PLEASE SHOW YOUR WORK SO I CAN PRACTICE HOW TO SOLVE THEM ON MY OWNProblem 3: You work for Dr. Coccidioides. He does not accept assignment. He is treating Mr.

Robinson for allergies. Mr. Robinson has Medicare Part A. You send in a bill to Medicare for

the $135 that Mr. Robinson owes you. What portion of the bill will Medicare pay?

Problem 4: In June, Mr. Fay has an illness that incur s $89 in medical bills. He asks you to bill

Medicare, and the physician does not accept assignment. He has paid the deductible at another

physician 's office.

a. If Medicare allows the entire amount of your fees the Medicare

check to the patient is $ (which comes to you).

b. The patients t's part of the bill to you is _

Mathematical computations

Problem 5: Mr. Iba, a Medicare patient with a Medigap insurance policy, is seen for an office

visit, and the fee is $80. The Medicare-approved amount is $54.44. The patient has met his

deductible for the year.

a. The Medicare payment check is $

b. After the claim is submitted to the Medigap insurance, the Medigap

payment check is $ _

c. To zero out the balance, the Medicare courtesy adjustment is _ _ _ _ _ _ _ _

Mathematical computations:

Problem 6: Mrs. Smith, a Medicare patient, had surgery, and the participating physician's

fee is $1250. This patient is working part-time, and her employer group health plan (primary

insurance) allowed $1100, applied $500 to the deductible, and paid 80% of $600.

a.Amount paid by this plan: $ _

b.The spouse's employer group health plan (secondary insurance) is billed for the

balance, which is$ _ This

program also has a $500 deductible. This plan pays 100% of the fee billed, minus the

deductible.

c. The spouse's employer group plan makes a payment of _

You send copies of the remittance advice from the two group health plans and

submit a claim to Medicare (the third insurance)for $1250. The balance at this point

is$ _

Mathematical computations: