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Exam RHIA topic 1 question 391 discussion

Actual exam question from AHIMA's RHIA
Question #: 391
Topic #: 1
[All RHIA Questions]

Assume the patient has already met his or her deductible and that the physician is a Medicare participating (PAR) provider. The physician’s standard fee for the services provider is $120.00. Medicare’s PAR fee is $60.00. How much reimbursement will the physician receive from Medicare?

  • A. $ 120.00
  • B. $ 60.00
  • C. $ 48.00
  • D. $ 96.00
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Suggested Answer: C 🗳️
by Raffi at Nov. 27, 2020, 8:52 a.m.

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Atieno
4 months, 1 week ago
C - Medicare’s PAR fee is $60.00 x 80 Medicare pays to provider = 4,800 / 100 = 48
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Raffi
3 years, 1 month ago
Participating (PAR) providers agree to take assignment, 80 percent that Medicare pays the provider and 20 percent that is applied to the patient's co-payment, as payment in full for all Medicare covered services for the calendar year.
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