Please calculate the Patient Payment required from the following scenario: Pt charges – 97110 x 3 units, 97140 x 1 unit for a total of $160.00. Pt has $100.00 of unmet deductible. Has a In-network 30% Coinsurance Benefit. What would you collect from the patient?
Added by Roberto G.
Close
Step 1
First, we need to calculate the total allowed amount for the services provided. To do this, we need to know the contracted rate between the provider and the insurance company. Let's assume the contracted rate is $100 for 97110 and $50 for 97140. 97110 x 3 units = Show more…
Show all steps
Your feedback will help us improve your experience
Penny Riley and 60 other Calculus 3 educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
Calculate the following amounts for a non-par who bills Medicare: Submitted charge (based on provider's regular fee) is $650. Non-par Medicare physician fee schedule allowed payment is $450. Limiting charge (115% of MPFS allowed amount) is?______ Medicare payment (80% of the MPFS allowed amount) is?____ Beneficiary is billed the balance of the limiting charge $149.63. The Medicare write-off (not to be paid by Medicare or the beneficiary) is?____
Akash M.
The patient has two insurance policies. Each policy's coinsurance is 80-20. If the patient has charges totaling $845, what amount should the medical insurance specialist expect to be reimbursed from Insurer A? From Insurer B? For what amount should the patient be billed?
Victor S.
According to the terms of Lavon’s insurance plan, he must pay the first $\$ 300$ of his annual medical expenses. The insurance company pays 80$\%$ of the rest of his medical expenses. Write a function for how muct the insurance company pays if $x$ represents Lavon's annual medical expenses.
Linear Relations and Functions
Special Functions
Recommended Textbooks
Calculus: Early Transcendentals
Thomas Calculus
Transcript
Watch the video solution with this free unlock.
EMAIL
PASSWORD