fee-for-service


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fee-for-service

(fē′fər-sûr′vĭs)
adj.
Charging a fee for each service performed: a fee-for-service health insurance policy.

fee-for-service

Etymology: AS, feoh, property; L, servitum, slavery
1 a charge made for a professional activity, such as a physical examination, the fitting of a contraceptive diaphragm, or the monitoring of a person's blood pressure.
2 a system for the payment of professional services in which the practitioner is paid for the particular service rendered, rather than receiving a salary for providing professional services as needed during scheduled hours of work or time on call.

fee-for-ser·vice

(fē'fōr-sĕr'vis)
Payment made at the time of health care service; the amount varies according to the provider's estimate of the costs involved.

fee-for-service

Payment for specific health care services provided to a patient (as opposed to payments received for the number of patients seen, the number of hours worked, or the number of patients enrolled in a health care panel). The individual or an insurance carrier may make the payment.
References in periodicals archive ?
Based on an average payment per discharge of nearly $8,400 in 2007, bringing Medicare's fee-for-service preventable hospitalizations down to the same level as the ACHP plans would have saved the program $4.
Private fee-for-service plans have been popular in the TriState, particularly in Upstate New York where there are a number of Medicare Advantage plans competing for enrollment," said Chris Lewis, analyst with HealthLeaders-InterStudy and author of the report.
The seven private fee-for-service Medicare plans that recently signed an agreement with the CMS to suspend their marketing efforts are United Healthcare, Humana, WellCare, Universal American Financial Corporation (Pyramid), Coventry, Sterling, and Blue Cross Blue Shield of Tennessee.
At its best, a fee-for-service provider is a partner in the client's business, providing the contracted services today and looking toward improvements to meet future needs.
A private fee-for-service Medicare plan is a private insurance program that charges enrollees a premium and cost-sharing amounts and lets beneficiaries choose the providers they want to see, according to HCFA.
Funded by the Robert Wood Johnson Foundation, the study evaluated care received by 215 HMO and 187 fee-for-service residents at 20 community-based nursing homes in three regions of the U.
Nor are we being told that doctors in Medicare's fee-for-service sector, who are not getting a handsome subsidy, are continuing to see Medicare patients all over the country including the regions from which Medicare HMOs have pulled out.
The Medi-Cal beneficiaries who choose not to enroll in the project will continue to receive their treatment on a fee-for-service basis.
The report also shows separate distributions of supplementary insurance for persons in the fee-for-service and managed care sectors.
This portrait of HMOs as soulless money-making machines has become increasingly popular in recent years, as skyrocketing health care costs have driven a shift from fee-for-service medicine to managed care.
But they can all be categorized into four basic groups: traditional indemnity or fee-for-service plans, preferred provider organizations (PPO), point-of-service plans (POS) or health maintenance organizations (HMO).
locations (chosen primarily to represent variations in health care availability), and sorted them into fee-for-service and HMO insurance plans.