Topic: Fee-for-Service Versus Episode of Care

Details: Fee-for-Service Versus Episode of Care
In your current role as the reimbursement analyst for a large provider group, you are responsible for ensuring the group receives payments for services rendered in accordance with established payor contracts. A new staff member has been hired to work in the billing office and unfortunately has no prior experience working in a provider office.
For your initial response to this discussion, compare and contrast the fee-for-service and episode of care reimbursement methodologies.
In your response, include the following:
A description of each methodology.
An explanation of the benefits and drawbacks of each.
Finally, identify one payment method within a methodology and describe how the provider would be reimbursed under the payment model. Examples include fee-for-service and self-pay.
Response Guidelines
As noted in the FEM, respond to peers whose assessments of the benefits and drawbacks of the two methodologies differ significantly from yours. Argue in a collegial manner for your assessment, providing cited resources to reinforce your point.
Resources
Discussion Participation Scoring Guide.
APA Style and Format.
Health Care Administration Undergraduate Library Research Guide

Solution Preview

The healthcare insurance coverage systems have multiple reimbursement methods in offering patient care. The fee-for-service and Episode of care or bundled payment are some of the reimbursement methodologies. An in-depth dissection of their structuring unearths their possible benefits and shortcomings before explaining

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