You work for Simple Orthopedic Group in Dallas, TX and are projecting revenue for fiscal year 2021. Using the following information from the Medicare Fee Schedule and the Geographic Practice Cost Index, calculate the payments for a level 4 established office visit and lumbar spinal fusion. a. Calculate the Adjusted Work, Practice Expense, and Malpractice Expense RVUs using the GPCI adjustment factors for each geography, and the resulting Total RVU (TRVU) b. Calculate the adjusted rate c. Modify the adjusted rate assuming that the providers are participating in Medicare, are not in a Health Provider Shortage Area, and have received full credit for Quality and MIPS participation. d. Show the payment for both a non-physician (advanced practice clinician such as a PA or an APC), and a physician. GPCI Adjusted Work PE MP 85% 95% 10% Non-physician Non-participating HPSA 5% Quality 3% MIPS Conv Factor Adj Rate Non-Physician Payment Physician Payment TRVU MAC Locality MAC Description O NATIONAL 441211 TEXAS Locality Description GPCI Work GPCI PE GPCI MP NATIONAL 1 1 1 DALLAS 1.023 1.026 0.546 99214 22558 Office o/p est mod 30-39 min Lumbar spine fusion 1.92 23.53 0.82 15.54 0.14 6.05 34.8931 34.8931 You work for Simple Orthopedic Group in Dallas, TX and are projecting revenue for fiscal year 2021. Using the following information from the Medicare Fee Schedule and the Geographic Practice Cost Index, calculate the payments for a level 4 established office visit and lumbar spinal fusion. a. Calculate the Adjusted Work, Practice Expense, and Malpractice Expense RVUs using the GPCI adjustment factors for each geography, and the resulting Total RVU (TRVU) b. Calculate the adjusted rate c. Modify the adjusted rate assuming that the providers are participating in Medicare, are not in a Health Provider Shortage Area, and have received full credit for Quality and MIPS participation. d. Show the payment for both a non-physician (advanced practice clinician such as a PA or an APC), and a physician. GPCI Adjusted Work PE MP 85% 95% 10% Non-physician Non-participating HPSA 5% Quality 3% MIPS Conv Factor Adj Rate Non-Physician Payment Physician Payment TRVU MAC Locality MAC Description O NATIONAL 441211 TEXAS Locality Description GPCI Work GPCI PE GPCI MP NATIONAL 1 1 1 DALLAS 1.023 1.026 0.546 99214 22558 Office o/p est mod 30-39 min Lumbar spine fusion 1.92 23.53 0.82 15.54 0.14 6.05 34.8931 34.8931