Medicare providers:
x = Average number of patients per provider per day
y = % of patient who are Medicare
z = Average submitted allowable per Medicare patient
a = Working days per year for the provider
(.75(a(z(y*x)))) = Eligible Medicare submitted allowable charges
Exampe: 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 eligiable for $18,000 in 2011 if all the “meaningful use” criteria is met.
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