What is the patients financial responsibility for home PT INR testing?
This depends on where the service is provided, whether in a physician office, IDTF, or hospital outpatient clinic: For services paid under the physician fee schedule (physician office or IDTF), patients are responsible for 20% of the Medicare allowed amount after they satisfy the annual Medicare Part B deductible. (Slightly higher copayments may be charged if the services are billed by a non-participating physician who does not accept assignment. Charges are subject to the limiting charge rules under these circumstances.) For services paid under APCs (hospital outpatient clinic), patients are responsible for a $22 copayment for each billable service after they satisfy the annual Medicare Part B deductible.
