Calculating Medicare Payments, Write-Offs, Limiting Charges, and Allowed Amounts: Calculate the following amounts for a nonPAR that who bills Medicare and does not accept assignment:
a) Submitted charge (based on provider's regular fee)
b) Medicare physician fee schedule (MPFS) allowed amount
c) NonPAR MPFS reduced amount (MPFS allowed amount is reduced by 5 percent)
d) NonPAR limiting charge amount (MPFS allowed amount x 115 percent)
e) Medicare payment (80 percent of MPFS reduced amount)
f) Balance of MPFS limiting charge amount (Billed to beneficiary)
g) Write-off amount (not to be paid by Medicare or the beneficiary)