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					               BILLING WORKSHEET: MEDICARE PATIENTS *
                                         Assumptions
10 new consults per week = 520/year; all billing is solely by a physician

New encounters billed at: 50% Level 3; 40% Level 2; 10% Level 1

Average of 3 follow-ups per patient: 60% Level 3; 20% Level 2; 20% Level 1;
           New Consults            520
                                                                  EXAMPLE BASED ON ASSUMPTIONS
         Follow-Up visits         1560


                                           Billing/
                                E&M Code Encounter *    % Code      # Encounters       Total      GO TO Line 32 to ente
Initial Hospital Consultation                                                                        your own data
                                 99221       $87          10%               52     $      4,524
        50 minutes

Initial Hospital Consultation
                                 99222       $118         40%               208    $     24,544
        80 minutes

Initial Hospital Consultation
                                 99223       $174         50%               260    $     45,240
        110 minutes

     Subsequent Visit
      Inpatient Care             99231       $36          20%               312    $     11,232
        15 minutes

     Subsequent Visit
      Inpatient Care             99232       $65          20%               312    $     20,280
        25 minutes

     Subsequent Visit
      Inpatient Care             99233       $93          60%               936    $     87,048
        35 minutes


    Total for Year                                                                 $192,868

Billing/Encounter: Medicare Fee Schedule *
AMA Website Source: https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp?checkXwho=done
 Source Date: 1/21/2010 Data is for Wisconsin
* This data is only applied to Medicare patients. Your total billing/reimbursement
  estimate must be adjusted to account for non-Medicare patients.
                                         YOUR DATA
                                                       Enter the expected number
           New Consults                                 of consults in Cell B32.
         Follow-Up visits #VALUE!


                                           Billing/
                                E&M Code Encounter *     % Code    # Encounters          Total
Initial Hospital Consultation
                                 99221       $87          10%        #VALUE!       #VALUE!
        50 minutes

Initial Hospital Consultation
                                 99222       $118         40%        #VALUE!       #VALUE!
        80 minutes

Initial Hospital Consultation
                                 99223       $174         50%        #VALUE!       #VALUE!
        110 minutes

     Subsequent Visit
      Inpatient Care             99231       $36          20%        #VALUE!       #VALUE!
        15 minutes

     Subsequent Visit
      Inpatient Care             99232       $65          20%        #VALUE!       #VALUE!
        25 minutes
     Subsequent Visit
      Inpatient Care
        35 minutes               99233       $93          60%        #VALUE!       #VALUE!

    Total for Year                                                                 #VALUE!



                     Search the AMA Website for           You can vary the percentages
                     Medicare reimbursement rates, by     in the "%
                     E&M code in your location; enter     Code" column.
                     in this column.