Which of the Following Best Describes the Situation of a Provider

question 360

Multiple Choice

Which of the following best describes the situation of a provider who agrees to accept assignment for Medicare Part B services?

• A) The provider is reimbursed at 15% above the allowed charge.
• B) The provide is paid according to the Medicare physician fee schedule (MPFS) plus 10%.
• C) The provider cannot bill the patients for the balance between the MPFs amount and the total charges.
• D) The provider is a nonparticipating provider.

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Definitions:

Dirty Tricks

Unethical, deceptive, or unfair strategies employed to gain an advantage in a competition or negotiation.

Responding

The act of replying or reacting to something that has been said or done.

Social Contract Ethics

A theory in philosophy that posits moral and political rules are based on a contract or agreement among people to form the society in which they live.

Traditional Competitive Bargaining

A negotiation approach that primarily focuses on winning or gaining advantage over the opposing party.