Understanding the nuances of medical billing is essential for Delaware's healthcare professionals if they want to make sure they are paid fairly and promptly for the services they render. The two most common types of medical billing are fee-for-service and capitation billing. PPOs allow patients to choose providers outside of a network but at a higher cost. Insurance companies or government programs may cover the majority of hospital bills, while patients may be responsible for deductibles, copays, or uncovered services. Capitation billing is when medical providers are paid a flat rate per patient, regardless of the number of services provided. The most prevalent medical billing models in the US are capitation and fee-for-service, as was previously mentioned.
patient care