A non-participating physician provides services to a Medicare patient who has total charges of $100 (before Medicare’s limiting charge is applied). The physician does not accept assignment, charges...

1 answer below »

A non-participating physician provides services to a Medicare patient who has total charges of $100 (before Medicare’s limiting charge is applied). The physician does not accept assignment, charges the maximum allowable, and submits the claim to Medicare. Assume Medicare’s approved schedule for these services is $80.


A. What is the Medicare portion of the physician payment (that Medicare sends to the patient)?


B. What is the patient’s portion of the payment to the physician (net of the reimbursement from Medicare in the information above?





Answered Same DayDec 26, 2021

Answer To: A non-participating physician provides services to a Medicare patient who has total charges of $100...

David answered on Dec 26 2021
117 Votes
The physician in the present case is non-participating who doesn’t accept assignment.
Now, Total c
harge = $100
Medicare’s approved schedule = $80
Maximum charge physician is allowed to charge from patient
= (Participating factor or approved fee for participating physician * Medicare’s...
SOLUTION.PDF

Answer To This Question Is Available To Download

Related Questions & Answers

More Questions »

Submit New Assignment

Copy and Paste Your Assignment Here