Many doctors who treat the elderly are reimbursed either through Medicare, Medicaid or a combination of both.

Many doctors who treat the elderly are reimbursed either through Medicare, Medicaid or a combination of both. As a biller, Sam has the responsibility to make sure Medicare will cover services provided as well as the collection of deductibles and coinsurance.

Answer all three parts of the initial prompt below

  1. Explain the coinsurance amounts that should be collected for patients with Medicare Part B.
  2. A 65 year old patient with Medicare still has an additional Group plan with his employer. Which plan would Sam bill first and why?
  3. Explain why some preventive services do not have a coinsurance or Medicare Part B deductible.

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