ReimbursementQuestion 66 of 100
A copayment (copay) is best described as:
a.A percentage of the allowed amount paid by the patient
b.The amount the patient must pay before insurance begins to pay
c.The provider's contractual write-off
d.A fixed dollar amount the patient pays for a covered service, such as an office visit
Explanation
A copay is a set flat fee the patient pays at the time of service, such as $30 for an office visit, regardless of the total charge. It differs from coinsurance, which is a percentage, and from the deductible, which must be met before the plan pays. Copays are typically collected at check-in.
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Related questions on this topic
- The 'allowed amount' on a claim is:
- A patient has a $1,500 medical bill, an allowed amount of $1,000, has already met the deductible, and has a 20% coinsurance. How much is the patient's coinsurance responsibility?
- A patient with a $500 remaining deductible receives a service with an allowed amount of $800 and 20% coinsurance after the deductible. What is the total patient responsibility?
- A deductible is:
- The Resource-Based Relative Value Scale (RBRVS) determines physician payment based on:
- In the Medicare Physician Fee Schedule, the payment for a service is calculated by:
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