Attachment J.2 Cost Template E-1.xlsx
XLSX spreadsheet 87 KB Posted
- Attached to
- National Correct Coding Initiative Federal contract opportunity
- Solicitation number
- RFP-CMS-2011-0010
About this file
Cost Proposal Template E-1
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 000002.pdf | ||
| NCCIversion17_0chgs.zip | ZIP file | |
| CCI Solicitation amendment 000001.docx | DOCX document | |
| NCCI TOC Rebid SOW amendment 000001.docx | DOCX document | |
| Amendment 000001.pdf | ||
| NCCI.V17.0.CCI.CR.1.1.2011.R2097CP.pdf | ||
| NCCI Contract Rebid Vendor Questions Medicare Medicaid 2.1.11.doc | DOC document | |
| NCCI.2010.CLM.02222010.doc | DOC document | |
| J.5 Virus_Detection_Certification.doc | DOC document | |
| Amendment01pages2.doc | DOC document | |
| finalNCCIcodingpolicymanual_083110.zip | ZIP file | |
| RFP-2011-0010 SF33.pdf | ||
| Attachment J.1 CCI SOW.docx | DOCX document | |
| Coverletter RFP-CMS-2011-0010.pdf | ||
| Attachment J.4 Responsibility Questionnaire.docx | DOCX document | |
| RFP-CMS-2011-0010 Section B-M.docx | DOCX document | |
| Attachment J.2 Cost Temlate E-2.xlsx | XLSX spreadsheet | |
| Attachment J.3 PastPerformanceQuestionnaire.docx | DOCX document |
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Text version
CLIN 0001
| CLIN 0001 - Medicare | ||||||||||||||||||||||||||||||||||||||||||||||
| Tasks | Total FTEs | Task 1 | Task 2 | Task 3 | Task 4 | Task 5 | Task 6 | Task 7 | Task 8 | Task 9 | Task 10 | Task 11 | Task 12 | Task 13 | Task 14 | Total | ||||||||||||||||||||||||||||||
| Annual FTE | 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 | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0001 ODC
ODCs Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 Task 9 Task 10 Task 11 Task 12 Task 13 Task 14 Total
TOTAL ODCs
CLIN 0002
| CLIN 0002 - Medicaid | |||||||
| Tasks | Total FTEs | Tasks 15-34 | Totals | ||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0002 ODC
ODCs Tasks 15-35 TOTAL
TOTAL ODCs
CLIN 0003
| CLIN 0003 - Medicare | ||||||||||||||||||||||||||||||||||||||||||||||
| Tasks | Total FTEs | Task 1 | Task 2 | Task 3 | Task 4 | Task 5 | Task 6 | Task 7 | Task 8 | Task 9 | Task 10 | Task 11 | Task 12 | Task 13 | Task 14 | Total | ||||||||||||||||||||||||||||||
| Annual FTE | 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 | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0003 ODC
ODCs Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 Task 9 Task 10 Task 11 Task 12 Task 13 Task 14 Total
TOTAL ODCs
CLIN 0004
| CLIN 0004 - Medicaid | |||||||
| Tasks | Total FTEs | Tasks 15-34 | Totals | ||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0004 ODC
ODCs Tasks 15-35 TOTAL
TOTAL ODCs
CLIN 0005
| CLIN 0005 - Medicare | ||||||||||||||||||||||||||||||||||||||||||||||
| Tasks | Total FTEs | Task 1 | Task 2 | Task 3 | Task 4 | Task 5 | Task 6 | Task 7 | Task 8 | Task 9 | Task 10 | Task 11 | Task 12 | Task 13 | Task 14 | Total | ||||||||||||||||||||||||||||||
| Annual FTE | 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 | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0005 ODC
ODCs Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 Task 9 Task 10 Task 11 Task 12 Task 13 Task 14 Total
TOTAL ODCs
CLIN 0006
| CLIN 0006 - Medicaid | |||||||
| Tasks | Total FTEs | Tasks 15-34 | Totals | ||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0006 ODC
ODCs Tasks 15-35 TOTAL
TOTAL ODCs
CLIN 0007
| CLIN 0007 - Medicare | ||||||||||||||||||||||||||||||||||||||||||||||
| Tasks | Total FTEs | Task 1 | Task 2 | Task 3 | Task 4 | Task 5 | Task 6 | Task 7 | Task 8 | Task 9 | Task 10 | Task 11 | Task 12 | Task 13 | Task 14 | Total | ||||||||||||||||||||||||||||||
| Annual FTE | 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 | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0007 ODC
ODCs Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 Task 9 Task 10 Task 11 Task 12 Task 13 Task 14 Total
TOTAL ODCs
CLIN 0008
| CLIN 0008 - Medicaid | |||||||
| Tasks | Total FTEs | Tasks 15-34 | Totals | ||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0008 ODC
ODCs Tasks 15-35 TOTAL
TOTAL ODCs
CLIN 0009
| CLIN 0009 - Medicare | ||||||||||||||||||||||||||||||||||||||||||||||
| Tasks | Total FTEs | Task 1 | Task 2 | Task 3 | Task 4 | Task 5 | Task 6 | Task 7 | Task 8 | Task 9 | Task 10 | Task 11 | Task 12 | Task 13 | Task 14 | Total | ||||||||||||||||||||||||||||||
| Annual FTE | 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 | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0009 ODC
ODCs Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 Task 9 Task 10 Task 11 Task 12 Task 13 Task 14 Total
TOTAL ODCs
CLIN 0010
| CLIN 0010 - Medicaid | |||||||
| Tasks | Total FTEs | Tasks 15-34 | Totals | ||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | |
| _____ |
Direct Labor
Subtotal Direct Labor
Overhead %
Total Direct Labor and Overhead
Travel (See separate schedule)
Total Other Direct Costs
| SUBCONTRACTORS |
| Subcontractor Name |
| Subcontractor Name |
Total Subcontractor
G&A %
Subtotal Costs (Basis for Fee Application)
Base Fee %
Total Price
CLIN 0010 ODC
ODCs Tasks 15-35 TOTAL
TOTAL ODCs
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