A Medicare patient was seen by Dr. Zachary, who is a nonparticipating physician. The charge for
the office visit was 125 . The Medicare beneficiary had already met his deductible. The Medicare
Fee Schedule amount is 100 . Dr. Zachary does not accept assignment. The office manager will
apply a practice termed as balance billing, which means that the patient is
A. financially liable for the Medicare Fee Schedule amount.
B. financially liable for charges in excess of the Medicare Fee Schedule, up to a limit.
C. not financially liable for any amount.
D. financially liable for only the deductible.
Question 2
The __________ of service refers to the kind of health care services provided to patients.
a. complexity
b. level
c. place
d. type
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Risk assessment codes for an HIV-infected patient.
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...