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:
What Has Been the Impact of Medicare on the Healthcare System?
A: Impacts of Medicare on the health care system include more affordable health care insurance for the elderly, the development of new health care research an... 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:
How Do You Cancel Your Medicate Part B Plan?
-
Q:
What Are Some Services Available Through the HCA Midwest Health Patient Portal?
-
Q:
What Is the Comfort Dental Gold Plan?
-
Q:
What Are JCAHO Compliance Standards?
-
Q:
Does Medicare Cover a Colonoscopy?
-
Q:
Where Can You Locate a List of the Medicare Rejection Codes?
