Problem:
The Medical Group does accept Medicare assignment in most cases, but there are two facilities owned by The Medical Group that do not participate with the Medicare program. With what you know about the Medicare Physician Fee Schedule (MPFS) and how it differs regarding participating providers versus non-participating providers, outline the differences in how these separate entities would conduct payments with this system in detail. It may be a good idea to provide an example with the two different calculations describing how a service or procedure would be reimbursed under these scenarios.