How much out-of-pocket payment will be responsible for

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Reference no: EM132151789

Question: Part II - Paying for Physician Services - Overview

Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:

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

Part II - AssignmentPlease answer in about 3 pages the following questions:

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

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

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

Information related to above question is enclosed below:

Attachment:- M4HospitalPaymentExample1.rar

Reference no: EM132151789

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