Search results
Results From The WOW.Com Content Network
All-payer rate setting is a price setting mechanism in which all third parties pay the same price for services at a given hospital. [1] It can be used to increase the market power of payers (such as private and/or public insurance companies) versus providers, such as hospital systems , in order to control costs.
In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. Large insurance companies can have up to 15 different plans contracted with one provider.
In the United States, direct primary care (DPC) is a type of primary care billing and payment arrangement made between patients and medical providers, without sending claims to insurance providers. It is an umbrella term , incorporating various health care delivery systems that involve direct financial relationships between patients and health ...
The following is a list of notable online payment service providers and payment gateway providing companies, their platform base and the countries they offer services in: (POS -- Point of Sale ) Company
Hospitals receive only a fraction of the standard rate for providing services above a calculated-but-adjustable annual limit, while receiving bonuses for keeping services under the limit. The commission will seek to shift to population-based payment models that reward providers for improving health outcomes, enhancing quality and controlling costs.
Evolent was founded in 2011 by UPMC Health Plan, which operates one of the largest U.S. provider-owned health plans, and The Advisory Board Company, which provides technology tools to hospitals ...
HCUP includes multiyear hospital administrative (inpatient, outpatient, and emergency department) data in the United States, with all-payer, encounter-level information beginning in 1988. These databases enable research on health and policy issues at the national, State, and local levels, including cost and quality of health services, medical ...
The search engine that helps you find exactly what you're looking for. Find the most relevant information, video, images, and answers from all across the Web.