Author name: wikicmi

The payments which are used by managed care organizations to control and manage health care costs are known as Capitation Payments. These payments control use of health care resources by putting the physician at financial risk for services given to patients. Similarly, managed care organizations measure the rates of resource utilization in the physician practices in order to ensure that patients don’t get suboptimal care through under-utilization of health care services. These reports are made […]

The HCFA 1500 form is considered to be professional paper claims form which is utilized by physicians and other medical service providers to submit claims for payment from Medicare carriers. The HCFA 1500 claim form enables the medical facilities to submit the health insurance claims to insurance carriers like Medicare and Medicaid; this form can be sent electronically. This form needs a lot of vital information about personal patient and insurance policy. The Centers of Medicare &