Question

If the same patient has an office visit and the charge is 120.00. the patient has met the annual deductible. if medicare allows $95.00 for this service and the physician accepts assignment on medicare, how much money will be paid and posted in the patient account?

Answer 1

Answer:

$76.00

Explanation:

If the same patient has an office visit and the charge is 120.00. the patient has met the annual deductible. if medicare allows $95.00 for this service and the physician accepts assignment on medicare, how much money will be paid and posted in the patient account?

charge =$120

Deductible=$25

There is an annual deductible of

120-95

is $25

Medicare  pays 80% of  $95.00 (allowed charge)

Multiplication of  80% and $95 will give $76.00

0.8*95=$76.

Answer 2

In this case, as long as the patient has met their annual deductable and out of pocket max, they will not have to pay for the visit themselves. Their insurance will take over and pay for the service. Since Medicare allows $95 for the service, they will post $95 as paid to the patients account.