SU_HCM1201_week1_project_Martinez_T

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South University, Savannah *

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1201

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Health Science

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Jan 9, 2024

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docx

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4

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Supporting Lectures South University Week 1 Project Introduction To Healthcare Insurance Coding, Billing, and Reimbursement December 5, 2023
List of Coverage Organizations: 1. Single-Payer 2. Universal Coverage 3. Fee-for-service 4. Health Maintenance organizations (HMOs) 5. Government-funded public healthcare 6. Private-funded insurance Main Features A single-payer system is when the government provides healthcare coverage for all citizens that qualify Universal coverage is a system where all citizens can have access to healthcare services if qualified. Fee-for service: Providers receive reimbursement based on the cost of services they provide. HMOs: Providers receive reimbursement based on the number of patients they handle, and the allocate resources accordingly Government Funded Public Healthcare: The government funds the healthcare system and provides coverage for certain groups (elderly or low income individuals) Private Funded Healthcare: Individuals or employers pay for private insurance coverage.
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