E.3_-_Business_Proposal_Spreadsheet.xlsx

XLSX spreadsheet 227 KB Posted

Attached to
National Correct Coding Initiative Federal contract opportunity
Solicitation number
HHSM-500-2016-RFP-0002
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Business Proposal Spreadsheet

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NCCI Costs E.3 Business Proposal Spreadsheet

National Correct Coding Intiative (NCCI)
Task Group 1: Project Management
Task Group 2: Core OperationsTask Group 3: Supporting OperationsTask Group 4: Preparation of Reports and Section B Reporting Requirements and DeliverablesTask Group 5: State and Third Party Adoption CoordinationTask Group 6: Closeout OperationsTotal CLIN 0001AATotal CLIN 0001ABTotal CLIN 0001Total CLIN 0002AATotal CLIN 0002ABTotal CLIN 0002Total CLIN 0003AATotal CLIN 0003ABTotal CLIN 0003Total CLIN 0004AATotal CLIN 0004ABTotal CLIN 0004Total CLIN 0005AATotal CLIN 0005ABTotal CLIN 0005
Cost ElementRatesFTEsHoursTotalFTEsHoursTotalFTEsHoursTotalFTEsHoursTotalFTEsHoursTotalFTEsHoursTotalHoursTotalHoursTotalHoursTotalRatesHoursTotalHoursTotalHoursTotalRatesHoursTotalHoursTotalHoursTotalRatesHoursTotalHoursTotalHoursTotalRatesHoursTotal
Direct Labor Categories
Program Director
Medical Director
Associate Medical Director
Lead Coding Specialist
Information Specialist/Quality Assurance Manager
Medicaid National Correct Coding Initiative (NCCI) Specialist
Coding Specialist II
Information Technology (IT) Specialist (MCD
Data Analyst / Administrative Assistant
Policy Nurse (MCD

SUBTOTAL, Direct Labor

Fringe Benefits ( __%)

Total Direct Labor

Travel (See separate schedule)

Other Direct Costs (See separate schedule)

SUBTOTAL, All Direct Costs

Overhead ( __%)
Other Indirect costs as applicable

SUBTOTAL, Before Fixed Fee

Fixed Fee

Total Costs

&"Garamond,Regular"&12 2016-RFP-0002-NCCI E.3 Business Proposal Spreadsheet

ODCs

Other Direct Costs
HHSM-500-2016-RFP-0002
DescriptionQuantityUnit CostAmountTotal Amount CLIN 0001
0001AA0001AB0001AA0001AB

Grand Total

DescriptionQuantityUnit CostAmountTotal Amount CLIN 0002
0002AA0002AB0002AA0002AB

Grand Total

DescriptionQuantityUnit CostAmountTotal Amount CLIN 0003
0003AA0003AB0003AA0003AB

Grand Total

DescriptionQuantityUnit CostAmountTotal Amount CLIN 0004
0004AA0004AB0004AA0004AB

Grand Total

DescriptionQuantityUnit CostAmountTotal Amount CLIN 0005
0005AA0005AB0005AA0005AB

Grand Total

DescriptionQuantityAmountTotal Amount ALL CLIN
0001AA - 0005AA0001AA - 0005AB0001AA - 0005AA0001AB - 0005AB

Grand Total

&"Garamond,Regular"&12 2016-RFP-0002-NCCI E.3 Business Proposal Spreadsheet

Travel

Travel
HHSM-500-2016-RFP-0002

Task - 0001AA Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

Task - 0001AB Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

CLIN 0001 Total

Task - 0002AA Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

Task - 0002AB Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

CLIN 0002 Total

Task - 0003AA Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

Task - 0003AB Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

CLIN 0003 Total

Task - 0004AA Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

Task - 0004AB Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

CLIN 0004 Total

Task - 0005AA Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

Task - 0005AB Travelers FROM TO Purpose Days Nights Airfare Misc Rental Car Hotel Mileage M & IE Parking, Taxi, Gas, etc. Subtotal

Direct Labor Categories

CLIN 0005 Total

&"Garamond,Regular"&12 2016-RFP-0002-NCCI E.3 Business Proposal Spreadsheet

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