Question: Part II - Paying for Physician Services - Overview Mr. Thompson is an 83-year-old Medicare beneficiary. He is under the care of Dr. Heintz. Assume
Part II - Paying for Physician Services - Overview Mr. Thompson is an 83-year-old Medicare beneficiary. He is under the care of Dr. Heintz. Assume the following values for services provided by Dr. Heintz: Categories RVU Geographic Cost Index Product Work 28.16 1.371 24.35 Practice Expense 37.47 1.925 68.08 Malpractice 11.49 0.668 4.24 Conversion Factor: 51.52 Part II - Assignment In approximately three pages, answer the following questions. Show all formulas and calculations of your work 1. How much will Medicare pay Dr. Heintz if he is a Medicare participating physician? How much out-of- pocket payment will Mr. Thompson be responsible for? 2. How much will Medicare pay Dr. Heintz if he is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Thompson be responsible for? 3. How much will Medicare pay Dr. Heintz if he is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Thompson be responsible for
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