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medicare part b billing

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rdmoore2003:
Medicare says pt responsibility is 20% of allowed amount.
For 2010 fee schedule, their 20% is not adding up. 
(it is the day after superbowl and my mind is frozen)
Please help.

Pay_My_Claims:
more info please

rdmoore2003:
ok here is the situation  - 2010 medicare fee schedule-  par provider

  a new eob is showing:

90804  allowed amount $59.79
paid provider $32.89
pt responsible $26.90

by my calculations, this does not add up to show 20%
please help

DMK:
Is is part deductible and part co-pay?  It's still early in the year!

Michele:
If it's not deductible it may be the Mental Health Deduction - Medicare only pays 50% on most MH dxs.

Michele

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