What are three main types of healthcare services billing methods?
1. Fee-for-diagnosis, capitation, accrual
2. Capitation, full costing, actual outflow
3. Fee-for service, capitation, fee-for-diagnosis
4. Fee-for service, accrual, fee-for-health
Correct Answer: 3
The three main types of healthcare services billing methods are fee-for-service, whereby patients pay the practitioner for each health service they receive; capitation, whereby healthcare providers are paid a fixed dollar amount per person for providing an agreed-upon set of health services to a defined population for a specific period of time; and fee-for-diagnosis, which is a type of prospective payment system. Agencies are provided with a fixed dollar amount for the care of a patient based on the patient's main and secondary diagnoses, demographic information, and the usual treatment provided for the health problems. The fourth main type of billing for healthcare services is pay-for-performance, which rewards positive outcomes on the part of providers. Accrual (accumulation) of something is the adding together or interest or different investments over a period of time. Actual outflow is a financial term that describes the actual spending of monies from a fund. Full costing is a method in which all costs, variable and fixed, are treated as product costs; this is usually applied to manufacturing products. A fee for health care services may be charged to an individual but this would be correctly referred to as fee-for-service.
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