Certified Medical Assistant (CMA AAMA)Administrative: Billing, Coding and SchedulingEasy

A medical assistant is preparing to submit a claim for a patient with Medicare Part B. The patient's total charges are $300, and the Medicare allowable amount is $200. The patient has already met their annual deductible. Medicare Part B typically pays 80% of the allowable amount. What is the patient's coinsurance responsibility for this visit?

  1. A$40
  2. B$100
  3. C$0
  4. D$60
Show answer & explanation

Correct answer: A. $40

Medicare Part B pays 80% of the allowable amount, so the patient is responsible for the remaining 20% coinsurance. 20% of $200 (allowable amount) is $40.

Why the other options are wrong

  • B. This represents the difference between the total charges and the allowable amount, which is often 'written off' by the provider, not charged to the patient as coinsurance.
  • C. The patient is responsible for coinsurance after the deductible is met.
  • D. This would be 20% of the original charge, not the allowable amount.

Medicare Part B Coinsurance

The percentage of the Medicare-approved amount that the patient is responsible for after meeting their deductible.

  • Typically 20% for most services.
  • Calculated based on the Medicare-approved (allowable) amount.
  • Patient is responsible once the annual deductible is met.

Memory trick: Deductible first, then 80/20 split on ALLOWABLE amount.

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