CMS Reimbursement Methodologies. CMS Reimbursement Methodologies. here are many terms and related issues associated with this reimbursement system. The healthcare programs that are administered by the federal government have a payment system that includes a predetermined reimbursement methodology.
Part of this system includes PAR and nonPAR physician charges.
1. In your initial post, explain how reimbursement differs between PAR and nonPar charges.
Also include your answer to number 1 and number 2 of the Chapter Review on page 365 of the Green & Rowell text in your initial post:
1. Calculate the following amounts for a PAR who bills Medicare:
Submitted charge (based on provider’s regular fee for office visit)is $75
Medicare physician fee schedule (PFS) is $60
Coinsurance amount (paid by patient or supplemental insurance) is $12
Medicare payment (80% of the allowed amount is? ______
Medicare write-off (not to be paid by Medicare or the beneficiary? ____
2. Calculate the following amounts for a nonPar who bills Medicare:
Submitted charge (based on provider’s regular fee) is $650
NonPAR Medicare physician fee schedule allow 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 of the beneficiary) is?____
2. Discuss how you determined your answers
p(2)
Place your order now to enjoy great discounts on this or a similar topic.
People choose us because we provide:
Essays written from scratch, 100% original,
Delivery within deadlines,
Competitive prices and excellent quality,
24/7 customer support,
Priority on their privacy,
Unlimited free revisions upon request, and
Plagiarism free work,
CMS Reimbursement Methodologies
CMS Reimbursement Methodologies
For a custom paper on the above or a related topic or instructions, place your order now!
What We Offer:
• Affordable Rates – (15 – 30% Discount on all orders above $50)
• 100% Free from Plagiarism
• Masters & Ph.D. Level Writers
• Money Back Guarantee
• 100% Privacy and Confidentiality
• Unlimited Revisions at no Extra Charges
• Guaranteed High-Quality Content
