Question

Please define in your won words

defination2 (1) Read-Only-Compatibility Mode - Saved to thi sign Layout References Mailings Review View Help Tell me what you want to do Contract Capitation Periodic Interim payments and Cash Advances Package Pricing or Bundled Charges Ancillary Services Network maintenance Network Holder Harmless No balancing billing Coordination of benefits Carve out services

Answer 1

Contract capitation

It is a form of health insurance plan. A HMO or a managed care organization pays a fixed pay for each patient to the provider for the services offered.

Periodic interim payments and Cash advances

It is a short financial reporting period.There is no grace period. It is usually expensive and it has to be paid back after a certain period

Package pricing or bundled charging

Hers the CPT medical codes are combined and the reimbursement occurs.It is the expected cost for the care taken.It is also called as episode payment, episode based payments.

Ancillary services

The services or care rendered from laboratories, diagnostic, pharmacy,physiotherapy, nutritionist apart from the physician and the nursing professional

Network maintainance

This refers to the technical department like IT professionals handling the transfer of data in a secured and safe manner in a heakth care sector.

Network

In healthcare sector network refers to the team work which includes physicians, nurses,anesthetis,surgeon, phlebotomist Tec., in a care of a patient

Holder harmless

It is a written Contract between the hospital and the insured with policy limits. The insured are obligated to pay pursuant according to the contractwhich is a form of holding harmless .

No balancing billing

It is the difference between what the insurance company allotted for reimbursement and the charge mentioned by the provider

Coordination of benefits

It is a method of respective payment policy by and insurance company and the contribution of the otger plan for it.

Carve out services

It is a contract betwee insurance company and other company for the services.