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1. Dr. Melissa Rose is trying to decide whether to be a Medicare-participating physician for the upcoming year.( Assume that her entire practice consists of Medicare patients or at least that her practice has slack capacity. Her Medicare patients do not displace non-Medicare patients.) Assume that her average charge is $ 120( before Medicare’ s limiting charge is applied), for which the average Medicare-approved amount is $ 100. If she decides to be a non-participating physician, she expects to accept assignment 80 % of the time. For the unassigned patients assume that she would set her charges at 110 percent of the Medicare-approved fee for a nonparticipating physician. Assume that her Medicare patient volume is not reduced if she chooses not to participate nor if she does not accept assignment.( Ignore bad debt and any other factors not presented here.)
1. What will be Dr. Rose’ s average reimbursement per visit if she chooses to be a Medicare-participating physician?( This is the total from both Medicare and the patients.)
2. What will be Dr. Rose’ s average reimbursement per visit if she chooses not to be a Medicare-participating physician?( This is the total from both Medicare and the patients.)
2. An uninsured patient receives services with charges of $ 5,000 from a hospital. The hospital staff bills the patient $ 1,000 and records $ 4,000 as charity care. If the hospital’ s ratio of cost to charges is 50 %, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990?
3. Using the example attached, solved the following problem: