ATTACHMENT A - PRICING SPREADSHEET.xls
XLS spreadsheet 46 KB Posted
- Solicitation number
- 36C10G22R0015
About this file
This pricing spreadsheet outlines a requirements contract for Medicare claims pricing services. The Department of Veterans Affairs requires resources to price healthcare claim data using Medicare methodologies to validate payment accuracy of claims paid through VA community care programs. The base year and four option years include pricing for claims submitted through a web-based portal or manually in quantities of 2000-3000 per year, as well as optional bulk data input pricing for 15,000 claims annually. Unit pricing is not included in the spreadsheet template. The solicitation seeks these Medicare pricer services to support internal audits conducted by VA auditors on identified claims.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G22R0015 0002.docx | DOCX document | |
| ATTACHMENT F - Sample Claims.xlsx | XLSX spreadsheet | |
| 36C10G22R0015 0001.docx | DOCX document | |
| ATTACHMENT C - QUESTIONS SPREADSHEET_ ANSWERS.xlsx | XLSX spreadsheet | |
| ATTACHMENT E -QASP.pdf | ||
| 36C10G22R0015 0001.docx | DOCX document | |
| 36C10G22R0015.docx | DOCX document | |
| ATTACHMENT B - PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| ATTACHMENT D - PWS.pdf | ||
| ATTACHMENT C - QUESTIONS SPREADSHEET.xlsx | XLSX spreadsheet |
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Text version
B2 PRICE SCHEDULE
| BASE PERIOD | ||||||
| ITEM NUMBER | DESCRIPTION OF SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | TOTAL PRICE (FROM LOE LM) | TOTAL AWARD PRICE (UNIT x QTY) |
| 0001 | Claims Pricing with web-based portal and manual input. | 2000 | EA | $ - 0 | ||
| 0002 | Optional CLIN: |
Claims Pricing with web-based portal and manual input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 3,000. | 3000 | EA | $ - 0 | |
| 0003 | Optional CLIN: |
Claims Pricing using bulk data input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 15,000. | 15000 | EA | $ - 0 | |||||
| Total Base Year | $ - 0 | |||||||
| OPTION PERIOD ONE | ||||||||
| ITEM NUMBER | DESCRIPTION OF SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | TOTAL PRICE (FROM LOE LM) | TOTAL AWARD PRICE (UNIT x QTY) | ||
| 1001 | Claims Pricing with web-based portal and manual input. | 2000 | EA | $ - 0 | ||||
| 1002 | Optional CLIN: |
Claims Pricing with web-based portal and manual input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 3,000. | 3000 | EA | $ - 0 | |
| 1003 | Optional CLIN: |
Claims Pricing using bulk data input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 15,000. | 15000 | EA | $ - 0 | |||||
| Total Option Year 1 | $ - 0 | |||||||
| OPTION PERIOD TWO | ||||||||
| ITEM NUMBER | DESCRIPTION OF SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | TOTAL PRICE (FROM LOE LM) | TOTAL AWARD PRICE (UNIT x QTY) | ||
| 2001 | Claims Pricing with web-based portal and manual input. | 2000 | EA | $ - 0 | ||||
| 2002 | Optional CLIN: |
Claims Pricing with web-based portal and manual input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 3,000. | 3000 | EA | $ - 0 | |
| 2003 | Optional CLIN: |
Claims Pricing using bulk data input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 15,000. | 15000 | EA | $ - 0 | |||||
| Total Option Year 2 | $ - 0 | |||||||
| OPTION PERIOD THREE | ||||||||
| ITEM NUMBER | DESCRIPTION OF SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | TOTAL PRICE (FROM LOE LM) | TOTAL AWARD PRICE (UNIT x QTY) | ||
| 3001 | Claims Pricing with web-based portal and manual input. | 2000 | EA | $ - 0 | ||||
| 3002 | Optional CLIN: |
Claims Pricing with web-based portal and manual input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 3,000. | 3000 | EA | $ - 0 | |
| 3003 | Optional CLIN: |
Claims Pricing using bulk data input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 15,000. | 15000 | EA | $ - 0 | |||||
| Total Option Year 3 | $ - 0 | |||||||
| OPTION PERIOD FOUR | ||||||||
| ITEM NUMBER | DESCRIPTION OF SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | TOTAL PRICE (FROM LOE LM) | TOTAL AWARD PRICE (UNIT x QTY) | ||
| 4001 | Claims Pricing with web-based portal and manual input. | 2000 | EA | $ - 0 | ||||
| 4002 | Optional CLIN: |
Claims Pricing with web-based portal and manual input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 3,000. | 3000 | EA | $ - 0 | |
| 4003 | Optional CLIN: |
Claims Pricing using bulk data input.
This CLIN may be exercised at any point during the current year period of performance.
| This CLIN may be exercised incrementally as needed Not-To-Exceed (NTE) quantity of 15,000. | 15000 | EA | $ - 0 | |
| Total Option Year 4 | $ - 0 | |||
| Total Task Order Value | $ - 0 |
Notes
<ENTER ANY PRICING NOTES HERE>
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