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Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled membership.
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
A 988 transaction is a transaction described in section 988(c)(1) of the Internal Revenue Code [1] in the United States of America. This transaction occurs when a taxpayer enters into or acquires any debt instrument, forward contract , futures contract , option, or similar financial instrument held in a non-functional currency . [ 1 ]
Fee-for-service is a payment model in which services are unbundled and paid for individually. In health care, it gives an incentive for physicians to give more treatments because payment is depending on the quantity, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without ...
Mental health advocates want cellphone customers to pay a 50-cent monthly fee. Funding for Ohio's 988 suicide prevention line will run out in June 2023. Mental health advocates want cellphone ...
Retrospective payment is sometimes called "virtual bundling." [56] Approach to risk adjustment: bundled payments often use a risk adjustment approach to modify the price of the bundle to reflect the severity of the patient's condition. Payment methods vary on the basis of which factors are used to determine the risk adjustment (such a patient ...
Nov. 9—Since July of this year, people experiencing a mental health crisis have been urged to call 988. When they reach it, an automated message greets them: "You've reached the 988 suicide and ...
Lighter Side. Medicare