Spreadsheet: 432f868c-db3c-4de0-b21d-88ed81acd93f
Sheet: Reimbursement Calculator

Interactive Reimbursement Calculator
How to use the Calculator:
Enter your average weekly Medicare patient load into the yellow box adjacent to the corresponding
CPT codes. The calculator will estimate your Medicare payments per week and through the first
six months of the year.
CPT |  | Utilization       Per Week | 2010 Revenue | 2011 Revenue | Change |  | Conversion Factor | 36.8729 | 33.9764
Office, new |  |  |  |  |  |  | Year | 2010 | 2011 (+0.0%) |  |  | 2010 Allowance | 2011 Allowance | Change
99201 |  | 0 |  |  |  |  |  | Total RVUs
99202 |  | 0 |  |  |  |  |  |  |  | CPT
99203 |  | 0 |  |  |  |  |  |  |  | Office, new
99204 |  | 0 |  |  |  |  |  |  |  | 99201
99205 |  | 0 |  |  |  |  |  |  |  | 99202
Office, established |  |  |  |  |  |  |  |  |  | 99203
99211 |  | 0 |  |  |  |  |  |  |  | 99204
99212 |  | 0 |  |  |  |  |  |  |  | 99205
99213 |  | 0 |  |  |  |  |  |  |  | Office, estab
99214 |  | 0 |  |  |  |  |  |  |  | 99211
99215 |  | 0 |  |  |  |  |  |  |  | 99212
Initial hospital |  |  |  |  |  |  |  |  |  | 99213
99221 |  | 0 |  |  |  |  |  |  |  | 99214
99222 |  | 0 |  |  |  |  |  |  |  | 99215
99223 |  | 0 |  |  |  |  |  |  |  | Initial hospital
Subsequent hospital |  |  |  |  |  |  |  |  |  | 99221
99231 |  | 0 |  |  |  |  |  |  |  | 99222
99232 |  | 0 |  |  |  |  |  |  |  | 99223
99233 |  | 0 |  |  |  |  |  |  |  | Subsequent hospital
Hospital discharge |  |  |  |  |  |  |  |  |  | 99231
99238 |  | 0 |  |  |  |  |  |  |  | 99232
99239 |  | 0 |  |  |  |  |  |  |  | 99233
Office consult (not covered by Medicare) |  |  |  |  |  |  |  |  |  | Hospital discharge
99241 |  | 0 |  |  |  |  |  |  |  | 99238
99242 |  | 0 |  |  |  |  |  |  |  | 99239
99243 |  | 0 |  |  |  |  |  |  |  | Office consult
99244 |  | 0 |  |  |  |  |  |  |  | 99241
99245 |  | 0 |  |  |  |  |  |  |  | 99242
Inpatient consult (not covered by Medicare) |  |  |  |  |  |  |  |  |  | 99243
99251 |  | 0 |  |  |  |  |  |  |  | 99244
99252 |  | 0 |  |  |  |  |  |  |  | 99245
99253 |  | 0 |  |  |  |  |  |  |  | Inpatient consult
99254 |  | 0 |  |  |  |  |  |  |  | 99251
99255 |  | 0 |  |  |  |  |  |  |  | 99252
Emergency visit |  |  |  |  |  |  |  |  |  | 99253
99281 |  | 0 |  |  |  |  |  |  |  | 99254
99282 |  | 0 |  |  |  |  |  |  |  | 99255
99283 |  | 0 |  |  |  |  |  |  |  | Emergency visit
99284 |  | 0 |  |  |  |  |  |  |  | 99281
99285 |  | 0 |  |  |  |  |  |  |  | 99282
Critical care |  |  |  |  |  |  |  |  |  | 99283
99291 |  | 0 |  |  |  |  |  |  |  | 99284
99292 |  | 0 |  |  |  |  |  |  |  | 99285
Totals Per Week |  |  |  |  |  |  |  |  |  | 99291
 |  |  |  |  |  |  |  |  |  | 99292
[NAME] 2010: | 0
Totals Thru June 30
NOTES:
2010 revenue is based on 1) the 2010 total RVUs for individual services including adjustments to reflect Medicare's decision to eliminate payments for consultation codes
and the 1st year of a 4-year transition to new PE RVUs, 2) a +2.2% physician payment update from 6/1/2010-12/31/2010, 3) the 2010 CF with no geographic adjustment.
2011 revenue is based on 1) the 2011 total RVUs for individual services including adjustments to reflect rebasing and revising of  the Medicare Economic Index and
the 2nd of a 4-year transition to new PE RVUs, 2) a 0% physician payment update, 3) the 2011 CF with no geographic adjustment.
The financial impact of the RVU increases for each physician will vary depending on patient volume, payer mix, and code frequency distribution.