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Background: The RN-BSN Student group presented their findings to the board. The board informed the group that additional information would be needed since the proposal

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Background:The RN-BSN Student group presented their findings to the board. The board informed the group that additional information would be needed since the proposal included the use of Nurse Practitioner that would bill according toCPT codes. Since reimbursement is dependent upon coding, the RN-BSN team was asked to project the break- even analysis for visits when considering reimbursement for each CPT code, the variable costs associated with each type of visit and the estimated percentage of visits for each CPT code for both new and existing patients.The RN-BSN team historical data and partnered with the Health Care Management students and faculty to develop the table below.

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Contribution Weight Variable Cost Margin Percentage Contribution Visit CPT Code Visit Price per Visit ( ) = loss of Visits Margin New Patient 99201 $30 $35* ($5) 10% (0.5) 99202 45 20 25 11 2.75 99203 65 30 35 9 3.15 99204 80 32 48 14 6.75 99205 90 40 50 10 5.0 Existing Patient 99211 20 22 (2) 10 (0.2) 99212 40 20 20 9 1.8 99213 50 25 25 8 2.0 99214 75 35 40 10 4.0 99215 110 40 70 12 8.4 32.90

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