Medicare Stimulus Calculator
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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).
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