ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Step 1: Calculate Annual Allowance
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ACost of APD Machine$7,500
Input received Director of Operations at 10+ dialysis clinics
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B
Mark-up for MAC Pricing
25%
Assumption to account for factors such as facility charges
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CTotal Allowance$9,375 Calc: A * (1+B)
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DUseful Life (Yrs)5Assumption
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EAnnual Allowance$1,875 Calc: C / D
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Step 2: Calculate Per Treatment Amount
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FAnnual Allowance$1,875 From Step 1E
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GTreatments Per Year156
Maximum number that can be used in calculation per CMS
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H
Per Treatment Amount
$12.02 Calc: F / G
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Step 3: Assign Value Code QH (FISS)
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I
Per Treatment Amount
$12.02 From Step 2H
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J
Allowable Treatments per Month
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Maximum number that can be used in calculation per CMS
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KValue Code QH$156.25 Calc: I * J
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Step 4: Calculate Adjusted per Treatment Amount
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LValue Code QH$156.25 From Step 3K
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M
Treatments Adminstered
13Assumption - roughly 3 treatments per week
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N
Per Treatment Amount
$12.02 Calc: L / M
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OPer Treatment Offset$9.32 Set by CMS
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P
Pre-Adjusted per Treatment Amount
$2.70 Calc: N - O
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QAdjustment Amount65%Set by CMS
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R
Adjusted Per Treatment Amount
$1.75 Calc: P * Q
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