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  2. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    This form of review typically relates to payment or reimbursement according to a medical plan or medical insurance provision. Denial of the claim could relate to payment to the provider or reimbursement to the plan member. Alternatively, the retrospective review may reflect a decision as to ongoing point of care.

  3. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    A prospective payment system (PPS) is a term used to refer to several payment methodologies for which means of determining insurance reimbursement is based on a predetermined payment regardless of the intensity of the actual service provided. It includes a system for paying hospitals based on predetermined prices, from Medicare.

  4. Retrospectively rated insurance - Wikipedia

    en.wikipedia.org/wiki/Retrospectively_Rated...

    Retrospectively rated insurance is a type of insurance that uses retrospective rating: a method of establishing a premium on large commercial accounts. The final premium is based on the insured's actual loss experience during the policy term, sometimes subject to a minimum and maximum premium, with the final premium determined by a formula.

  5. Owe the IRS? Set Up a Payment Plan To Avoid Paying ... - AOL

    www.aol.com/finance/owe-irs-set-payment-plan...

    A payment plan is an agreement with the IRS to pay your taxes within a certain amount... If you can't pay your tax bill in one lump sum, one alternative option is to set up a payment plan with the ...

  6. Repayment plan - Wikipedia

    en.wikipedia.org/wiki/Repayment_plan

    Federal Perkins Loan program are repayment plans available to undergraduate and graduate students who have demonstrated exceptional financial need and attended college or career school. The loan is subject to a fixed interest rate of 5%. [23] One repayment plan option for student loans is a graduated repayment schedule.

  7. How Do IRS Payment Plans Work? - AOL

    www.aol.com/finance/irs-payment-plans-211621085.html

    Restructure or reinstate a payment plan — phone, mail or in-person setup fee: $89 If you qualify for low-income taxpayer status, the fees for setting up a payment plan will be lower:

  8. Substantially Equal Periodic Payments (SEPP), explained - AOL

    www.aol.com/finance/substantially-equal-periodic...

    Here’s how SEPP plans work, the pros and cons and the three methods of calculating payments under the plan. How substantially equal periodic payments work.

  9. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    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 ...