Question
1.On February 23, Anita Hanke was referred to Dr. Graff by her primary physician Dr. Mayfield for pain in her abdomen. Dr. Graff performed an
1.On February 23, Anita Hanke was referred to Dr. Graff by her primary physician Dr. Mayfield for pain in her abdomen. Dr. Graff performed an ultrasound. The patients third-party payer determined the reasonable charge for her procedure to be $260.a.The patient must pay __________, which is the 20 percent coinsurance due at the time of the office visit.b.The physician will receive a check in the amount of __________, which is the 80 percent that will be reimbursed by the insurance company.
2.Iona Ford was referred to the hospital for her lab work by her primary physician. Her insurance determined the reasonable charge to be $425.a.The patient will be billed __________, which is the 20 percent coinsurance.b.The physician will receive a check in the amount of __________, which is the 80 percent that will be reimbursed by the insurance company.
3.Rita Booke is a new patient at Alfred Physical Therapy. Her third-party payer determined the reasonable charge to be $100 after her annual deductible of $250 has been met. She has only paid $100 toward her deductible this year. The patient is responsible for paying 20 percent for her coinsurance. The physician will receive 80 percent for accepting assignment. Rita will need to pay __________ at todays visit.
4.The patient underwent surgery on December 31, and the third-party payer determined the reasonable charge to be $1,000. The patient paid the 20 percent coinsurance at the time of the surgery. The physician received a check for $1,000 from the payer.a.The overpayment was __________.b.The __________ will reimburse the payer for that overpayment.
5.Sandy Banks underwent surgery on November 1, and the third-party payer determined the reasonable charge to be $700. The patient has a $500 deductible that has already been met. The patient paid the 20 percent coinsurance plus the $500 deductible at the time of the surgery. The physician received a check for $560 from the third-party payer.a.The overpayment was __________.b.The __________ must reimburse the patient.
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