Medicare Stimulus Calculator

Please complete the following 5 questions to calculate your Medicare stimulus incentive payments.
  Number of MDs in the practice
  Average # of Patients/MD/Day
  # of paitents that are Medicare
  Avg. submitted allowable per medicare patient
  Working days per year
Stimulus payments per physician using Medicare incentives
2011 2012 2013 2014 2015 Total
Stimulus payments per practice using Medicare incentives
2011 2012 2013 2014 2015 Total

 

   
   

Example:
Providers see’s 20 patients per day, 30% are Medicare and the average submitted allowable per Medicare patient is 55.00. This provider works 240 days per year. Based on this provider: 20 * .30 = 6 Medicare patients per day, 6 * 55 = $330 Medicare allowable charges per day, $330.00 * 240 = $79,200 * .75 = $59,400. This provider would be eligible for $18,000 in 2011 if all the “meaningful use” criteria is met.

Medicare payments will be based on 75% of the submitted allowable charges. For example, a doctor’s office which has allowable Medicare charges totaling $24,000 or more will be eligible to receive the full $18,000 in allotted EHR stimulus money. A provider with $13,350 in allowable Medicare charges would only be eligible for $10,000. “Allowable charges” equal Medicare’s fee schedule, not the actual provider’s fee schedule (or Medicare 80% part B reimbursement).