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RHIA Exam - Question 90


If this physician is a participating physician who accepts assignment for this claim, the total amount of the patient’s financial liability (out-of-pocket expense) is

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Correct Answer: A,B

In the context of medical billing, a participating physician who accepts assignment means they agree to accept the Medicare-approved amount as full payment for covered services. The patient’s financial liability or out-of-pocket expense typically includes the deductible, coinsurance, and any services not covered by Medicare. Considering no further details are provided, $200.00 appears to be the most reasonable estimation for the total out-of-pocket expenses, as it commonly includes both deductible and coinsurance amounts for typical medical services.

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Abike
Apr 15, 2022

there is no chart for this question

Atieno
Aug 19, 2023

I don't see the data?