An auditor reviewed 25 oral surgery insurance claims from a particular surgical office, determining that the mean out-of-pocker patient billing above the reimbursed amount was $275.66 with a standard deviation of $78.11. (a)at the 5% level of significance, soes this sample prove a violation of the guideline that the average patient should pay no more than $250 ou-of-pocket? State your hypotheses and decision rule. (b) is this a close decision.?

Ho: μ=$250

Ha: μ>$250

Calculate a Z-score.

Z = (x-μ)/SD

Z = ($275.66 - $250)/$78.11

Since you are only interested in finding if the amount exceeds the expected mean, you have a one-tailed test.

In a table in the back of your statistics text labeled something like "area under the normal distribution," find the calculated Z-score. If the proportion distant from the mean (in the smaller portion) is <.05, the difference is significant. How much the proportion differs from .05 will determine how close you think the decision is.

I hope this helps. Thanks for asking.

Thank you so very much for your help.

You are welcome.

To determine whether the sample data proves a violation of the guideline that the average patient should pay no more than $250 out-of-pocket, we can conduct a hypothesis test.

(a) Hypotheses:
- Null Hypothesis (H0): The average out-of-pocket patient billing is equal to or less than $250.
- Alternative Hypothesis (Ha): The average out-of-pocket patient billing is more than $250.

Decision Rule:
We will conduct a one-sample t-test for the mean with a significance level of 5% (α = 0.05). The critical value for a one-tailed test at this significance level is determined by the degrees of freedom (df) and can be found using a t-table or a statistical software. Since the sample size is 25, the df = 25-1 = 24.

If the calculated t-value is greater than the critical t-value, we will reject the null hypothesis in favor of the alternative hypothesis. Otherwise, we will fail to reject the null hypothesis.

(b) To determine if this is a close decision, we need to calculate the p-value associated with the calculated t-value. The p-value represents the probability of obtaining a test statistic as extreme as the observed data under the assumption that the null hypothesis is true. If the p-value is very close to the significance level (α), it suggests a close decision.

To conduct the hypothesis test and calculate the p-value, we need the sample mean, sample standard deviation, population mean ($250), and sample size.

Let's calculate the t-value and p-value.

First, let's calculate the t-value using the formula:
t = (sample mean - population mean) / (sample standard deviation / sqrt(sample size))

Given:
Sample mean (x̄) = $275.66
Sample standard deviation (s) = $78.11
Population mean (μ) = $250
Sample size (n) = 25

t = (275.66 - 250) / (78.11 / sqrt(25))
t = 25.66 / (78.11 / 5)
t ≈ 25.66 / 15.622
t ≈ 1.642

Next, let's find the critical t-value. Since it is a one-tailed test with α = 0.05 and df = 24, the critical t-value can be found using a t-table or a statistical software. For simplicity, let's assume the critical t-value is 1.711 (from the t-table).

Comparing the calculated t-value (1.642) with the critical t-value (1.711):
Since the calculated t-value is less than the critical t-value, we fail to reject the null hypothesis.

Now, let's calculate the p-value associated with the calculated t-value. Again, a statistical software or t-table can be used. For simplicity, let's assume the p-value is 0.05.

Since the p-value is greater than the significance level (α), we fail to reject the null hypothesis.

Therefore, based on the hypothesis test, there is not enough evidence to conclude that the average out-of-pocket patient billing is more than $250. This means the sample does not prove a violation of the guideline at the 5% level of significance.

(b) Since the calculated t-value is not significantly larger than the critical t-value and the p-value is not very close to the significance level, we can say that this is not a close decision.