Net Revenue Calculator

  1.  When a patient is using device a minimum of 16 times per month, 99457 and 99458 requirements are met
  2. When a patient is using device a minimum of 16 times per month, 99457 and 99458 requirements are met
  3. If patient uses devide another 10 time per month, then this code will be utilized fully
  4. Most practices will switch to outsourced interpretation at 75-100 patients
  5. Assumes 50% of patients have an office visit (times per year in cell D2) 50-75% of patients will have abnormal reading and require office visit/telemedicine
  6. Assumes 25% of patients have a virtual visit (times per year in cell D2).
  7. Assumes 25% of patients have a virtual visit (times per year in cell D2). NOTE: Part B pays an additional $16.62 for a total of $83.08
  8. National Averages are used for reimbursement rates. We can provide reimbursement in your area based on your state/billing zone. Also available at CMS.gov/physicianfeeschedule2022