Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 90.10
Allocation of Overhead and General and Administrative Costs
90.10 - Allocation of Overhead and General and Administrative Costs
(Rev. 26, 12-08-03)
A1-1212.10, B1-4212.10
The contractor shall allocate overhead and general and administrative costs to all
activities. with the exception of productivity investment (PI) activities. Incremental
overhead and general and administrative costs attributable to PI projects should be
eliminated from the allocation pool and included in the overhead and general and
administrative cost line items of the PI project. These allocations should be based on the
ratio of each activity's total costs to the sum of all activity costs. Included in costs are
salaries and wages, fringe benefits, EDP Equipment, other direct costs, other costs (if
applicable), and non-COB credits. It shall exclude subcontract costs from the calculation.
For example, the only ongoing activities the contractor performs is for Bills/Claims
Payment and Appeals. The Total Costs prior to " other adjustments" of salaries and
wages, fringe benefits, EDP equipment, other direct costs, other costs, and non-COB
credits equals $1,000,000 for the Bills/Claims Payment and the Subcontract cost is
$100,000. The same costs are $250,000 and $25,000 for Appeals and $50,000 and
$75,000 for Productivity Investments. Overhead for this period totaled $77,000 and
general and administrative (G&A) costs totaled $26,000.
Subcontract costs, other adjustments and forward funding are not considered in this
allocation.
Salaries &
Wages,
etc.
Overhead
Allocated
Percent
Allocated
G&A
Allocated
Percent
Allocated
Sub-
contracts
Total
Cost
Bills/Claims
Payment
$1,000,000
$60,000
80%
$20,000
80% $100,000$1,180,000
Appeals
250,000
15,000
20%
5,000
20%
25,000
295,000
Prod.
Investments
(PI)
50,000
2,000
0%
1,000
0%
75,000
128,000
Total Cost $1,300,000
$77,000
100%
$26,000
100% $200,000$1,603,000
Less PI
(50,000)
Basis for
Allocation
1,250,000
Less PI
Overhead &
G&A
(2,000)
(1,000)
Allocable
Overhead &
G&A
75,000
25,000
The basis for this allocation excludes the direct PI cost and the incremental Overhead and
G&A costs attributable to the PI. In this example, 80% of the non-incremental Overhead
and G&A were allocated to Bills/Claims Payment because this activity comprises 80% of
the cost the total allocation base for Salaries & Wages, etc. ($1,000,000/$1,250,000).
In this example, 80 percent of the overhead and 80 percent of the general and
administrative costs were allocated to Bills/Claims Payment because salaries & wages,
etc. are that percentage of the basis. Subcontract costs, other adjustments and forward
funding are not considered in this allocation.