Question
Patient scenario : Your office is seeing a new patient for the first time (new patient consults are $500).In your role as the reimbursement specialist
Patient scenario: Your office is seeing a new patient for the first time (new patient consults are $500).In your role as the reimbursement specialist for a large primary care office, outline the different reimbursement options to which the practice is subject for the providers in the group.
Discuss (at least) the four main reimbursement options that your provider in the scenario would likely have for a new patient consult. Discuss the options and comment on potential drawbacks or additional considerations to take into account with each model. Also, consider the likelihood and challenges of recouping the entirety of the consult charges for the patient.
Part 1 1)Introduction of Reimbursement Options 4)Impact of Pay-for-Performance on Reimburse 2)Drawback of Fee-For-Service Reimbursement 5)Resource-Based Relative Value Scale
3)Drawbacks of Capitation Reimbursement Part 2- Payment Options for Uninsured Patients: 1)Medicaid 2)Financing 3)Self-pay 4)Charity Care Conclusion: Discuss main themes References: include citations and references
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