What is the patient portion of payment to the physician (net of reimbursement from Medicare in the previous question) In this case the Medicare would pay 80% ($69.92) of the patients bill and the patient will be responsible to pay the 20% ($17.48) • Would the physician have been better off by accepting assignment on this case? Why or why not? The physician was better off not accepting the assignment because he was able to collect more money; although participants are paid directly from Medicare, they all have follow a schedule where they are not allowed to charge the patients more them what is agree by all participants. 2. How do a high percentage of Medicaid (not Medicare) patients influence a hospital’s prices? Medicaid patients have the ability to pay less and still receive a great quality of services, even though this is a set back for the hospitals they can rely on other services to cover up for the losses on Medicaid patients such us self-pay patients.
References: Essential of Health Care Finance 8 th Edition Cleverly & Cleverley; Physician Fee Schedule reviewed from: - Fee-for-Service-Payment/PhysicianFeeSched/index References: Essentials of Health Care Finance 8th Edition Cleverley & Cleverley - Payment/PhysicianFeeSched/index
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- Fall '15
- Physician, Centers for Medicare and Medicaid Services, Health care provider