Review Payments with an Accessible Capitation Software

Understanding Capitation Payment Arrangement

Capitation payments are used by managed care organizations (MCO) to control health care costs and resources by putting the physician at financial risk for services provided to patients. However, that doesn’t directly mean physicians are prohibited from using medical resources. It is the duty of the MCOs to see to it that patients still get optimal care by implementing health care services used to measure rates in physician practices.

Ultimately, capitation payment is a form of value-based payment arrangement that offers physicians the source of monthly income for their practice. It is in their own prerogative that physicians monitor their monthly capitation reports to ensure they are getting what they are promised based on the terms of their contracts.

What Contains in the Capitation Reports

Typically, in any capitation arrangements, providers receive a fixed payment from an assigned member every month whether or not the patient requires care during the month. The public can have access to these reports and the provider’s linked financial rewards can be referred to as the measure of health care quality. The capitation agreement that the physician signs usually contains a list of specific services that must be provided to patients and the amount of the capitation will be determined in part by the number of services provided. It differs depending on the health plan, but most capitation payment plans for primary care services include the following:

• Preventive, diagnostic, and treatment services
• Injections, immunizations, and medications administered in the office
• Outpatient laboratory tests are done either in the office or at a designated laboratory
• Health education and counseling services performed in the office
• Routine vision and hearing screening
  
  

QuickCap’s Accessible Capitation Payment Management Software

It is a big help for providers who need to access each enrollee’s agreed payment to have an accessible capitation payment management system. The problems that you used to encounter with capitation payments are resolved by integrating an advanced web application like QuickCap.

Review Accessible Capitation Report. Simply pull up capitation reports in just a few clicks. For every enrollee, records are made available for an easy viewing experience.

Calculate Capitation Payments. QuickCap is a centralized payment software that you can utilize to help you with capitation payment calculations for primary care providers (PCP). The calculations that you made can be sent for payment in one system.

Process PCP Capitation Checks. Generate PCP capitation checks seamlessly. Print the checks right from the system and log them in the check register to get back to them whenever you need to in the future.

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