se 6.3 Calculating Insurance Math Mary Mandlebaum is a PAR provider in Medicare and in Mountville Health Plan, which has allowed charges ervices and does not permit balance billing of plan members. She is not a PAR provider in the Ringlale Medical Based on the following table of charges, calculate the charges that the payer and the patient will pay in each of ituations. Show your calculations. Medicare Allowed Charge wice CPT Outpatient Visit, New, Min. Usual Charge 99201 Mountville Health Plan Allowed Charge Outpatient Visit, Now, Low $54 543 $48 99202 573 306 Outpatient Visit, New, Mod. $66 99203 $100 580 Outpatient Visit, Now, Mod $80. 99204 $147 $129 $110 Outpatient Visit, New, High 99205 $190 Outpatient Visit, Est., Min. $166 99211 $29 526 $151 $22 Outpatient Visit, Est., Low 99212 $44 $39 835 Outpatient Visit, Est., Mod. 99213 $60 554 $48 Outpatient Visit, Est., Mod. 99214 $87 578 $70 Outpatient Visit, Est., High) 99215 $134 $119 $107 ECG with Report 93040 $30 $36 $30 ing Capacity Test 94010 $83 560 558 Immunization 90700 $102 $87 574 6.6-6.9 Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250; 80-20 insurance rvices: CPT 99203, 90700 yer Reimbursement: Patient Charge: 6.6-6.9 Insurance Plan: Mountville Health Plan; patient has paid $125 toward an annual deductible of $500; -20 coinsurance vices: CPT 99215, 93040, 94010 er Reimbursement: Patient Charge: 5.6-6.9 Insurance Plan: Ringdale Medical Plan A; no deductible or coinsurance, copayment of SS/PAR; /NonPAR vices: CPT 99212 er Reimbursement: Patient Charge: .6-6.9 Insurance Plan: Ringdale Medical Plan B; patient has met annual deductible of $300; 80-20 coinsura ices: CPT 99215 er Reimbursement: Patient Charge 6-6.9 Insurance Plan: Medicare; annual deductible has been met by patient ices: 99213, 93040 er Reimbursement: Patient Charge 5.4 Determining Global Periods for Compliant Billing file named PPRRVU10 U22 found on the CMS website, look up and record the global period for the es following. ress the file: o to www.cms.gov and click on the Medicare tab at the top left of the screen. ck the Physician Fee Schedule link found in the Medicare Fee-For-Service Payment section. Jeet the PFS Relative Value Files link from the list on the left-hand side of the page. The file can be fou sponds to the RVUIOC PCT22 listed on this page. (Note that you may