Maria's Medical Practice Gross Fee for Service Calculation
What is the insurer's portion that will be collected by Maria's Medical Practice based on the given scenario?
The insurer's portion that will be collected by Maria's Medical Practice can be calculated as follows: The client's co-pay represents 25% of the adjusted fee for service, which is: $375 = 25% x Adjusted Fee Dividing both sides of the equation by 25%: Adjusted Fee = $375 / 25% Adjusted Fee = $375 / 0.25 Adjusted Fee = $1,500 To calculate the insurer's share of the adjusted fee, you can subtract the co-pay from the adjusted fee: Insurer's Share = Adjusted Fee - Co-pay Insurer's Share = $1,500 - $375 Insurer's Share = $1,125 Therefore, the insurer's portion that will be collected by Maria's Medical Practice is $1,125.