The paper should be based on how an insurance company contracts with a provider (physician) - this may be through HMO, PPO, etc. Then discuss how the physician's performance impacts their reimbursement (pay for performance) and how evidence-based clinical measures can also impact the contract.

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter11: Cms-1500 And Ub-04 Claims
Section: Chapter Questions
Problem 8R
icon
Related questions
Question

The paper should be based on how an insurance company contracts with a provider (physician) - this may be through HMO, PPO, etc. Then discuss how the physician's performance impacts their reimbursement (pay for performance) and how evidence-based clinical measures can also impact the contract.

Expert Solution
steps

Step by step

Solved in 3 steps

Blurred answer
Recommended textbooks for you
Understanding Health Insurance: A Guide to Billin…
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Essentials Health Info Management Principles/Prac…
Essentials Health Info Management Principles/Prac…
Health & Nutrition
ISBN:
9780357191651
Author:
Bowie
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
3-2-1 Code It
3-2-1 Code It
Biology
ISBN:
9781337660549
Author:
GREEN
Publisher:
Cengage