Question: Dr . Elizabeth Morgan does not contract with the ABC PFFS plan but accepts the plan s terms and conditions for payment. Mary Rodgers sees

Dr. Elizabeth Morgan does not contract with the ABC PFFS plan but accepts the plans terms and conditions for payment. Mary Rodgers sees Dr. Morgan for treatment. How much may Dr. Morgan charge?
Question 6Answer
a.
Dr. Morgan can charge the beneficiary the same cost-sharing as Original Medicare as long as she sends the claim to Medicare and not the plan.
b.
Dr. Morgan can charge Mary Rogers no more than the cost sharing specified in the PFFS plans terms and condition of payment which may include balance billing up to 15% of the Medicare rate.
c.
Dr. Morgan can charge Mary Rodgers no more than the cost sharing specified in the PFFS plans terms and conditions of payment which may include balance billing up to 25% of the Medicare rate.
d.
Dr. Morgan can charge Mary Rodgers more than the cost sharing specified in the PFFS plans terms and conditions as long as she treats all beneficiaries the same.

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related Accounting Questions!

Q:

Heritage_assignment_02_2016.pdf You have studied that accounting rules may have implications (positive or negative) on society (people, environment etc...). As an example, the requirement to expense...

Q:

Heritage_assignment_02_2016.pdfHeritage_assignment_02_2016.pdf Looking inside the NGV Annual Report 2014Q2015 and the ?cultural assets? that are recognised and reported in it: a)Present the...

Q:

3) Looking inside the NGV Annual Report 2014Q 2015 and the "cultural assets" that are recognised and reported in it: (Word Limit: 200-250 words) a. Present the categories of "cultural assets" as...

Q:

Dilemma #1 The Case of the Really Sweet Deal Case File #1 Your job description has been slightly updated. Here's the new one, for your reference. Vice President of Business Development You are...

Q:

Below is a reference list for recent research published by CSU faculty. Your assignment is in two parts: 1. Find 5 of these articles on PsycInfo. For each, take a screenshot and print them (try to...

Q:

Step 3: Being Reasonable with the Results Lens Part 3Fulfill Ethical Desires At this point, you might be thinking that the Results Lens is a lot more involved than the Responsibilities Lens. Well,...

Q:

i just want that a professor can review my this MEMORANDUM for changes or addition. Neurological Associates LLC (N.A.) and Dr. Elizabeth Blackwell are disputing unemployment. A contract was signed...

Q:

So according to my teacher, they had a problem with the initial submission of my essay. First, I will include the guidelines for the assignment:...

Q:

Would you explain these questions? I highly appreciate it! Dr. Jamie Thompson Dr. Elizabeth Clarke was in her office late one evening, reviewing overtime reports from the previous month. As chair of...

Q:

in the cases can you help me find the business interest, balancing test, and scope and duration examples in the text HOME BUSINESS LAW SIMULATION EXERCISE 1 Restrictive Covenants in Contracts:...

Q:

What is the historical cost concept and how does it relate to the reliability concept?

Q:

The article "HIV-positive Smokers Considering Quitting: Differences by Race/Ethnicity" (E. Lloyd- Richardson, C. Stanton, et al., Am J Health Behav, 2008:3-15) reported that in a group of 230...

Q:

i would like to know the correct and only answer Find the depreciation for the fourth year using MACRS cost-recovery rates for the property placed in service at midyear. The property is a 3-year...

Q:

A particle is moving in three dimensions and its position vector is given by; r(t) = (4, 4t + 2, 3t)i + (4, 5t - 2, 3)2 + (3, 3t + 3, 1t)k where r is in meters and t is in seconds. Determine the...