHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceTotal hoursRatesTotal
$ - 0
Project Director
Physican Reviewer
Senior Analyst
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Direct Labor Subtotal
Fringe Benefits
Subtotal Director Labor & Fringe
Overhead
Subtotal Direct Labor, Fringe and Overhead
ODC's
Travel
Material
Subtotal ODCs
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED ANNUAL VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Option Year 3

PROJECT TITLE: MRRC A or B
Option Year 3
Contract Line Item DescriptionTotal FTEsTask 1: TransitionTask 2: Medical Record Discrepant ConfirmationTask 3: Medical Record AbstractionTask 4: Operational AnalysisTask 5: QA & Physican Panel AdministrationTask 6: TrainingTask 7: AppealsTask 8: Project ManagementAll Tasks
Direct LaborHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceTotal hoursRatesTotal
Project Director
Physican Reviewer
Senior Analyst
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Direct Labor Subtotal
Fringe Benefits
Subtotal Director Labor & Fringe
Overhead
Subtotal Direct Labor, Fringe and Overhead
ODC's
Travel
Material
Subtotal ODCs
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED ANNUAL VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Option Year 4

PROJECT TITLE: MRRC A or B
Option Year 4
Contract Line Item DescriptionTotal FTEsTask 1: TransitionTask 2: Medical Record Discrepant ConfirmationTask 3: Medical Record AbstractionTask 4: Operational AnalysisTask 5: QA & Physican Panel AdministrationTask 6: TrainingTask 7: AppealsTask 8: Project ManagementAll Tasks
Direct LaborHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceHoursRatesTotal PriceTotal hoursRatesTotal
Project Director
Physican Reviewer
Senior Analyst
Primary Coder
Senior Coder
Records Coordinator
Writer/ Editor
Administrative Support
Total FTEs
Direct Labor Subtotal
Fringe Benefits
Subtotal Director Labor & Fringe
Overhead
Subtotal Direct Labor, Fringe and Overhead
ODC's
Travel
Material
Subtotal ODCs
G&A
Total ODCs with G&A
Subtotal - All Costs
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED ANNUAL VALUE OF CONTRACT$ -
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Travel

Travel Estimates - Base Period
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total

$0

Travel Estimates - Option Year 1
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total

$0

Travel Estimates - Option Year 2
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total

$0

Travel Estimates - Option Year 3
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total

$0

Travel Estimates - Option Year 4
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total

$0

Total $0

ODCs

Other Direct Costs - Base Year
Base YearItem DescriptionQuantityUnit CostOverheadG&AOther Indirect (Specify)FeeTotal Cost
$0
$0
$0
Total$ - 0$0$0$0$0$0$0
Other Direct Costs - Option Year 1
Option Year 1Item DescriptionQuantityUnit CostOverheadG&AOther Indirect (Specify)FeeTotal Cost
$0
$0
$0
Total$ - 0$0$0$0$0$0$0
Other Direct Costs - Option Year 2
Option Year 2Item DescriptionQuantityUnit CostOverheadG&AOther Indirect (Specify)FeeTotal Cost
$0
$0
$0
Total$ - 0$0$0$0$0$0$0
Other Direct Costs - Option Year 3
Option Year 3Item DescriptionQuantityUnit CostOverheadG&AOther Indirect (Specify)FeeTotal Cost
$0
$0
$0
Total$ - 0$0$0$0$0$0$0
Other Direct Costs - Option Year 4
Option Year 4Item DescriptionQuantityUnit CostOverheadG&AOther Indirect (Specify)FeeTotal Cost
$0
$0
$0
Total$ - 0$0$0$0$0$0$0
Total Cost (base year and 4 opt. yrs)$0$0$0

BLS Matrix

Offeror's Proposed Labor CategoryOfferor's Proposed Labor RateBLS Labor Category/NumberState/Municipality (If "National" is used please justify)BLS Labor RateBLS PercentileBLS Labor Category DescriptionOfferor's Proposed Labor Category Description/DutiesOfferor's Justification of Choosen BLS Labor Category/Percentile/Rate and Proposed Labor Rate/Duties
Aerospace Engineer - Design and Development$78.00Lead Aerospace Engineer 17-2011Los Angeles - Long Beach - Glendale, California Metropolitan Division$74.9675thPerform engineering duties in designing, constructing, and testing aircraft, missiles, and spacecraft. May conduct basic and applied research to evaluate adaptability of materials and equipment to aircraft design and manufacture. May recommend improvements in testing equipment and techniques.The individual proposed will serve as Design and Development Division's Aerospace Engineering Team Lead. This individual will lead a team of four Engineers in the development, design, and testing of spacecrafts. This individual is required to have a Master's Degree in Aerospace Engineering and 10+ years of experience.*Based on the Offeror’s review of the labor category 17-2011, it is the labor category which best captures the duties and skills set required for the proposed labor category of “Lead Aerospace Engineer”. This individual is proposed in the Los Angeles, CA and as a result the offeror utilized BLS labor rate data specific to the Los Angeles - Long Beach - Glendale, California Metropolitan Division. The individual proposed for this effort is intended to fulfill a team lead position and as a result the offeror believes these extra duties justify a labor rate closer to 75th percentile rather than the mean or median rate for Los Angeles for an Aerospace Engineer.

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