Need help with Analyze a scenario to determine monetary responsibility for a visit. Need help with Participating provider receives the full amount listed on the Medicare Physician's Fee Schedule (MPFS or PFS). The copay may be paid by the patient or supplemental insurance. Analyze a scenario to determine monetary responsibility for a visit. Calculate the figures for each category under both scenarios. Limiting charge = the highest amount provider can collect from patient and insurance Limiting charge = [MPFS - (5% x MPFS)] x 115% Need help with Analyze a scenario to determine monetary responsibility for a visit. Participating Provider no remaining deductible Physician's standard fee $ 320 TRICARE fee $ 235 Patient pays 20% $ TRICARE pays 80% $ Provider adjustment (write-off) $ 1B Participating Provider with remaining deductible Physician's standard fee $320 TRICARE fee $235 Patient pays remaining deductible ($100) $ Patient pays 20% remaining charge $ TRICARE pays 80% remaining charge $ Provider adjustment (write-off) $