HCR 220 wk 1 due day 5 payment methods presentation

HCR 220 wk 1 due day 5 payment methods presentation - In...

Info iconThis preview shows pages 1–8. Sign up to view the full content.

View Full Document Right Arrow Icon
Click to edit Master subtitle style Payment Methods Angelic R. Boggs HCR 220 Axia online
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Introduction There are many differences in a fee-for- service insurance plan and a capitation  insurance plan. You either pay a premium and  get reimbursed for additional services that are  needed, or you plan pays on set payment and  you are then responsible for additional  services if needed. 
Background image of page 2
Fee-for-service This is when insurance plans reimburse the  patient after he or she receives and pays for  the physicians services.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Capitation This is when a fixed payment is that is paid to  the physician whether the patients needs  further services or not, the physician also has  to take inconsideration that the patient may  not need further services 
Background image of page 4
Comparison  In a fee-for-services plan the more the  services the patient receives, the more the  plan reimburses to the patient.
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 6
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 8
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: In capitation plans there is only on set payment set up, the patient may not use what is needed or the patient may need additional services. Capitation & fee-for-service An example of capitation is when there is a fixed payment for the patient to see the physician at $30 a month. If the patient sees the physician twice a month then each visit is $15 if the patient does not see the physician the monthly payment is still $30 a month. An example of fee-for-service involves a fist second and third party. The first party (Patient, policyholder, employer) pays a Summary Fee-for-service and capitation plans are very different, one plan reimburses the patient and the leaves the rest of the responsibility on the patient. References www.axiaecampus.phoenix.edu, chapter 1...
View Full Document

This note was uploaded on 06/07/2010 for the course HCR 220 taught by Professor Cvibanez during the Spring '10 term at University of Phoenix.

Page1 / 8

HCR 220 wk 1 due day 5 payment methods presentation - In...

This preview shows document pages 1 - 8. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online