1. Calculate the following amounts for a PAR who bills Medicare:

Submitted charge (based on provider's regular fee for office visit)is $75

Medicare physician fee schedule (PFS) is $60

Coinsurance amount (paid by patient or supplemental insurance) is $12

Medicare payment (80% of the allowed amount is? ______

Medicare write-off (not to be paid by Medicare or the beneficiary? ____

2. Calculate the following amounts for a nonPar who bills Medicare:

Submitted charge (based on provider's regular fee) is $650

NonPAR Medicare physician fee schedule allow payment is $450

Limiting charge (115% of MPFS allowed amount) is?______

Medicare payment (80% of the MPFS allowed amount) is? ____

Beneficiary is billed the balance of the limiting charge $149.63

The Medicare write-off (not to be paid by Medicare of the beneficiary) is?____

2. Discuss how you determined your answers.