A non-participating physician provides services to a Medicare unrepining who has sum account of $100 (antecedently Medicare’s limiting enjoin is applied). The physician does referable sanction assignment, account the completion allowable, and submits the pretension to Medicare.
Assume Medicare’s approved schedule coercion these services is $80. A. What is the Medicare behalf of the physician liquidation (that Medicare sends to the unrepining)? B. What is the unrepining’s behalf of the liquidation to the physician (entangle of the liquidation from Medicare
in the counsel aloft? 3. Use the counsel and consultation underneath to explain problems 3A and 3B. The Medical College of Virginia, located in the civic city of Richmond, Virginia, has a wage protest of 1.8579. A learner from nearby Virginia Commonwealth University
has reasonable been treated coercion viral meningitis during a five-day tediousness of alight (LOS), (DRG weight: 1.535). Rate Consultation Hospital Status Labor Non-labor Civic Areas 2,800 1,250 Pastoral Areas 2,000 1,000 A. Calculate the DRG bountiful liquidation coercion this matter. B.
Assuming that the wage protest recrement the selfsame, what would the DRG bountiful liquidation be if the selfselfidentical matter occurred in the pastoral Pulaski County Hospital in Pulaski, VA?
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