Bones are often used as symbols of fear and death, such as the ever popular skull and cross bones. Sadly, this gives bones a bad reputation at times. Bones may appear simple, but they are quite fascinating and serve many important functions. They have a life all their own.
Balance billing. Balance billing, sometimes also called extra billing, is the practice of a healthcare provider billing a patient for the difference between what the patient's health insurance chooses to reimburse and what the provider chooses to charge. Advocates of balance billing argue that it increases the incomes of high-quality healthcare providers, and serves as a measure of their dissatisfaction with insurance company fees. Critics say that balance billing lets providers raise charges through stealth rat
Balance billing is generally prohibited by managed care plans. Capitation-The insurer pays health providers a set amount for each person enrolled in the managed care plan rather than for the number and type of services delivered.The amount paid may vary by factors such as age and sex of the enrolled member.atekeeper-A primary care physician (PCP) in a managed-care plan who is responsible for monitoring a patient's care and deciding when specialized care or tests are needed. Except in actual emergencies, all care from providers other than the member's PCP must be authorized by the gatekeeper.