When a health care provider is paid a set amount for each person covered by an insurance plan, regardless of how many services each person requires, this is called:
a. capitation
b. co-pay.
c. fee-for-service.
d. negotiated fee.
a
FEEDBACK: a. Correct. Capitation is a set amount for each person despite the services provided for the patient.
b. Incorrect. Co-pay is the amount the patient pays for each service.
c. Incorrect. Fee-for-service is not based on a set amount per person.
d. Incorrect. Negotiated fee means that pre-agreed-upon amounts are negotiated between health care providers and insurance companies to pay for specific services.
You might also like to view...
After oxygen therapy, the patient's SpO2 improves from 90% to 99%. Using the CHEATED method of documentation, this would be placed in which category?
A) C-Chief complaint B) H-History C) E-Evaluation D) D-Disposition
Which of the following is the most prominent factor to consider when forecasting the recruitment needs of the department?
A) Title VII requirements B) The diversity to be achieved C) The budget, which will determine the number of positions to be filled D) Where to begin the recruitment process