Q:
What Is Payer Mix?
A:
Quick Answer
Payer mix is a type of financial payment received by a medical practice, including Medicare, Medicaid, indemnity insurance, managed care and individual payments. It is the percentage of income that a medical facility receives from private and government insurance sources versus self-payments from patients.
Continue ReadingFull Answer
Payer mix impacts the financial status of a medical facility as Medicaid and Medicare pay less than the cost of treatment, somewhere between 60 and 80 percent of the actual cost of services rendered. To ensure the ongoing success of medical offices and centers, administrators continually analyze payer mix and adjust what amount of each payment type to accept.
Learn more about Health InsuranceRelated Questions
-
Q:
When Is a CMS 1500 Form Used?
A: The CMS 1500 form is a claim form used by health care providers to file for payment of Medicare and Medicaid claims. The form is published by the Centers f... Full Answer >Filed Under: -
Q:
What Information Is Necessary to File a Medicare Claim?
A: Health care providers and medical suppliers who submit claims for payment by Medicare Part B on form CMS-1500 must include specific information about the p... Full Answer >Filed Under: -
Q:
What Are Different Ways to Make Medicare Part B Payments?
A: One method of making Medicare Part B payments is to have the payments deducted from the individual’s Social Security, civil service or railroad retirement ... Full Answer >Filed Under: -
Q:
Can Medicare Benefits Be Received Before Age 65?
A: Medicare is available for individuals under the age of 65 who are disabled and receiving Social Security disability insurance payments, or who have been di... Full Answer >Filed Under:
You May Also Like
-
Q:
What Are the Benefits of an AARP MedicareRx Saver Plus Plan?
-
Q:
What Are Some Health Benefits Available Through UFCW?
-
Q:
What Are Good Dental Insurance Providers?
-
Q:
What Delta Dental Benefits Does a Military Retiree Get?
-
Q:
What Types of Plans Does AARP Dental Offer?
-
Q:
How Do You Enroll for CHS Benefits?
