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COMPLETE WITH INFORMATION – ## WK8ASSIGNMENT1HP-214.docx **## WK8ASSIGNMENT1HP-214.docx** WK8 ASSIGNMENT1 HP-214 Health Insurance Calculations – Medicare Non-Physician Provider Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as…
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– ## WK8ASSIGNMENT1HP-214.docx
**## WK8ASSIGNMENT1HP-214.docx**
WK8 ASSIGNMENT1 HP-214
Health Insurance Calculations – Medicare Non-Physician Provider
Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare.
Use the attached document to complete
WK8 INFO HP-214
**Health Insurance Calculations – Medicare Non-Physician Provider**
Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare. More information is available to you in Chapter 9 of your text.
**Analyze a scenario to determine monetary responsibility for a visit.**
**Fill in the blanks in the following payment situations:**
**Scenario 1**
**Calculate the following amounts** for an NP who bills Medicare as an incident to a supervising physician (billed under the physician’s NPI).
Submitted charge $75
Medicare allowed amount (MPFS) $60
Nurse practitioner allowed amount (100% of MPFS) $
Medicare payment (80 percent of the allowed amount) $
Coinsurance amount (20% allowed amount) $
Provider write-off $
**Scenario 2**
**Calculate the following amounts** for an NP who bills Medicare under their own NPI.
Submitted charge $75
Medicare allowed amount (MPFS) $60
Nurse practitioner allowed amount $
(80% of office charge or 85% of MPFS whichever is lower)
Medicare payment (80% of the allowed amount) $
Coinsurance amount $
Provider write-off $
**## WK8ASSIGNMENT1HP-214.docx**
WK8 ASSIGNMENT1 HP-214
Health Insurance Calculations – Medicare Non-Physician Provider
Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare.
Use the attached document to complete
WK8 INFO HP-214
**Health Insurance Calculations – Medicare Non-Physician Provider**
Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare. More information is available to you in Chapter 9 of your text.
**Analyze a scenario to determine monetary responsibility for a visit.**
**Fill in the blanks in the following payment situations:**
**Scenario 1**
**Calculate the following amounts** for an NP who bills Medicare as an incident to a supervising physician (billed under the physician’s NPI).
Submitted charge $75
Medicare allowed amount (MPFS) $60
Nurse practitioner allowed amount (100% of MPFS) $
Medicare payment (80 percent of the allowed amount) $
Coinsurance amount (20% allowed amount) $
Provider write-off $
**Scenario 2**
**Calculate the following amounts** for an NP who bills Medicare under their own NPI.
Submitted charge $75
Medicare allowed amount (MPFS) $60
Nurse practitioner allowed amount $
(80% of office charge or 85% of MPFS whichever is lower)
Medicare payment (80% of the allowed amount) $
Coinsurance amount $
Provider write-off $
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