Differences between capitation and pay for performance

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Assignment:

During the registration process, a patient financial policy should be given to each patient, the demographics collected, and the insurance verified. At the time of the visit, any amount due, such as the copays or deductibles, should be collected from the patient. Once the patient has seen the provider, the charges are entered, run through an editing system, and claims are submitted to the insurance carrier for payment. Remittance advice comes back from the insurance carrier, the payments are posted. This sounds like a simple process; however, physician payment methodologies are not identical.

For your main Discussion post this week, compare and contrast non-risk-based physician payment and risk-based physician payment. What is the role of a fee schedule with regard to physician payment? How do relative value units (RVUs) affect reimbursement? What are the differences between capitation and Pay for Performance (P4P)?

Reference no: EM133994282

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