Scenario: the Following Questions Pertain to a Participating Physician Who

question 46

Short Answer

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year.
-What is the patient's financial responsibility?

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Definitions:

Contract Breached

Occurs when one party fails to fulfill their obligations under the terms of a contract, leading to a violation of the agreement.

Damages

A monetary compensation awarded to a person as a remedy for loss or injury caused by the unlawful act or omission of another.

Negligence

The failure to exercise the standard of care that a reasonably prudent person would have exercised in a similar situation, resulting in harm or damage.

Term

can refer to a fixed or limited period for which something, such as an agreement or tenure, lasts or is intended to last.