Question: APPLYING CONCEPTS These patients are being seen by Dr. Christopher Connolly of Valley Associates, P.C. (Dr. Connelly's practice information is in the textbook.) 1. A

APPLYING CONCEPTS These patients are being seen by Dr. Christopher Connolly of Valley Associates, P.C. (Dr. Connelly's practice information is in the textbook.) 1. A new patient is being seen today by Dr. Christopher Connolly. His name is Brian Kehoe, and he is insured by a Medicaid managed care plan. The doctor accepts assignment. His copay is $10, which he paid today. He is examined in the office today for an abscess on his mouth, which is not related to any type of accident. Encounter Form Data Diagnosis 1 K12.2, abscess of mouth Procedure Code 99201 Procedure Cost $70 If Medicaid pays 50 percent of the physician's usual charge, after applying the copay, what payment will Medicaid send? 2. Karly Raub, an established patient of Dr. Connolly, was seen in our office today for ventricular fibrillation. She is currently unemployed and presents a current Medicaid card. Encounter Form Data Diagnosis 1 149.01, Ventricular fibrillation Diagnosis 2 I10, Essential hypertension Procedure Code 99212 Procedure Cost $65 Procedure Code 93000, ECG Complete Procedure Cost $95 If Medicaid pays 45 percent of the physician's usual charge and applies the $10 that Karly paid today for her copay, what payment will Medicaid send
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