83979 Att D Cost Proposal (1).xlsx

XLSX spreadsheet 21 KB Posted

Attached to
Therapy ServicesBid Documents State and local contract opportunity
Solicitation number
25-83979
Issued by
Indiana

About this file

This document is a Cost Proposal (Attachment D) for RFP 25-83979 for Therapy Services, likely for a state or local healthcare facility or institution. The request seeks comprehensive therapy service pricing across multiple service categories, including Medicare Part A services (estimated at 1,200,000 minutes), Medicare Part B and Outpatient Services (estimated revenue of $175,000), managed care services and other payer sources (estimated 300,000 minutes), and additional specialized services such as meeting attendance, wound rounds, and home assessments.

The cost proposal requires bidders to complete yellow-shaded cells with per-minute and per-unit rates for various therapy service types, with strict instructions that any deviation from the original format could result in proposal disqualification. The document outlines specific pricing requirements for different service categories, including Medicare Part A, Part B, managed care, and additional services like meeting attendance (250 units), wound rounds (625 units), and home assessments (100 units), with the total bid amount to be calculated automatically based on the submitted rates and estimated service volumes.

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Other files for this state and local contract opportunity

Other files attached to Therapy ServicesBid Documents, newest first.
File Type Posted
Addendum 1.docx DOCX document
RFP Boilerplate Documentv2.pdf PDF
83979 Att G - Q & A Template Response-.xlsx XLSX spreadsheet
79415 Pre-Proposal Conference Slides.pptx PPTX presentation
83979 Att A - MWBE.docx DOCX document
83979 Att A1 - IVOSB.docx DOCX document
83979 Att C - Indiana Economic Impact Form.xls XLS spreadsheet
83979 Att H - Reference Check Form.docx DOCX document
RFP Boilerplate Documentv1.pdf PDF
83979 Att I - Pre-proposal Network Form.docx DOCX document
83979 Att J - Attestation Form.docx DOCX document
83979 Att K - Artificial Intelligence Questions.docx DOCX document
83979 Att L - Infrastructure Overview.docx DOCX document
83979 Att B - Sample Contract.docx DOCX document
83979 Att E - Business Proposal.docx DOCX document
83979 Att F Technical Proposal (1).docx DOCX document
83979 Att G - Q&A Template.xlsx XLSX spreadsheet
Show all 17

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Text version

INSTRUCTIONS

RFP 25-83979 Therapy Services Attachment D: Cost Proposal

INSTRUCTIONS:

Please populate the YELLOW SHADED CELLS. Note that the blue cells will populate automatically. Please submit a working Excel file with your proposal. Please note that the Cost Proposal must be submitted in the original format. Any attempt to manipulate the format of the Cost Proposal document, attach caveats to pricing, or submit pricing that deviates from the current format will put your proposal at risk of disqualification. The "Total Bid Amount" at the bottom of the "Cost Proposal" tab will be the sum on which your cost proposal will be evaluated.

Cost Proposal

BREAKDOWN:

Medicare Part A ServicesPer Minute RateEstimated # of Minutes
for ServicesTOTAL Cost
What is your per minute rate that your per diem rate for Medicare Part A services will be based on?1200000$0.00
Medicare Part B and Outpatient ServicesPercentage of ScheduleTotal Estimated Amount of RevenueTOTAL Cost
Please describe what percentage of the Physicians Fee Schedule you will charge for Medicare Part B services.$175,000.00$0.00
Managed care services , Part A non-case mix minutes, Medicaid, and all other payer sourcesPer Minute RateEstimated # of Minutes
for ServicesTOTAL Cost
What is your per minute rate for these services?300000$0.00
Other ServicesPer Unit* RateEstimated # of Units
for ServicesTOTAL Cost
What is your per unit rate for attending various meetings on-site at IVH (Medicare, Care Plans, Quality Assurance Committee, Administrative Board meetings, Falls Committee, Restraints Committee and Wound Care Committee…)?250$0.00
What is your per unit rate for doing wound rounds?625$0.00
What is your per unit rate for performing home assessments?100$0.00
Unit = 15 minutes

TOTAL BID AMOUNT $0.00

File details come from the government source that posted it. Updated .