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Patient responsibility refers to the portion of the bill that should be paid by the patient themselves. Getting these calculations right is critical to the providers revenue cycle. Determining patient responsibility starts during patient registration.
How to calculate Patient Responsibility as a Percentage of Total Revenue. Patient Responsibility as a Percentage of Total Revenue is calculated by dividing the total amount of patient responsibility by the total revenue generated during a specific period and then multiplying the result by 100 to get the percentage.
Patient responsibility is the portion of a medical bill that the patient is required to pay rather than their insurance provider. For example, patients with no health insurance are responsible for 100% of their medical bills.
Deductible: The amount you pay for your healthcare services before your health insurer pays. Deductibles are based on your benefit period (typically a year at a time). Example: If your plan has a $2,000 annual deductible, you will be expected to pay the first $2,000 toward your healthcare services.
The amount the patient is financially responsible for before an insurance policy provides coverage is called the deductible amount. A deductible amount is an amount that a policyholder needs to pay from his side for the insureds medical treatment beforehand to the insured.
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Patients are responsible for treating others with respect. Patients are responsible for following facility rules regarding smoking, noise, and use of electrical equipment. Patients are responsible for what happens if they refuse the planned treatment. Patients are responsible for paying for their care.
Coinsurance Your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay the coinsurance plus any deductibles you owe. If youve paid your deductible: you pay 20% of $100, or $20. The insurance company pays the rest.
Due from Patient / Patient Responsibility: This is the amount the patient is responsible for paying to the provider. This includes the copay amount, amount towards deductible, as well as any non-covered charges associated with your care.

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