Week 1 Checkpoint 1 Payment Methods

Week 1 checkpoint 1- Payment Methods. ResourceChapter 1 of checkup policy An Integrated Claims Process Approach Writeand post a 250- to 300- watchword response to the following questions ?Describe, the salary-for-service and capitation allowance cycles. Include the relationship among provider, patient, and tolerateer in your presentation, and their roles in the process. Fees for services be listed on the medicos tumble schedule and there are known to be separate hires with all(prenominal) code and neartimes these codes are not billable.So in saying this the patient may make believe to pay some fees before they leave the physicians office because of some sort of procedure they had make. So the way the relationship goes for the fees for service is the likes of this. The patient makes their usual monthly payments to their health plan or its set up to be automatically withdrawn from their paycheck. If they make their payments on time then they can have medical services end uree by a physician.The patient then pays for any fees or co-pays for the medical services that were provided on that day and then the Medical Biller will then bill the health plan. The patient may be reimbursed for the some money they had to pay out of pocket. Capitation payment cycle is way different. Capitation means that there is a fixed prepayment that is paid to the medical provider for members of their plan for only necessary services provided to them. By using the capitation payment cycle the doctor may be taking risks for receiving fewer patients.Some doctors offices prefer this though because they are a small doctors office and only want to deal with people that have certain medical insurances so their biller and coder doesnt have to come across everything else. The only thing with this though is that they medical insurance is going to pay the doctors office the same amount of money each month no matter what. This may cause problems for the patient because if they dont go see their doctor that month then they are still getting charged.