WK8 ASSIGNMENT1 HP-214: COMPLETE WITH INFORMATION | Nursing

Clinical Requirement:

COMPLETE WITH INFORMATION WK8ASSIGNMENT1HP-214.docx WK8 ASSIGNMENT1 HP-214 Health Insurance Calculations – Medicare Non-Physician Provider Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare. Use the attached document to complete WK8 INFO HP-214 Health Insurance Calculations – Medicare Non-Physician Provider Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare. More information is available to you in Chapter 9 of your text. Analyze a scenario to determine monetary responsibility for a visit. Fill in the blanks in the following payment situations: Scenario 1 Calculate the following amounts for an NP who bills Medicare as an incident to a supervising physician (billed under the physician’s NPI). Submitted charge $75 Medicare allowed amount (MPFS) $60 Nurse practitioner allowed amount (100% of MPFS) $ Medicare payment (80 percent of the allowed amount) $ Coinsurance amount (20% allowed amount) $ Provider write-off $ Scenario 2 Calculate the following amounts for an NP who bills Medicare under their own NPI. Submitted charge $75 Medicare allowed amount (MPFS) $60 Nurse practitioner allowed amount $ (80% of office charge or 85% of MPFS whichever is lower) Medicare payment (80% of the allowed amount) $ Coinsurance amount $ Provider write-off $