Question

What is meant by balance-billing?

		At the end of each fiscal year, the physician and each insurer reconcile their billings and payments.
		It is a financial reconciliation process between each insurer and Medicare.
		It occurs when the Medicare fee exceeds the physician's fee and the patient's copayment based on the Medicare fee.
		It occurs when the physician charges the patient an amount above the Medicare-approved fee.

Answer 1

Option D is the correct answer

Because In the healthcare organizations the balance billing is done for the patient or the representing person as a result of the difference found between the charges by the physician and the charges approved by the Medicare (Medicare-approved fee) under the established managed care contracts. Sometimes it is also called as extra-billing. Medicare approved fee covers the Medicare & Medicaid or the insurance payments.