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Calculate the following amounts for a nurse practitioner who bills Medicare as incident to a supervising physician (billed under the physician's NPI). Submitted charge$75 Medicare

Calculate the following amounts for a nurse practitioner who bills Medicare as incident to a supervising physician (billed under the physician's NPI).

Submitted charge$75

Medicare allowed amount (MPFS)$60

Nurse practitioner allowed amount (100% of MPFS)$

Medicare payment (80 percent of the allowed amount)$

Coinsurance amount (20% allowed amount)$

Provider write-off$

Scenario 2

Calculate the following amounts for a nurse practitioner who bills Medicare under their own NPI.

Submitted charge$75

Medicare allowed amount (MPFS)$60

Nurse practitioner allowed amount$

(80% of office charge or 85% of MPFS whichever is lower)

Medicare payment (80% of the allowed amount)$

Coinsurance amount$

Provider write-off$

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