|
CONTRACT ITEMS/SERVICES BY VENDOR
|
| Vendor:
MYERS & STAUFFER LC
|
Contract Number:
81282
|
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 547530 / S006
SENIOR BENEFITS & UTILIZATION MANAG
12B QUAKERBRIDGE PLAZA
BUILDING 12, ROOM B07
MERCERVILLE NJ 08619
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00001
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
FIELD AUDITS
(RFP SECTION 3.2.1)
|
40.000
|
EACH
|
N/A
|
$16500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00002
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
FOCUSED AUDITS
RFP SECTION 3.2.2
|
140.000
|
EACH
|
N/A
|
$3302.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00003
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
CLINICAL ACUITY AUDITS
(RFP SECTION 3.2.3)
|
140.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00004
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
REVIEW OF STATE'S METHODOLOGY AND DSH
AUDIT PROTOCOL, COMPILATION OF COST AND
REVENUE DATA AND DSH PAYMENTS, AND
TRAINING
(RFP SECTIONS 3.13 - 3.17)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
1.000
|
EACH
|
N/A
|
$10000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00005
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
ON-SITE DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
15.000
|
EACH
|
N/A
|
$4000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00006
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
DESK DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
85.000
|
EACH
|
N/A
|
$2900.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00007
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
PREPARATION OF DSH REPORT FOR CMS
(RFP SECTION 3.19)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
1.000
|
EACH
|
N/A
|
$5000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00008
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
POST AUDIT REVIEW
(RFP SECTION 3.20)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
1.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00009
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 1
ASSISTANCE WITH CMS INQUIRIES
(RFP SECTION 3.21)
SHIP TO: 547540 / S001
MEDICAL ASSISTANCE/HEALTH SERVICES
GENERAL SERVICES UNIT (DMAHS)
7 QUAKERBRIDGE PLAZA
TRENTON NJ 08625-0712
|
1.000
|
EACH
|
N/A
|
$2500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00010
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
FIELD AUDITS
(RFP SECTION 3.2.1)
|
40.000
|
EACH
|
N/A
|
$16500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00011
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
FOCUSED AUDITS
(RFP SECTION 3.2.2)
|
140.000
|
EACH
|
N/A
|
$3302.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00012
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
CLINICAL ACUITY AUDITS
(RFP SECTION 3.2.3)
|
140.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00013
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
REVIEW OF STATE'S METHODOLOGY AND DSH
AUDIT PROTOCOL, COMPILATION OF COST AND
REVENUE DATA AND DSH PAYMENTS, AND
TRAINING
(RFP SECTIONS 3.13 - 3.17)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$10000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00014
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
ON-SITE DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
15.000
|
EACH
|
N/A
|
$4000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00015
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
DESK DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
85.000
|
EACH
|
N/A
|
$2900.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00016
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
PREPARATION OF DSH REPORT FOR CMS
(RFP SECTION 3.19)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$5000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00017
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
POST AUDIT REVIEW
(RFP SECTION 3.20)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00018
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 2
ASSISTANCE WITH CMS INQUIRIES
(RFP SECTION 3.21)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$2500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00019
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
FIELD AUDITS
RFP SECTION 3.2.1
|
40.000
|
EACH
|
N/A
|
$16500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00020
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
FOCUSED AUDITS
(RFP SECTION 3.2.2)
|
140.000
|
EACH
|
N/A
|
$3302.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00021
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
CLINICAL ACUITY AUDITS
(RFP SECTION 3.2.3)
|
140.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00022
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
REVIEW OF STATE'S METHODOLOGY AND DSH
AUDIT PROTOCOL, COMPILATION OF COST AND
REVENUE DATA AND DSH PAYMENTS, AND
TRAINING
(RFP SECTIONS 3.13 - 3.17)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$10000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00023
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
ON-SITE DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
15.000
|
EACH
|
N/A
|
$4000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00024
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
DESK DSH AUDITS
(RFP SECTION 3.18)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
85.000
|
EACH
|
N/A
|
$2900.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00025
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
PREPARATION OF DSH REPORT FOR CMS
(RFP SECTION 3.19)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$5000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00026
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
POST AUDIT REVIEW
(RFP SECTION 3.20)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$2000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00027
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
CONTRACT YEAR 3
ASSISTANCE WITH CMS INQUIRIES
(RFP SECTION 3.21)
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
EACH
|
N/A
|
$2500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00028
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
AGGREGATE OF FIRM FIXED PRICED TASKS
SPECIFIED IN AMENDMENT 1 TO CONTRACT
FOR DELIVERY SYSTEM REFORM INCENTIVE
POOLS 10/22/2012.
SHIP TO: 464210 / S003
FINANCIAL SERVICES
FINANCIAL SERVICES
369 S WARREN ST
PO BOX 360
TRENTON NJ 08625-0360
|
1.000
|
TASK
|
N/A
|
$498097.11000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00029
|
COMM CODE:
946-20-082197
[FINANCIAL SERVICES]
ITEM DESCRIPTION:
ALL-INCLUSIVE HOURLY RATE FOR SUPPORT
ON APPEALS OF ACUITY AUDITS. NOT TO
EXCEED $2,900.00 PER FACILITY UNDER
APPEAL, PURSUANT TO AMENDMENT 2.
|
1.000
|
HOUR
|
N/A
|
$125.00000
|