A non-participating physician provides services to a Medicare patient who has total charges of $100 (before Medicare’s limiting charge is applied).

 

  1. 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.
    • What is the maximum amount the physician is allowed to charge the patient?
    • What is the Medicare portion of the physician payment (which Medicare sends to the patient)?
    • What is the patient’s portion of the payment to the physician (net of the reimbursement from Medicare in the previous question)?
    • Would the physician have been better off by accepting assignment on this case? Why or why not?
  2. How do a high percentage of Medicaid (not Medicare) patients influence a hospital’s prices?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Instructions: Reply to the following posts. The due date is 5/6/2024

Instructions: Reply to the following posts. The due date is 5/6/2024 Discussion 3.1 Love Incarnate, Love Divine Jessica Discussion 3.1             Reading about the crucifixion of Jesus aloud actually made me emotional. As I read it, I envisioned the scene. I imagined the way Jesus’ mother must have felt watching

JWI 530: Financial Management I Assignment 1B © Strayer University. All Rights Reserved. This document contains Strayer University confidential an

JWI 530: Financial Management I Assignment 1B © Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University. This document is subject to