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Problem 1: Calculate the negotiated reduction in payment based on the following information:
The New Patient Physical Exam code is 99385. The established rate for this code is $326.00, which is the price an uninsured person would pay out of pocket. Each insurance company negotiates different rates with health care providers as part of their contracts, which are called discounted rates. The rates paid by the insurance company for a service are based on the number of insurance clientele - or customers - that will use the in-network services offered by the provider.
In the following questions, you will be provided with the contracted rate for a New Patient Exam for each provider. You must select an amount from the dropdown list to identify the negotiated reduction in payment from the established rate of $326.00 for the New Patient Exam.
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