jenjas0206
Guest
Hello Everyone!
I am trying to determine if Medicare paid their 80%, but I am having trouble calculating the amounts. I was looking online for the exact formula to follow, but I am getting a lot of info and I was not sure what to use. I know that for a participating provider Medicare will pay 80%, but is that of the total submitted charges or what they allowed? I will need to also calculate the 20% coins for the patient's secondary. I do have the remit, but I am trying to make sure that what was paid was correct. Any advice will be appreciated. I have uploaded a copy of the remit.
Thanks!
Jen
I am trying to determine if Medicare paid their 80%, but I am having trouble calculating the amounts. I was looking online for the exact formula to follow, but I am getting a lot of info and I was not sure what to use. I know that for a participating provider Medicare will pay 80%, but is that of the total submitted charges or what they allowed? I will need to also calculate the 20% coins for the patient's secondary. I do have the remit, but I am trying to make sure that what was paid was correct. Any advice will be appreciated. I have uploaded a copy of the remit.
Thanks!
Jen