5 steps to calculate your 2005 Part B payments

Why This Topic Matters

Medicare payment updates can materially affect practice revenue, so a structured comparison helps organizations forecast changes before they occur. The article is useful for budgeting, contract planning, and identifying which billed services may drive the largest financial shifts.

Article Sections

1. Create a comparison spreadsheet

   Introduces a worksheet-based approach for organizing codes, utilization, and payment information across two years.

2. Gather billed services and utilization data

   Explains how to pull billed codes and service frequency from practice management or Medicare payment records.

3. Determine Medicare fee schedule amounts

   Covers obtaining locality-specific payment amounts for the years being compared and reviewing service categories that may affect the analysis.

4. Calculate per-code payment differences

   Describes the step used to compare payment amounts for individual services and prepare the figures for later aggregation.

5. Project total revenue impact

   Shows how the per-code changes are combined to estimate the overall effect on Medicare revenues and broader practice revenue.