Answer and explain the attached.

Description

-For the PDF: Explain or interpret the 4 cases of improvement on page: 280 (In the summary) from given information in the table.

-For the Numeric Problems: answer the questions.

-As they going to be presented, well explanation is required separatly.

Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Numeric Problems
I.
Medicare’s Payment to Physicians
Note: For the following problems (as applicable), assume that the Medicare/patient split of
payments is the same as covered in the book. Assume that the participating/non-participating
and maximum allowable charge are as covered in the book. Ignore the patient’s annual
deductible.
Use the following information to solve problems 1, 2, 3 and 4.
Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the
upcoming year. (Assume that her entire practice consists of Medicare patients or at least that her
practice has slack capacity. Her Medicare patients do not displace non-Medicare patients.) Assume
that her average charge is $120 (before Medicare’s limiting charge is applied), for which the average
Medicare-approved amount is $100. If she decides to be a non-participating physician, she expects to
accept assignment 80% of the time. For the unassigned patients assume that she would set her charges
at 110 percent of the Medicare-approved fee for a nonparticipating physician. Assume that her
Medicare patient volume is not reduced if she chooses not to participate nor if she does not accept
assignment. (Ignore bad debt and any other factors not presented here.)
1. What will be Dr. Rose’s average reimbursement per visit if she chooses to be a Medicareparticipating physician? (This is the total from both Medicare and the patients.) $100
2. What will be Dr. Rose’s average reimbursement per visit if she chooses not to be a
Medicare-participating physician? (This is the total from both Medicare and the patients.)
$97.85
3. Based strictly on the information presented here (ignore bad debt, patient mix differences,
and other considerations not presented here), should she choose to be participating or nonparticipating if she wishes to maximize her total reimbursement for services?
4. Will the conclusion of question 3 change if Dr. Rose decides to accept assignment 20% of
the time only? And why?

Purchase answer to see full
attachment

We offer the bestcustom writing paper services. We have done this question before, we can also do it for you.

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.