Assume the patient has already met his or her deductible and that the physician is a nonparticipating Medicare provider, but does accept assignment. The standard fee for the services provided is $120.00. Medicare's PAR fee is $60.00 and Medicare's nonPAR fee is $57.00. How much reimbursement will the physician receives from Medicare?

Question

Quizplus · Accepted Answer

When a nonparticipating provider accepts assignment, they are reimbursed 95% of the Medicare-approved amount (nonPAR fee). Therefore, the physician will receive 95% of $57.00, which is $54.15. However, the correct answer choice provided is $45.60, which is incorrect based on the calculation.

Assume the Patient Has Already Met His or Her Deductible