The $500 Ladder

Primary sources. Published arithmetic. No courses.

The playbook · Edition 054

The modifier nobody billed: capturing a 16% — or 32% — Medicare add-on for practices that never claimed the flat version

The step-by-step playbook behind Medicare’s 2027 rule pays ACO clinicians double on a code 76% never bill.

What is inside

  1. The one-page conclusion
  2. Phase A · Standing it up
  3. Phase B · The first practice
  4. Phase C · The three clocks
  5. Fees and who takes them
  6. The rules that govern it
  7. The engagement, end to end
  8. Records and the audit file
  9. Counterparties and dependencies
  10. Who is responsible for what
  11. Risk, gates, the long watch
  12. The pre-assessment, in full
  13. Cost, timeline, break-even
  14. Checklist and 30/60/90
  15. Not yet verified
  16. Sources