Question
Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the upcoming year. Assume that her average charge is $120 (before
Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the upcoming year. Assume that her average charge is $120 (before Medicares limiting charge is applied), for which the average Medicare-approved amount is $100. If she decides to be a non-participating physician, she expects to accept assignment 80% of the time. For the unassigned patients assume that she would set her charges at 110 percent of the Medicare-approved fee for a nonparticipating physician. Assume that her Medicare patient volume is not reduced if she chooses not to participate nor if she does not accept assignment.
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