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What would happen if a capitated patient account was not adjusted to a zero balance?
Wiki User
∙ 12y ago
the patient would have to pay
Wiki User
∙ 12y ago
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Why do charges need to be adjusted for patients who are covered under a capitated insurance plan?
Because they are not being charged on specific procedures. Under a capitated plan a flat fee is paid to the physician no matter how many times a patient receives treatment.
What bill clause prohibits the provider from billing the patient for amounts the carrier has contractually adjusted from the physician's fees?
No Balance.
What is the medical meaning for an credit adjustment?
A credit adjustment reduces the patient's account balance. Which means money that the patient had paid and has been acredited to their balance.
How will posting an amount applied to a deductible affect the balance due on a patient account?
it reduces the balance due.
When a capitated patient's services go over a certain amount and the physician can begin asking the patient to pay fee for service this arrangement is provided in what section of the managed care cont?
it known as Stop loss limit
What is the total of all account balances that are due to the physician called?
The total amount of all accounts that is due to a physician is simply referred to as the balance due. Care should be taken to not confuse this amount with the balance due from the patient, as opposed to the balance due from the patient as well as his or her insurance company.
What is another name for the patient account record?
ANOTHER NAME FOR THE PATIENT ACCOUNT RECORD IS THE PATIENT?
Why is a patient's medication sometimes adjusted after undergoing a pallidotomy?
Medications may be adjusted somewhat to accommodate the changes in symptoms.
Would you still see the patient if they owed a back balance?
If the patient was trustworthy and I knew the patient would pay the back balance.
Who is responsible for collecting patient balances?
How do I find out if the patient has a estate? So we could collect on the balance owed to the doctor before the patient dies.
What is a capitated plan?
A capitated plan is one where the patient is assigned to a doctor upon enrollment in the insurance plan and from that point on the doctor is paid a fee to be that person's doctor whether the patient is seen or not. Insurance companies like it because it makes their expenses more predictable and controllable and doctors often like it because it guarantees a steady income stream. The hope is that doctors will find ways to keep the patient healthy and manage then efficiently, often using nurses and other providers. The down side is that it provides an incentive for the doctor to not want to see the patient or to at least minimize the time spent with them. The doctor does well if he can gain a large panel of healthy patients he rarely sees and does poorly with a panel of sick patients that are seen often. The other type of plan is fee for service where the doctor submits a bill and gets paid only when he sees the patient.
How can I access my blocked facebook account and how long will it be blocked?
You need to be patient, try phoning them up and just be patient with grace of god you will have your account back
