Instructions: Medicare allows patients to pay either a coinsurance amount (20 percent of the charge for procedures and services) or a fixed copayment amount, whichever is less, for hospital outpatient services that are participating providers. For each of the following, calculate the amount the patient is required to pay to the hospital for the outpatient service provided. (The patient has already met the annual deductible required by the payer.) Medicare Coinsurance and Copayment Amounts for Hospital Outpatient Services: Sally Jones underwent outpatient surgery to have one mole removed from the upper back. The charge was $65. The fixed copayment amount for this type of procedure, adjusted for wages in the geographic area, is $15. How much is the patient required to pay to the hospital for the outpatient service provided? $
Coding compliance programs include written policies and proc…
Coding compliance programs include written policies and procedures, routine coding audits and monitoring and compliance-based education and training. As a minimum, how often should written policies and procedures be updated?
Social mobility is movement upward or downward within a syst…
Social mobility is movement upward or downward within a system of inequality.
Which is part of an effective coding compliance program beca…
Which is part of an effective coding compliance program because it helps ensure accurate and thorough patient record documentation?
Social mobility is movement upward or downward within a syst…
Social mobility is movement upward or downward within a system of inequality.
In “Nickeled and Dimed,” Barbara Ehrenreich investigates how…
In “Nickeled and Dimed,” Barbara Ehrenreich investigates how the working poor have trouble making it, and she finds that
Which part of the SOAP note contains the chief complaint and…
Which part of the SOAP note contains the chief complaint and the patient’s description of the presenting problem?
Medicare beneficiaries can also obtain supplemental insuranc…
Medicare beneficiaries can also obtain supplemental insurance to help cover costs not reimbursed by the original Medicare plan. This type of coverage is called __________.
Medical practices and health care facilities should routinel…
Medical practices and health care facilities should routinely participate in an auditing process, which involves reviewing patient records and CMS-1500 or UB-04 claims to __________.
In trying to explain the decrease in inequality in the middl…
In trying to explain the decrease in inequality in the middle of the twentieth century, Thomas Piketty focused on