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Q A Search SE STUDIES Medicare Part B benefits: When Phyllis Trent, age 72, was in the hospital, she received services from several providers in
Q A Search SE STUDIES Medicare Part B benefits: When Phyllis Trent, age 72, was in the hospital, she received services from several providers in addition to the hospital. Some providers were PAR; some were nonPAR. 1. The first provider to visit Phyllis was Dr. Frank McDonald, her internist (a PAR provider) and her regular physi- cian. Dr. McDonald examined Phyllis and referred her to a surgeon, Dr. Maxwell Leonard. (Note: Phyllis has not met her deductible for the year.) Dr. McDonald's c' The same patient has a series of appointments. Charged for professional services: 5500 The deductible will only be be used for the first visit. For problem #3, you will need to add 15% Medicare-approved charges: $400 because of the NonPardoes not accept Phyllis owes deductible of: - S166 assignment. I have added the 15% into the problem Medicare paid % XS $ Phyllis owes coinsurance of % X$. $ 2. Dr. Leonard, the surgeon, is a Medicare PAR provider. He bills Medicare as follows: Charges for professional services: $1800 Medicare-approved charges: $1200 Medicare paid % XS Phyllis owes deductible of Phyllis owes coinsurance of % XS 3. Phyllis received a statement from the anesthesiologist, who is nonPAR with Medicare and does not accept assignment. The anesthesiologist billed Medicare as follows: Charges for professional services: 8920 Medicare-approved charges: $800 Medicare paid % $ Phyllis owes deductible of Phyllis owes coinsurance of % XS Plus excess charges of 15_%$ Q A Search SE STUDIES Medicare Part B benefits: When Phyllis Trent, age 72, was in the hospital, she received services from several providers in addition to the hospital. Some providers were PAR; some were nonPAR. 1. The first provider to visit Phyllis was Dr. Frank McDonald, her internist (a PAR provider) and her regular physi- cian. Dr. McDonald examined Phyllis and referred her to a surgeon, Dr. Maxwell Leonard. (Note: Phyllis has not met her deductible for the year.) Dr. McDonald's c' The same patient has a series of appointments. Charged for professional services: 5500 The deductible will only be be used for the first visit. For problem #3, you will need to add 15% Medicare-approved charges: $400 because of the NonPardoes not accept Phyllis owes deductible of: - S166 assignment. I have added the 15% into the problem Medicare paid % XS $ Phyllis owes coinsurance of % X$. $ 2. Dr. Leonard, the surgeon, is a Medicare PAR provider. He bills Medicare as follows: Charges for professional services: $1800 Medicare-approved charges: $1200 Medicare paid % XS Phyllis owes deductible of Phyllis owes coinsurance of % XS 3. Phyllis received a statement from the anesthesiologist, who is nonPAR with Medicare and does not accept assignment. The anesthesiologist billed Medicare as follows: Charges for professional services: 8920 Medicare-approved charges: $800 Medicare paid % $ Phyllis owes deductible of Phyllis owes coinsurance of % XS Plus excess charges of 15_%$
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