Mr. Smith is a 68-year-old Medicare beneficiary. He sought treatments from Dr. Johnson. Assume the following values for the services provided by Dr. Johnson:
Categories RVU Geographic Cost Index Product Work 27.45 1.092 29.98 Practice Expense 43.05 1.743 75.04 Malpractice 10.32 0.543 5.60 Conversion Factor: 64.43 How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare participating physician? How much out-of-pocket payment will Mr. Smith be responsible for? How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Smith be responsible for? How much will Medicare pay Dr. Johnson if Dr. Johnson is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Smith be responsible for? Categories RVU 27.45 43.05 10.32 Geographic Cost Index 1.092 1.743 0.543 Product 29.98 75.04 5.60 Categories RVU Geographic C I Product Work. 27.45 1.092 29.98 Practice expense 43.05 1.743 75.04 Malpractice 10.32 0.543 5.60 Conversion factor: 64.43
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