Week 1 Checkpoint 1 Payment Methods

Week 1 checkpoint 1- Payment Methods. mental imageryChapter 1 ofMedical Insurance An co-ordinated Claims Process Approach Writeand abide a 250- to 300- word response to the hobby questions ?Describe, the tumble-for-service and capitation collapsement cycles. Include the relationship among provider, enduring, and payer in your presentation, and their roles in the process. Fees for services ar listed on the bear upons fee schedule and there are cognize to be separate fees with for each one code and fewtimes these codes are not billable.So in saying this the enduring whitethorn have to pay nigh fees before they retract the indemnifys office staff because of some sort of procedure they had through. So the demeanor the relationship goes for the fees for service is like this. The patient put to works their usual monthly payments to their health computer program or its set up to be automatically withdrawn from their paycheck. If they make their payments on time past t hey stooge have medical services done by a physician.The patient then(prenominal) pays for any fees or co-pays for the medical services that were provided on that twenty-four hour period and then the Medical Biller will then bill the health computer programme. The patient may be reimbursed for the some money they had to pay out of pocket. Capitation payment cycle is counsel different. Capitation means that there is a inflexible prepayment that is paid to the medical provider for members of their plan for only necessary services provided to them. By using the capitation payment cycle the doctor may be taking risks for receiving fewer patients.Some doctors offices prefer this though because they are a small doctors office and only call for to deal with people that have authorized medical insurances so their biller and coder doesnt have to learn every involvement else. The only thing with this though is that they medical insurance is dismissal to pay the doctors office the sa me amount of money each month no matter what. This may cause problems for the patient because if they dont go see their doctor that month then they are still acquire charged.