Calculate

1. The patient is seen by his family physician for follow-up treatment of recently diagnosed asthmatic bronchitis. The physician’s fee is $75. The patient’s copayment is $20. The patient’s insurance plan covers 80% of the fee schedule amount of $60. No deductible is required.

a. Enter the amount the patient pays the provider: __________________
b. Enter the amount the payer reimburses the provider: ______________
c. Enter the amount the provider “writes off” the account: ____________

2. The patient undergoes chemical ablation of one facial lesion in her physician’s office. The physician’s fee is $240. There is no copayment required. The payer reimburses the physician 80% of the fee schedule amount of $240 after the annual deductible of $200 is satisfied. Assume the patient has not satisfied any portion of the annual deductible at the time services are rendered.

a. Enter the amount the patient pays the provider: __________________
b. Enter the amount the payer reimburses the provider: ______________
c. Enter the amount the provider “writes off” the account: ____________

3. The patient undergoes arthroscopic surgery at an ambulatory surgical center. The surgeon’s fee is $890. The patient’s coinsurance is 20% of the $700 fee schedule. No deductible or copayment applies.
a. Enter the amount the patient pays the provider: __________________
b. Enter the amount the payer reimburses the provider: ______________
c. Enter the amount the provider “writes off” the account: ____________

4. The patient was referred to an orthopedic specialist for evaluation of chronic ankle pain. The physician’s fee is $150. There is no copayment required. The patient has a coinsurance rate of 20% after the deductible of $200 has been satisfied. The patient has not met any portion of the deductible. The allowed amount is $150.
a. Enter the amount the patient pays the provider: __________________
b. the amount the payer reimburses the provider: ______________
c. Enter the amount the provider “writes off” the account: ____________