If this physician is a participating physician who accepts assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

Question

Quizplus · Accepted Answer

The Medicare-approved amount for the service is $200. If the physician accepts assignment, Medicare will pay 80% of the Medicare-approved amount, which is $160. The patient is responsible for paying the remaining 20%, which is $40. Therefore, the total amount of the patient's financial liability (out-of-pocket expense) is $40.

If This Physician Is a Participating Physician Who Accepts Assignment