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Scenario Configuration

This name will help you identify the scenario later

Geographic Practice Cost Index location for fee calculations

% of Medicare

Enter the percentage of Medicare rates to use (e.g., 100 for standard Medicare, 120 for 120% of Medicare)

Is this a facility-based practice?

Apply 85% of the rate?

How scenarios work:

  • Each scenario represents a specific fee calculation configuration
  • The Medicare percentage allows you to model different payment rates (e.g., 120% of Medicare)
  • The GPCI location affects regional payment adjustments
  • Facility settings determine which RVU values are used
  • PA/NP providers receive 85% of the calculated rate (applied after Medicare %)
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