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Exam RHIA topic 1 question 402 discussion

Actual exam question from AHIMA's RHIA
Question #: 402
Topic #: 1
[All RHIA Questions]

If the physician’s standard fee for a service is $210.00 and the Medicare PAR fee is $115.00, what is the limiting charge for a nonparticipating (nonPAR) provider?

  • A. $241.50
  • B. $109.25
  • C. $132.25
  • D. $125.63
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Suggested Answer: D 🗳️
by mitchphil at May 12, 2021, 12:30 a.m.

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Atieno
1 year, 3 months ago
D but not sure on this one
upvoted 1 times
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SunnyEyes
3 years, 1 month ago
Answer D is correct. The nonPar is paid 5% less, so instead of $115 it would be 109.25, then the limit charge is 15% of 109.25, so $125.63
upvoted 1 times
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Guilandra
3 years, 1 month ago
That too is my question as I also got 132.25. Someone please explain. Thanks!
upvoted 1 times
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mitchphil
3 years, 6 months ago
is it not 132.25? i thought nonpar limiting charge was 15%?
upvoted 1 times
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