Question
Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the upcoming year. (Assume that her entire practice consists of Medicare
Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the upcoming year. (Assume that her entire practice consists of Medicare patients or at least that her practice has slack capacity. Her Medicare patients do not displace non-Medicare patients.) 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-participate physician she expects to accept assignments 80% of the time. for the unassigned patients assume that she would set her charges at 110% of the Medicare approved fee for a non-participating physician. Assume that her Medicare patient volume is not reduced if she chooses not to participate nor if she doesnt accept assignments. (Ignore bad debt and any other factors represented here)
What will be Dr. Roses average reimbursement per visit if she chooses to be a Medicare participating physician? (This is from total Medicare and the patients)What will be Dr. Roses average imbuement per visit if she chooses NOT to be a Medicare participating physician? (This is from total Medicare and the patients)Based strictly on the information presented here (ignore bad debt, patient mixed differences, and other considerations not presented her), should she choose to be participating or non-participating if she wishes to maximize her total imbuement for servicesStep by Step Solution
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