Registered Health Information Administrator (RHIA) — Question 39

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?

Answer options

Correct answer: C

Explanation

The physician will receive 80% of the Medicare PAR fee, which is $60.00. Therefore, the reimbursement amount is $60.00 * 0.80 = $48.00. Options A and B are incorrect as they do not reflect the reimbursement calculation, and option D is also incorrect as it miscalculates the reimbursement amount.