A Medicare patient was seen by Dr. Zachary, who is a nonparticipating physician. The charge for
the office visit was $125 . The Medicare beneficiary had already met his deductible. The Medicare
Fee Schedule amount is $100 . Dr. Zachary does not accept assignment. The office manager will
apply a practice termed as "balance billing," which means that the patient is
A. financially liable for the Medicare Fee Schedule amount.
B. financially liable for charges in excess of the Medicare Fee Schedule, up to a limit.
C. not financially liable for any amount.
D. financially liable for only the deductible.
B
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a. transverse b. occlusal c. oblique d. marginal
Who may be covered under a GHP?
A. former employees only B. employees and their families C. employees' families only D. employees, families, and former employees
What device prints postage directly onto mail pieces or labels?
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When dealing with medicare and Medicaid, claims inquiries must be in writing.
a. true b. false