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Eduardwww
3 months ago
13

Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rod

gers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Medicine
1 answer:
Korvikt [86]3 months ago
8 0

Response:

Dr. Brennan is permitted to bill Mary Rogers no more than what is stipulated in the PFFS plan regarding cost-sharing, which may include balance billing of up to 15 percent of the Medicare rate.

Explanation:

It is important to note that the term PFFS (Private-Fee-for-Service) pertains to Medicare benefits a person can receive under an insurance policy.

As such, following the conditions of the Medicare Private-Fee-for-Service (PFFS), Dr. Brennan is limited to charging Mary Rogers no more than what the PFFS plan allows for cost-sharing, which may encompass balance billing of up to 15 percent of the Medicare rate.

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