### How much out-of-pocket payment will mr smith be responsible

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##### Reference no: EM13338935

Mr. Smith is a 68-year-old Medicare beneficiary. He sought treatments from Dr. Johnson. Assume the following values for the services provided by Dr. Johnson:

 Categories RVU Geographic Cost Index Product Work 27.45 1.092 29.98 Practice Expense 43.05 1.743 75.04 Malpractice 10.32 0.543 5.60 Conversion Factor: 64.43

Case Assignment

1. How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare participating physician? How much out-of-pocket payment will Mr. Smith be responsible for?

2. How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Smith be responsible for?

3. How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Smith be responsible for?

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