Discuss the following post with actual statement, if you are agree or disagree and why The maximum
Question:
Discuss the following post with actual statement, if you are agree or disagree and why
The maximum amount the physician is allowed to charge the patient is $100.
The patient will receive $60.80 from Medicare as its share of the physician payment.
The patient will pay $15.20 toward the doctor's bill.
In this situation, the non-participating physician would have been better suited accepting the assignment because, if they don't, they can't charge the beneficiary more for Medicare services than what the Medicare limiting fee of an unassigned claim is. As a result, a non- participating physician may accept the assignment in a particular case- albeit at a cost. A lesser pricing schedule is available due to the physician's limiting charge, which is equal to 95% of the approved fee schedule. Due to the wide range of healthcare options available, a hospital's prices would be affected by the high number of Medicare patients there. This would increase the likelihood that patients would receive treatment more frequently. As a result, there would be a greater need for hospital services, which would drive up the cost. And why explain .
Income Tax Fundamentals 2013
ISBN: 9781285586618
31st Edition
Authors: Gerald E. Whittenburg, Martha Altus Buller, Steven L Gill