ReimbursementCâu 65 / 100
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.$560
b.$500
c.$160
d.$800
Giải thích
The patient first pays the $500 deductible, leaving $300 of the allowed amount subject to coinsurance. Twenty percent of that $300 is $60, so total patient responsibility is $500 plus $60, which equals $560. The payer would pay the remaining $240.
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Câu hỏi liên quan cùng chủ đề
- 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 copayment (copay) is best described as:
- 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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