J-12_BusinessPropTemplate.xls
XLS spreadsheet 2 MB Posted
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- Pricing, Data Analysis, and Coding (PDAC)
- Solicitation number
- RFP-CMS-2007-0019
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J-12_Business Prop Template
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Other files
| File | Type | Posted |
|---|---|---|
| PDAC RFP_Amendment 2.doc | DOC document | |
| SF30_PDAC RFP_Amendment 2.pdf | ||
| PDACRFP_Q AAttachment2.txt | TXT text file | |
| PDACRFP_AttachJ-02_GFMaterial_Rev03-28-08.xls | XLS spreadsheet | |
| PDACRFP_Q AAttachment1.doc | DOC document | |
| PDACRFPSF30_Amendment1.pdf | ||
| PDACRFP_Amendment1.doc | DOC document | |
| J-01_StatementofWork_PDAC.doc | DOC document | |
| J-09_Non-DisclosureStatement.doc | DOC document | |
| J-02_GovtFurnishedMaterials.xls | XLS spreadsheet | |
| J-11_DirectionsToCentralOffice_WordFile.doc | DOC document | |
| J-03_DeliverablesList.xls | XLS spreadsheet | |
| J-06_ConsenttoSubcontractChecklist.doc | DOC document | |
| J-05_BillingInstructions.doc | DOC document | |
| PricingDataAnalysisandCoding(PDAC)RequestforProposal.doc | DOC document | |
| J-07_SmallBusinessSubcontractingPlan.doc | DOC document | |
| J-10_WorkloadData_PDAC.doc | DOC document | |
| SF33_PDAC_RFP-CMS-2007-0019.pdf | ||
| J-08_ReservedForInc.ofContractorsOCOICertificate.doc | DOC document | |
| PDACRFP_CoverLetter.doc | DOC document | |
| J-04_ReservedForIncorporationofWageDeterminations.doc | DOC document |
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SUMMARY
| COST TEMPLATE | ||||||||||||||||||
| 06/01/08 - 05/31/13 | ||||||||||||||||||
| CLIN SUMMARY (Roll-up of SLIN Tabs) | CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | |||||||||||||
| PDAC Services | Total FTEs | Base Period: Implementation, Operations, Task Directives | Option Period 1: Operations, Task Directives | Option Period 2: Operations, Task Directives | Option Period 3: Operations, Task Directives | Option Period 4: Operations, Task Directives, Closeout/Transition | GRAND TOTAL | |||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | ||||||||||||||||||
| Direct Labor | ||||||||||||||||||
| Labor Category ABC | ||||||||||||||||||
| (Add Appropriate Labor Categories) | ||||||||||||||||||
| Subtotal Direct Labor | ||||||||||||||||||
| Fringe Benefits (at __%) | ||||||||||||||||||
| Purchased Labor | ||||||||||||||||||
| Total Direct Labor | ||||||||||||||||||
| Travel | $34,832 | $36,225 | $37,674 | $39,181 | $40,748 | $188,660 | ||||||||||||
| SUBCONTRACTORS | ||||||||||||||||||
| Subcontractor Name ABC | ||||||||||||||||||
| (Add Subcontractor Names Here) | ||||||||||||||||||
| Total Subcontractor | ||||||||||||||||||
| Other Direct Costs | ||||||||||||||||||
| Other Direct Costs - ABC | ||||||||||||||||||
| (Add Appropriate ODC categories) | ||||||||||||||||||
| Total Other Direct Costs | ||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | ||||||||||||||||||
| Overhead @ __% | ||||||||||||||||||
| General and Administrative @ __% | ||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | ||||||||||||||||||
| Fixed Fee (at __%) | ||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0001AA - Operations
| COST TEMPLATE | |||||||||||||||||||||
| 08/01/08 - 05/31/09 | |||||||||||||||||||||
| SLIN 0001AA (See SOW Sec E.) | SLIN 0001AA | SLIN 0001AA | SLIN 0001AA | SLIN 0001AA | SLIN 0001AA | SLIN 0001AA | |||||||||||||||
| PDAC Services - Base Period Operations | Total FTEs | SOW Section E.1 - Administer HCPCS Coding DMEPOS | SOW Section E.2 - Coding Advice and Guidance | SOW Section E.3 - Establish and Distribute Pricing Files | SOW Section E.4 - Statistical Analysis and Reporting | SOW Section E.5 - Support Integrity DMEPOS Benefit | SOW Section E.6 - Other PDAC Activities | GRAND TOTAL | |||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||||||||
| Direct Labor | |||||||||||||||||||||
| Labor Category ABC | |||||||||||||||||||||
| (Add Appropriate Labor Categories) | |||||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||||
| Fringe Benefits (at __%) | |||||||||||||||||||||
| Purchased Labor | |||||||||||||||||||||
| Total Direct Labor | |||||||||||||||||||||
| Travel | |||||||||||||||||||||
| SUBCONTRACTORS | |||||||||||||||||||||
| Subcontractor Name ABC | |||||||||||||||||||||
| (Add Subcontractor Names Here) | |||||||||||||||||||||
| Total Subcontractor | |||||||||||||||||||||
| Other Direct Costs | |||||||||||||||||||||
| Other Direct Costs - ABC | |||||||||||||||||||||
| (Add Appropriate ODC categories) | |||||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||||
| Overhead @ __% | |||||||||||||||||||||
| General and Administrative @ __% | |||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | |||||||||||||||||||||
| Fixed Fee (at __%) | |||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0001AB - Task Directives
| COST TEMPLATE | ||||
| 06/01/08 - 05/31/09 | ||||
| SLIN 0001AB | SLIN 0001AB | |||
| PDAC Services - Base Period Task Directives | Total FTEs | Task Directives | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Labor Category ABC | ||||
| (Add Appropriate Labor Categories) | ||||
| Subtotal Direct Labor | ||||
| Fringe Benefits (at __%) | ||||
| Purchased Labor | ||||
| Total Direct Labor | ||||
| Travel | ||||
| SUBCONTRACTORS | ||||
| Subcontractor Name ABC | ||||
| (Add Subcontractor Names Here) | ||||
| Total Subcontractor | ||||
| Other Direct Costs | ||||
| Other Direct Costs - ABC | ||||
| (Add Appropriate ODC categories) | ||||
| Total Other Direct Costs | ||||
| SUBTOTAL ALL DIRECT COSTS | ||||
| Overhead @ __% | ||||
| General and Administrative @ __% | ||||
| SUBTOTAL COSTS BEFORE FEE | ||||
| Fixed Fee (at __%) | ||||
| TOTAL COST PLUS FIXED FEE | $50,000 |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0001AC - Implementation
| COST TEMPLATE | ||||||||||||||||||||||||||||||||||||
| 06/01/08 - 07/31/08 | ||||||||||||||||||||||||||||||||||||
| SLIN 0001AC (See SOW C.1.1.1) | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | SLIN 0001AC | |||||||||||||||||||||||||
| PDAC Services - Implementation | Total FTEs | Project Management | Site Acquisition/ Facility Preparation | Hardware/Software Acquisition & Installation | Network & Data Center Connectivity | Testing | Interface Set-Up (e.g. JOAs) | Recruiting and Training | Stakeholder Relations | Cutover Execution | Post-Cutover Monitoring | Other (Explain in Proposal) | GRAND TOTAL | |||||||||||||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | ||||||||||||||||||||||||||||||||||||
| Direct Labor | ||||||||||||||||||||||||||||||||||||
| Labor Category ABC | ||||||||||||||||||||||||||||||||||||
| (Add Appropriate Labor Categories) | ||||||||||||||||||||||||||||||||||||
| Subtotal Direct Labor | ||||||||||||||||||||||||||||||||||||
| Fringe Benefits (at __%) | ||||||||||||||||||||||||||||||||||||
| Purchased Labor | ||||||||||||||||||||||||||||||||||||
| Total Direct Labor | ||||||||||||||||||||||||||||||||||||
| Travel | ||||||||||||||||||||||||||||||||||||
| SUBCONTRACTORS | ||||||||||||||||||||||||||||||||||||
| Subcontractor Name ABC | ||||||||||||||||||||||||||||||||||||
| (Add Subcontractor Names Here) | ||||||||||||||||||||||||||||||||||||
| Total Subcontractor | ||||||||||||||||||||||||||||||||||||
| Other Direct Costs | ||||||||||||||||||||||||||||||||||||
| Other Direct Costs - ABC | ||||||||||||||||||||||||||||||||||||
| (Add Appropriate ODC categories) | ||||||||||||||||||||||||||||||||||||
| Total Other Direct Costs | ||||||||||||||||||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | ||||||||||||||||||||||||||||||||||||
| Overhead @ __% | ||||||||||||||||||||||||||||||||||||
| General and Administrative @ __% | ||||||||||||||||||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | ||||||||||||||||||||||||||||||||||||
| Fixed Fee (at __%) | ||||||||||||||||||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0002AA - Operations
| COST TEMPLATE | |||||||||||||||||||||
| 06/01/09 - 05/31/10 | |||||||||||||||||||||
| SLIN 0002AA (See SOW Sec E.) | SLIN 0002AA | SLIN 0002AA | SLIN 0002AA | SLIN 0002AA | SLIN 0002AA | SLIN 0002AA | |||||||||||||||
| PDAC Services - Option Period 1 Operations | Total FTEs | SOW Section E.1 - Administer HCPCS Coding DMEPOS | SOW Section E.2 - Coding Advice and Guidance | SOW Section E.3 - Establish and Distribute Pricing Files | SOW Section E.4 - Statistical Analysis and Reporting | SOW Section E.5 - Support Integrity DMEPOS Benefit | SOW Section E.6 - Other PDAC Activities | GRAND TOTAL | |||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||||||||
| Direct Labor | |||||||||||||||||||||
| Labor Category ABC | |||||||||||||||||||||
| (Add Appropriate Labor Categories) | |||||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||||
| Fringe Benefits (at __%) | |||||||||||||||||||||
| Purchased Labor | |||||||||||||||||||||
| Total Direct Labor | |||||||||||||||||||||
| Travel | |||||||||||||||||||||
| SUBCONTRACTORS | |||||||||||||||||||||
| Subcontractor Name ABC | |||||||||||||||||||||
| (Add Subcontractor Names Here) | |||||||||||||||||||||
| Total Subcontractor | |||||||||||||||||||||
| Other Direct Costs | |||||||||||||||||||||
| Other Direct Costs - ABC | |||||||||||||||||||||
| (Add Appropriate ODC categories) | |||||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||||
| Overhead @ __% | |||||||||||||||||||||
| General and Administrative @ __% | |||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | |||||||||||||||||||||
| Fixed Fee (at __%) | |||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0002AB - Task Directives
| COST TEMPLATE | ||||
| 06/01/09 - 05/31/10 | ||||
| SLIN 0002AB | SLIN 0002AB | |||
| PDAC Services - Option Period 1 Task Directives | Total FTEs | Task Directives | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Labor Category ABC | ||||
| (Add Appropriate Labor Categories) | ||||
| Subtotal Direct Labor | ||||
| Fringe Benefits (at __%) | ||||
| Purchased Labor | ||||
| Total Direct Labor | ||||
| Travel | ||||
| SUBCONTRACTORS | ||||
| Subcontractor Name ABC | ||||
| (Add Subcontractor Names Here) | ||||
| Total Subcontractor | ||||
| Other Direct Costs | ||||
| Other Direct Costs - ABC | ||||
| (Add Appropriate ODC categories) | ||||
| Total Other Direct Costs | ||||
| SUBTOTAL ALL DIRECT COSTS | ||||
| Overhead @ __% | ||||
| General and Administrative @ __% | ||||
| SUBTOTAL COSTS BEFORE FEE | ||||
| Fixed Fee (at __%) | ||||
| TOTAL COST PLUS FIXED FEE | $50,000 |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0003AA - Operations
| COST TEMPLATE | |||||||||||||||||||||
| 06/01/10 - 05/31/11 | |||||||||||||||||||||
| SLIN 0003AA (See SOW Sec E.) | SLIN 0003AA | SLIN 0003AA | SLIN 0003AA | SLIN 0003AA | SLIN 0003AA | SLIN 0003AA | |||||||||||||||
| PDAC Services - Option Period 2 Operations | Total FTEs | SOW Section E.1 - Administer HCPCS Coding DMEPOS | SOW Section E.2 - Coding Advice and Guidance | SOW Section E.3 - Establish and Distribute Pricing Files | SOW Section E.4 - Statistical Analysis and Reporting | SOW Section E.5 - Support Integrity DMEPOS Benefit | SOW Section E.6 - Other PDAC Activities | GRAND TOTAL | |||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||||||||
| Direct Labor | |||||||||||||||||||||
| Labor Category ABC | |||||||||||||||||||||
| (Add Appropriate Labor Categories) | |||||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||||
| Fringe Benefits (at __%) | |||||||||||||||||||||
| Purchased Labor | |||||||||||||||||||||
| Total Direct Labor | |||||||||||||||||||||
| Travel | |||||||||||||||||||||
| SUBCONTRACTORS | |||||||||||||||||||||
| Subcontractor Name ABC | |||||||||||||||||||||
| (Add Subcontractor Names Here) | |||||||||||||||||||||
| Total Subcontractor | |||||||||||||||||||||
| Other Direct Costs | |||||||||||||||||||||
| Other Direct Costs - ABC | |||||||||||||||||||||
| (Add Appropriate ODC categories) | |||||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||||
| Overhead @ __% | |||||||||||||||||||||
| General and Administrative @ __% | |||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | |||||||||||||||||||||
| Fixed Fee (at __%) | |||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0003AB - Task Directives
| COST TEMPLATE | ||||
| 06/01/10 - 05/31/11 | ||||
| SLIN 0003AB | SLIN 0003AB | |||
| PDAC Services - Option Period 2 Task Directives | Total FTEs | Task Directives | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Labor Category ABC | ||||
| (Add Appropriate Labor Categories) | ||||
| Subtotal Direct Labor | ||||
| Fringe Benefits (at __%) | ||||
| Purchased Labor | ||||
| Total Direct Labor | ||||
| Travel | ||||
| SUBCONTRACTORS | ||||
| Subcontractor Name ABC | ||||
| (Add Subcontractor Names Here) | ||||
| Total Subcontractor | ||||
| Other Direct Costs | ||||
| Other Direct Costs - ABC | ||||
| (Add Appropriate ODC categories) | ||||
| Total Other Direct Costs | ||||
| SUBTOTAL ALL DIRECT COSTS | ||||
| Overhead @ __% | ||||
| General and Administrative @ __% | ||||
| SUBTOTAL COSTS BEFORE FEE | ||||
| Fixed Fee (at __%) | ||||
| TOTAL COST PLUS FIXED FEE | $50,000 |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0004AA - Operations
| COST TEMPLATE | |||||||||||||||||||||
| 06/01/11 - 05/31/12 | |||||||||||||||||||||
| SLIN 0004AA (See SOW Sec E.) | SLIN 0004AA | SLIN 0004AA | SLIN 0004AA | SLIN 0004AA | SLIN 0004AA | SLIN 0004AA | |||||||||||||||
| PDAC Services - Option Period 3 Operations | Total FTEs | SOW Section E.1 - Administer HCPCS Coding DMEPOS | SOW Section E.2 - Coding Advice and Guidance | SOW Section E.3 - Establish and Distribute Pricing Files | SOW Section E.4 - Statistical Analysis and Reporting | SOW Section E.5 - Support Integrity DMEPOS Benefit | SOW Section E.6 - Other PDAC Activities | GRAND TOTAL | |||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||||||||
| Direct Labor | |||||||||||||||||||||
| Labor Category ABC | |||||||||||||||||||||
| (Add Appropriate Labor Categories) | |||||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||||
| Fringe Benefits (at __%) | |||||||||||||||||||||
| Purchased Labor | |||||||||||||||||||||
| Total Direct Labor | |||||||||||||||||||||
| Travel | |||||||||||||||||||||
| SUBCONTRACTORS | |||||||||||||||||||||
| Subcontractor Name ABC | |||||||||||||||||||||
| (Add Subcontractor Names Here) | |||||||||||||||||||||
| Total Subcontractor | |||||||||||||||||||||
| Other Direct Costs | |||||||||||||||||||||
| Other Direct Costs - ABC | |||||||||||||||||||||
| (Add Appropriate ODC categories) | |||||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||||
| Overhead @ __% | |||||||||||||||||||||
| General and Administrative @ __% | |||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | |||||||||||||||||||||
| Fixed Fee (at __%) | |||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0004AB - Task Directives
| COST TEMPLATE | ||||
| 06/01/11 - 05/31/12 | ||||
| SLIN 0004AB | SLIN 0004AB | |||
| PDAC Services - Option Period 3 Task Directives | Total FTEs | Task Directives | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Labor Category ABC | ||||
| (Add Appropriate Labor Categories) | ||||
| Subtotal Direct Labor | ||||
| Fringe Benefits (at __%) | ||||
| Purchased Labor | ||||
| Total Direct Labor | ||||
| Travel | ||||
| SUBCONTRACTORS | ||||
| Subcontractor Name ABC | ||||
| (Add Subcontractor Names Here) | ||||
| Total Subcontractor | ||||
| Other Direct Costs | ||||
| Other Direct Costs - ABC | ||||
| (Add Appropriate ODC categories) | ||||
| Total Other Direct Costs | ||||
| SUBTOTAL ALL DIRECT COSTS | ||||
| Overhead @ __% | ||||
| General and Administrative @ __% | ||||
| SUBTOTAL COSTS BEFORE FEE | ||||
| Fixed Fee (at __%) | ||||
| TOTAL COST PLUS FIXED FEE | $50,000 |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0005AA - Operations
| COST TEMPLATE | |||||||||||||||||||||
| 06/01/12 - 05/31/13 | |||||||||||||||||||||
| SLIN 0005AA (See SOW Sec E.) | SLIN 0005AA | SLIN 0005AA | SLIN 0005AA | SLIN 0005AA | SLIN 0005AA | SLIN 0005AA | |||||||||||||||
| PDAC Services - Option Period 4 Operations | Total FTEs | SOW Section E.1 - Administer HCPCS Coding DMEPOS | SOW Section E.2 - Coding Advice and Guidance | SOW Section E.3 - Establish and Distribute Pricing Files | SOW Section E.4 - Statistical Analysis and Reporting | SOW Section E.5 - Support Integrity DMEPOS Benefit | SOW Section E.6 - Other PDAC Activities | GRAND TOTAL | |||||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||||||||
| Direct Labor | |||||||||||||||||||||
| Labor Category ABC | |||||||||||||||||||||
| (Add Appropriate Labor Categories) | |||||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||||
| Fringe Benefits (at __%) | |||||||||||||||||||||
| Purchased Labor | |||||||||||||||||||||
| Total Direct Labor | |||||||||||||||||||||
| Travel | |||||||||||||||||||||
| SUBCONTRACTORS | |||||||||||||||||||||
| Subcontractor Name ABC | |||||||||||||||||||||
| (Add Subcontractor Names Here) | |||||||||||||||||||||
| Total Subcontractor | |||||||||||||||||||||
| Other Direct Costs | |||||||||||||||||||||
| Other Direct Costs - ABC | |||||||||||||||||||||
| (Add Appropriate ODC categories) | |||||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||||
| Overhead @ __% | |||||||||||||||||||||
| General and Administrative @ __% | |||||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | |||||||||||||||||||||
| Fixed Fee (at __%) | |||||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0005AB - Task Directives
| COST TEMPLATE | ||||
| 06/01/12 - 05/31/13 | ||||
| SLIN 0005AB | SLIN 0005AB | |||
| PDAC Services - Option Period 4 Task Directives | Total FTEs | Task Directives | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Labor Category ABC | ||||
| (Add Appropriate Labor Categories) | ||||
| Subtotal Direct Labor | ||||
| Fringe Benefits (at __%) | ||||
| Purchased Labor | ||||
| Total Direct Labor | ||||
| Travel | ||||
| SUBCONTRACTORS | ||||
| Subcontractor Name ABC | ||||
| (Add Subcontractor Names Here) | ||||
| Total Subcontractor | ||||
| Other Direct Costs | ||||
| Other Direct Costs - ABC | ||||
| (Add Appropriate ODC categories) | ||||
| Total Other Direct Costs | ||||
| SUBTOTAL ALL DIRECT COSTS | ||||
| Overhead @ __% | ||||
| General and Administrative @ __% | ||||
| SUBTOTAL COSTS BEFORE FEE | ||||
| Fixed Fee (at __%) | ||||
| TOTAL COST PLUS FIXED FEE | $50,000 |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
SLIN 0005AC - Closeout-Trans.
| COST TEMPLATE | ||||||||||||||||||
| 06/01/12 - 05/31/13 | ||||||||||||||||||
| SLIN 0005AC (See SOW Sec C.2) | SLIN 0005AC | SLIN 0005AC | SLIN 0005AC | SLIN 0005AC | SLIN 0005AC | |||||||||||||
| PDAC Services - Option Period 4 Closeout/Transition | Total FTEs | SOW Section C.2.1 - Transfer of PDAC Functions/Data/Ops | SOW Section C.2.2 - Closeout Project Plan | SOW Section C.2.3 - Meetings | SOW Section C.2.4 - Closeout Risk Management Plan | Other (Explain in Proposal) | GRAND TOTAL | |||||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | ||||||||||||||||||
| Direct Labor | ||||||||||||||||||
| Labor Category ABC | ||||||||||||||||||
| (Add Appropriate Labor Categories) | ||||||||||||||||||
| Subtotal Direct Labor | ||||||||||||||||||
| Fringe Benefits (at __%) | ||||||||||||||||||
| Purchased Labor | ||||||||||||||||||
| Total Direct Labor | ||||||||||||||||||
| Travel | ||||||||||||||||||
| SUBCONTRACTORS | ||||||||||||||||||
| Subcontractor Name ABC | ||||||||||||||||||
| (Add Subcontractor Names Here) | ||||||||||||||||||
| Total Subcontractor | ||||||||||||||||||
| Other Direct Costs | ||||||||||||||||||
| Other Direct Costs - ABC | ||||||||||||||||||
| (Add Appropriate ODC categories) | ||||||||||||||||||
| Total Other Direct Costs | ||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | ||||||||||||||||||
| Overhead @ __% | ||||||||||||||||||
| General and Administrative @ __% | ||||||||||||||||||
| SUBTOTAL COSTS BEFORE FEE | ||||||||||||||||||
| Fixed Fee (at __%) | ||||||||||||||||||
| TOTAL COST PLUS FIXED FEE |
&LRFP-CMS-2007-0019&C&"Arial,Bold"&12CONTRACTOR NAME GOES HERE
Pricing, Data Analysis, and Coding (PDAC) &L&F&C &R&P
C.3
| COST TEMPLATE | |||||||||||||||
| SLIN 0002AA - C.3 | C.3.1 | C.3.2 | C.3.3 | C.3.4 | |||||||||||
| DME Services | Total FTEs | Security | Compliance Program | Internal Controls | Business Continuity Planning | GRAND TOTAL | |||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||
| Direct Labor | |||||||||||||||
| Administrative Assistant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Administrative Support | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Adv Systems Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Adv Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Appeals Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Application Developer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Biostatistician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Business Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Business Analyst I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Business Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Business Analyst III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Claims Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Claims Processor II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Claims Processor III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Claims Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Computer Operator I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Computer Operator II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Computer Operator III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Customer Service Auditor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Customer Service Rep I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Customer Service Rep II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Customer Service Rep III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Customer Service Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Data Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Data Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Data Technician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Director, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Director, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Director, Info Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Director, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Director, Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| DM Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| DM Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| DM Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| E-Commerce Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| EDI Enrollment Spec | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| EDI Helpdesk Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| EDI Helpdesk Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| EDI Sr Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| EDI Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Grievance/Appeals Rep Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Implementation Project Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| IT Business System Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Job Control Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Business Information | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Claims | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Data Center | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Information Security | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Information Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Operations Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Network Data | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Performance Enhancement | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Manager, Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mcare Change Request Coor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mcare POE Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Medical Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Medical Policy Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mgr I Customer Care | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mgr I Grievance/Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mgr I Mcare Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Mgr II Medical Mgt | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| MR PSC Support Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| MSP Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Nurse Medical Mgt I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Nurse Medical Mgt II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Nurse Medical Mgt Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Operations Forecaster | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Outreach Congressional Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Outreach Media Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Outreach Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Outreach Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Performance Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Process Improvement Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Program Safeguard Contractor Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Programmer Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Provider Relations Research Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| QA Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| QI/Compliance Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Quality Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Recovery Specialist II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Refund Investigator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Refund Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Review Nurse | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Scheduling Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior Business Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior Data Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior Programmer Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Senior System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Special Inquiry Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Sr. Action Plan Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Tape Librarian | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| The Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Trainer I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Trainer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Claims Processing Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Subtotal Direct Labor | 0.00 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | ||||
| Fringe Benefits (at 73.92%) | 73.92% | $0 | 73.92% | $0 | $0 | 73.92% | $0 | $0 | |||||||
| Purchased Labor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | 0 | $0.00 | $0 | 0 | $0 | ||
| Total Direct Labor | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Travel | $0 | $0 | $0 | $0 | $0 | ||||||||||
| SUBCONTRACTORS | |||||||||||||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Total Subcontractor | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Other Direct Costs | |||||||||||||||
| Bonus | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Consulting | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Data Processing Services | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Depreciation/Amortization Expense | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Desktop Equipment | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Hardware/Software Maintenance | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Mailroom/Scanning | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Medicare Operations Directors | $ 3.0278 | $0 | $ 3.0278 | $0 | $0 | $ 3.0278 | $0 | $0 | |||||||
| Occupancy Expense | $ 4.5278 | $0 | $ 4.5278 | $0 | $0 | $ 4.5278 | $0 | $0 | |||||||
| Postage | $0 | $0 | $0 | $0 | $0 | ||||||||||
| $0 | $0 | $0 | $0 | $0 | |||||||||||
| Record Storage/General Supplies | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Supplies | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Telephone | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Training & Subscriptions | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Voice/Data Communications | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Total Other Direct Costs | $0 | $0 | $0 | $0 | $0 | ||||||||||
| SUBTOTAL ALL DIRECT COSTS | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Overhead @ 28.64% | 28.64% | $0 | 28.64% | $0 | $0 | 28.64% | $0 | $0 | |||||||
| General and Administrative @ 19.27% | 19.27% | $0 | 19.27% | $0 | $0 | 19.27% | $0 | $0 | |||||||
| SUBTOTAL COSTS BEFORE FEE | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Base Fee (at 1%) | 1.00% | $0 | 1.00% | $0 | $0 | 1.00% | $0 | $0 | |||||||
| Award Fee (at 4%) | 4.00% | $0 | 4.00% | $0 | $0 | 4.00% | $0 | $0 | |||||||
| TOTAL COSTS | $0 | $0 | $0 | $0 | $0 | $0 | |||||||||
| Complementary Credits | $0 | $0 | |||||||||||||
| TOTAL COSTS | $0 | $0 | $0 | $0 | $0 |
&C&"Arial,Bold"&12NATIONAL GOVERNMENT SERVICES, INC.
HHSM-500-2006-M0002Z
DME MEDICARE ADMINISTRATIVE CONTRACTOR (MAC)&"Arial,Regular"&10 &L&D SLIN = Sub Line Item Number &F
&C &R
C.3.3
| COST TEMPLATE | ||||||||||||
| SLIN 0002AA - C.3.3 | C.3.3.1 | C.3.3.2 | C.3.3.3 | |||||||||
| DME SERVICES | Total FTEs | Written Policies and Procedures | Attestation | Correcting Internal Control Deficiencies | GRAND TOTAL | |||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | ||||||||||||
| Direct Labor | ||||||||||||
| Administrative Assistant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Administrative Support | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Adv Systems Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Adv Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Appeals Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Application Developer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Biostatistician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Auditor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Data Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Data Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Data Technician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Info Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| DM Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| DM Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| DM Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| E-Commerce Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Enrollment Spec | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Helpdesk Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Helpdesk Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Sr Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Grievance/Appeals Rep Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Implementation Project Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| IT Business System Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Job Control Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Business Information | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Claims | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Data Center | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Information Security | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Information Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Operations Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Network Data | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Performance Enhancement | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mcare Change Request Coor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mcare POE Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Medical Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Medical Policy Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Customer Care | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Grievance/Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Mcare Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr II Medical Mgt | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| MR PSC Support Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| MSP Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Operations Forecaster | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Congressional Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Media Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Performance Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Process Improvement Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Program Safeguard Contractor Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Programmer Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Provider Relations Research Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| QA Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| QI/Compliance Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Quality Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Recovery Specialist II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Refund Investigator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Refund Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Review Nurse | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Scheduling Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Business Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Data Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Programmer Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Special Inquiry Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Sr. Action Plan Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Tape Librarian | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| The Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Trainer I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Trainer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processing Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Subtotal Direct Labor | 0.00 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||
| Fringe Benefits (at 73.92%) | 73.92% | $0 | 73.92% | $0 | 73.92% | $0 | $0 | |||||
| Purchased Labor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Total Direct Labor | $0 | $0 | $0 | $0 | ||||||||
| Travel | $0 | $0 | $0 | $0 | ||||||||
| SUBCONTRACTORS | ||||||||||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | ||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | ||||
| Total Subcontractor | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | ||||
| Other Direct Costs | ||||||||||||
| Bonus | $0 | $0 | $0 | $0 | ||||||||
| Consulting | $0 | $0 | $0 | $0 | ||||||||
| Data Processing Services | $0 | $0 | $0 | $0 | ||||||||
| Depreciation/Amortization Expense | $0 | $0 | $0 | $0 | ||||||||
| Desktop Equipment | $0 | $0 | $0 | $0 | ||||||||
| Hardware/Software Maintenance | $0 | $0 | $0 | $0 | ||||||||
| Mailroom/Scanning | $0 | $0 | $0 | $0 | ||||||||
| Medicare Operations Directors | $ 3.0278 | $0 | $ 3.0278 | $0 | $ 3.0278 | $0 | $0 | |||||
| Occupancy Expense | $ 4.5278 | $0 | $ 4.5278 | $0 | $ 4.5278 | $0 | $0 | |||||
| Postage | $0 | $0 | $0 | $0 | ||||||||
| $0 | $0 | $0 | $0 | |||||||||
| Record Storage/General Supplies | $0 | $0 | $0 | $0 | ||||||||
| Supplies | $0 | $0 | $0 | $0 | ||||||||
| Telephone | $0 | $0 | $0 | $0 | ||||||||
| Training & Subscriptions | $0 | $0 | $0 | $0 | ||||||||
| Voice/Data Communications | $0 | $0 | $0 | $0 | ||||||||
| Total Other Direct Costs | $0 | $0 | $0 | $0 | ||||||||
| SUBTOTAL ALL DIRECT COSTS | $0 | $0 | $0 | $0 | ||||||||
| Overhead @ 28.64% | 28.64% | $0 | 28.64% | $0 | 28.64% | $0 | $0 | |||||
| General and Administrative @ 19.27% | 19.27% | $0 | 19.27% | $0 | 19.27% | $0 | $0 | |||||
| SUBTOTAL COSTS BEFORE FEE | $0 | $0 | $0 | $0 | ||||||||
| Base Fee (at 1%) | 1.00% | $0 | 1.00% | $0 | 1.00% | $0 | $0 | |||||
| Award Fee (at 4%) | 4.00% | $0 | 4.00% | $0 | 4.00% | $0 | $0 | |||||
| TOTAL COSTS | $0 | $0 | $0 | $0 | ||||||||
| Complementary Credits | $0 | |||||||||||
| TOTAL COSTS | $0 | $0 | $0 | $0 |
&C&"Arial,Bold"&12NATIONAL GOVERNMENT SERVICES, INC.
HHSM-500-2006-M0002Z
DME MEDICARE ADMINISTRATIVE CONTRACTOR (MAC)&"Arial,Regular"&10 &L&D
C.4
| COST TEMPLATE | ||||
| SLIN 0002AA - C.4 | C.4.1 | |||
| DME Services | Total FTEs | Participate in Change Management Process | ||
| Hours | Rates | Total | ||
| COST ELEMENTS | ||||
| Direct Labor | ||||
| Administrative Assistant | 0 | $0 | ||
| Administrative Support | 0 | $0 | ||
| Adv Systems Engineer | 0 | $0 | ||
| Adv Sys Programming | 0 | $0 | ||
| Appeals Representative | 0 | $0 | ||
| Application Developer II | 0 | $0 | ||
| Biostatistician | 0 | $0 | ||
| Business Analyst | 0.00 | 0 | $0 | |
| Business Analyst I | 0 | $0 | ||
| Business Analyst II | 0 | $0 | ||
| Business Analyst III | 0 | $0 | ||
| Claims Processor I | 0 | $0 | ||
| Claims Processor II | 0 | $0 | ||
| Claims Processor III | 0 | $0 | ||
| Claims Team Lead | 0 | $0 | ||
| Clerk I | 0 | $0 | ||
| Clerk II | 0 | $0 | ||
| Computer Operator I | 0 | $0 | ||
| Computer Operator II | 0 | $0 | ||
| Computer Operator III | 0 | $0 | ||
| Customer Service Auditor | 0 | $0 | ||
| Customer Service Rep I | 0 | $0 | ||
| Customer Service Rep II | 0 | $0 | ||
| Customer Service Rep III | 0 | $0 | ||
| Customer Service Team Lead | 0.00 | 0 | $0 | |
| Data Analyst II | 0 | $0 | ||
| Data Analyst Sr | 0 | $0 | ||
| Data Technician | 0 | $0 | ||
| Director, Customer Service | 0 | $0 | ||
| Director, External Affairs | 0 | $0 | ||
| Director, Info Systems | 0 | $0 | ||
| Director, MSP | 0 | $0 | ||
| Director, Operations | 0.00 | 0 | $0 | |
| DM Clerk I | 0 | $0 | ||
| DM Clerk II | 0 | $0 | ||
| DM Specialist | 0 | $0 | ||
| E-Commerce Consultant | 0 | $0 | ||
| EDI Enrollment Spec | 0 | $0 | ||
| EDI Helpdesk Analyst | 0 | $0 | ||
| EDI Helpdesk Tech | 0 | $0 | ||
| EDI Sr Sys Engineer | 0 | $0 | ||
| EDI Team Lead | 0 | $0 | ||
| Grievance/Appeals Rep Lead | 0 | $0 | ||
| Implementation Project Director | 0 | $0 | ||
| IT Business System Analyst II | 0 | $0 | ||
| Job Control Tech | 0 | $0 | ||
| Manager, Appeals | 0 | $0 | ||
| Manager, Business Information | 0.00 | 0 | $0 | |
| Manager, Claims | 0 | $0 | ||
| Manager, Customer Service | 0 | $0 | ||
| Manager, Data Center | 0 | $0 | ||
| Manager, External Affairs | 0 | $0 | ||
| Manager, Information Security | 0 | $0 | ||
| Manager, Information Systems | 0 | $0 | ||
| Manager, MSP | 0 | $0 | ||
| Manager, Operations | 0 | $0 | ||
| Manager, Operations Service | 0 | $0 | ||
| Manager, Network Data | 0 | $0 | ||
| Manager, Performance Enhancement | 0 | $0 | ||
| Manager, Sys Programming | 0 | $0 | ||
| Mcare Change Request Coor | 0 | $0 | ||
| Mcare POE Consultant | 0 | $0 | ||
| Medical Director | 0 | $0 | ||
| Medical Policy Analyst Sr | 0 | $0 | ||
| Mgr I Customer Care | 0 | $0 | ||
| Mgr I Grievance/Appeals | 0 | $0 | ||
| Mgr I Mcare Operations | 0 | $0 | ||
| Mgr II Medical Mgt | 0 | $0 | ||
| MR PSC Support Liaison | 0 | $0 | ||
| MSP Coordinator | 0 | $0 | ||
| Nurse Medical Mgt I | 0 | $0 | ||
| Nurse Medical Mgt II | 0 | $0 | ||
| Nurse Medical Mgt Lead | 0 | $0 | ||
| Operations Forecaster | 0 | $0 | ||
| Outreach Congressional Liaison | 0 | $0 | ||
| Outreach Media Specialist | 0 | $0 | ||
| Outreach Representative | 0 | $0 | ||
| Outreach Team Lead | 0 | $0 | ||
| Performance Specialist | 0 | $0 | ||
| Process Improvement Coordinator | 0.00 | 0 | $0 | |
| Program Safeguard Contractor Liaison | 0 | $0 | ||
| Programmer Analyst II | 0 | $0 | ||
| Project Manager | 0 | $0 | ||
| Provider Relations Research Specialist | 0 | $0 | ||
| QA Analyst | 0 | $0 | ||
| QI/Compliance Analyst | 0.00 | 0 | $0 | |
| Quality Specialist | 0 | $0 | ||
| Recovery Specialist II | 0 | $0 | ||
| Refund Investigator | 0 | $0 | ||
| Refund Processor I | 0 | $0 | ||
| Review Nurse | 0 | $0 | ||
| Scheduling Analyst II | 0 | $0 | ||
| Security Analyst | 0 | $0 | ||
| Senior Business Analyst | 0.00 | 0 | $0 | |
| Senior Data Analyst | 0 | $0 | ||
| Senior Programmer Analyst | 0 | $0 | ||
| Senior Security Analyst | 0 | $0 | ||
| Senior Sys Engineer | 0 | $0 | ||
| Senior System Programmer | 0 | $0 | ||
| Special Inquiry Representative | 0 | $0 | ||
| Sr. Action Plan Coordinator | 0 | $0 | ||
| System Programmer | 0 | $0 | ||
| Tape Librarian | 0 | $0 | ||
| The Project Manager | 0 | $0 | ||
| Trainer I | 0 | $0 | ||
| Trainer II | 0 | $0 | ||
| Claims Processing Manager | 0 | $0 | ||
| Subtotal Direct Labor | 0.00 | 0 | $0 | |
| Fringe Benefits (at 73.92%) | $0 | |||
| Purchased Labor | 0 | $0 | ||
| Total Direct Labor | $0 | |||
| Travel | $0 | |||
| SUBCONTRACTORS | ||||
| Subcontractor Name | 0 | $0 | ||
| Subcontractor Name | 0 | $0 | ||
| Total Subcontractor | 0 | $0 | ||
| Other Direct Costs | ||||
| Bonus | $0 | |||
| Consulting | $0 | |||
| Data Processing Services | $0 | |||
| Depreciation/Amortization Expense | $0 | |||
| Desktop Equipment | $0 | |||
| Hardware/Software Maintenance | $0 | |||
| Mailroom/Scanning | $0 | |||
| Medicare Operations Directors | $0 | |||
| Occupancy Expense | $0 | |||
| Postage | $0 | |||
| $0 | ||||
| Record Storage/General Supplies | $0 | |||
| Supplies | $0 | |||
| Telephone | $0 | |||
| Training & Subscriptions | $0 | |||
| Voice/Data Communications | $0 | |||
| Total Other Direct Costs | $0 | |||
| SUBTOTAL ALL DIRECT COSTS | $0 | |||
| Overhead @ 28.64% | $0 | |||
| General and Administrative @ 19.27% | $0 | |||
| SUBTOTAL COSTS BEFORE FEE | $0 | |||
| Base Fee (at 1%) | $0 | |||
| Award Fee (at 4%) | $0 | |||
| TOTAL COSTS | $0 | |||
| Complementary Credits | $0 | |||
| TOTAL COSTS | $0 |
&C&"Arial,Bold"&12NATIONAL GOVERNMENT SERVICES, INC.
HHSM-500-2006-M0002Z
DME MEDICARE ADMINISTRATIVE CONTRACTOR (MAC)&"Arial,Regular"&10 &L&D
C.4.1
| COST TEMPLATE | |||||||||||||||
| SLIN 0002AA - C.4.1 | C.4.1.1 | C.4.1.2 | C.4.1.3 | C.4.1.4 | |||||||||||
| DME Services | Total FTEs | Compliance with Regulations and General Instructions | Review and Comment on Change Requests | Successful Implementation of Change Requests | Successful Post Implementation Operation | GRAND TOTAL | |||||||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS | |||||||||||||||
| Direct Labor | |||||||||||||||
| Administrative Assistant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Administrative Support | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Adv Systems Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Adv Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Appeals Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Application Developer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Biostatistician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Business Analyst I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Business Analyst III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processor III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Computer Operator III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Auditor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Rep III | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Customer Service Team Lead | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Data Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Data Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Data Technician | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Info Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Director, Operations | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| DM Clerk I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| DM Clerk II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| DM Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| E-Commerce Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Enrollment Spec | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Helpdesk Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Helpdesk Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Sr Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| EDI Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Grievance/Appeals Rep Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Implementation Project Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| IT Business System Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Job Control Tech | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Business Information | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Manager, Claims | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Customer Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Data Center | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, External Affairs | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Information Security | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Information Systems | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, MSP | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Operations Service | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Network Data | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Performance Enhancement | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Manager, Sys Programming | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mcare Change Request Coor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mcare POE Consultant | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Medical Director | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Medical Policy Analyst Sr | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Customer Care | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Grievance/Appeals | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr I Mcare Operations | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Mgr II Medical Mgt | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| MR PSC Support Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| MSP Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Nurse Medical Mgt Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Operations Forecaster | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Congressional Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Media Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Outreach Team Lead | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Performance Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Process Improvement Coordinator | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Program Safeguard Contractor Liaison | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Programmer Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Provider Relations Research Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| QA Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| QI/Compliance Analyst | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Quality Specialist | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Recovery Specialist II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Refund Investigator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Refund Processor I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Review Nurse | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Scheduling Analyst II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Business Analyst | 0.00 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 |
| Senior Data Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Programmer Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Security Analyst | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior Sys Engineer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Senior System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Special Inquiry Representative | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Sr. Action Plan Coordinator | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| System Programmer | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Tape Librarian | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| The Project Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Trainer I | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Trainer II | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Claims Processing Manager | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Subtotal Direct Labor | 0.00 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | ||||
| Fringe Benefits (at 73.92%) | 73.92% | $0 | 73.92% | $0 | 73.92% | $0 | 73.92% | $0 | $0 | ||||||
| Purchased Labor | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0.00 | $0 | 0 | $0 | |
| Total Direct Labor | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Travel | $0 | $0 | $0 | $0 | $0 | ||||||||||
| SUBCONTRACTORS | |||||||||||||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Subcontractor Name | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Total Subcontractor | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | 0 | $0 | |||||
| Other Direct Costs | |||||||||||||||
| Bonus | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Consulting | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Data Processing Services | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Depreciation/Amortization Expense | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Desktop Equipment | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Hardware/Software Maintenance | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Mailroom/Scanning | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Medicare Operations Directors | $ 3.0278 | $0 | $ 3.0278 | $0 | $ 3.0278 | $0 | $ 3.0278 | $0 | $0 | ||||||
| Occupancy Expense | $ 4.5278 | $0 | $ 4.5278 | $0 | $ 4.5278 | $0 | $ 4.5278 | $0 | $0 | ||||||
| Postage | $0 | $0 | $0 | $0 | $0 | ||||||||||
| $0 | $0 | $0 | $0 | $0 | |||||||||||
| Record Storage/General Supplies | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Supplies | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Telephone | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Training & Subscriptions | $0 | $0 | $0 | $0 | $0 | ||||||||||
| Voice/Data Communications | $0 | $0 | $0 | $0 | $0 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .