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12y ago

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What is a rendering physician?

Rendering Physician is the Physician who provided the services, also known a the "Treating Physician" - Billing provider is the provider that will receive payment for the services. Typically the billing provider is a Group Entity when it differs from the Rendering Physician


What document is signed by the insured directing insurance company to pay benefits directly to physician?

The document that the insured signs to direct the insurance company to pay benefits directly to the physician is called an "Assignment of Benefits" (AOB). This form allows the healthcare provider to receive payment directly from the insurance company for services rendered, rather than the insured receiving the payment first. It streamlines the billing process and ensures that the physician is compensated promptly for their services.


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Does a provider have to bill insurance for services rendered?

No, a provider is not required to bill insurance for services rendered, but it is typically done to receive payment for the services provided.


How does a HMO receive payment for the services its physicians provide?

An HMO is a prepaid group plan. Patients join the plan and pay monthly medical insurance premiums individually or through their employer. The physician renders service to the patient, and the patient usually pays a small co-payment and occasionally a deductible as required by the plan. Providers that join the plan are paid using the capitation method.Capitation is a system of payment used by managed care plans in which physicians and hospitals are paid fixed per capita amount for each patient enrolled over a stated period of time, regardless of the type and number of services provided.


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The general term for the payment workers receive for the labor or services they perform is?

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What are the three goals of physician payment reform?

The National Commission on Physician Payment Reform's goal is to analyze and make recommendations on how to reform the physician payment system in such a way as to rein in health care costs while optimizing the outcomes for patients. Their report is expected to be issued early in 2013. So, the 3 goals are: physician payment reform reining in health care costs optimizing patient outcomes


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Soldiers recieved a fief as a form of payment for their services during war time. Knights also recieved fiefs in midevil times for the same services. Even peasants recieved fiefs in payment for their loyaty to their Lord.


What is the opposite of advance payment?

The opposite of advance payment is a deferred payment. In a deferred payment arrangement, the payment is made after the goods or services have been delivered or rendered, rather than upfront. This can allow buyers to receive the product before committing to payment, often used in credit or installment agreements.