Medicare Participating Revenue Calculations

Physicians & Medical Healthcare Providers  are increasingly having to make decisions as to whether to stay participating in the Medicare program due to continual decreased revenue and the impact of this on the bottom line of their practice with continued increase in operating costs.  The American Medical Association has put out a calculator that will help you estimate how much your total revenues from Medicare patients would change if you switch your status from Medicare participation (PAR) to non-participation (non-PAR). In general, revenues for non-PAR physicians’ assigned claims would decrease by 5 percent from PAR rates, and revenues for unassigned claims would increase by 9.25 percent from PAR rates. Use this tool to approximate how making the change might affect you.  Depending on what you choose to do, you may need to change your status with Medicare.  Additional information is here.

Tags: Medical Billing, Medical Practice, Medicare