Are capitation dollars slipping through your fingers?
This study by a San Francisco consultant suggests that provider groups can recover 10% to 15% of their capitation dollars by conducting financial recoveries in areas such as member-capitation reconciliation, claims paid on ineligible members, and duplicate claims.
D002140:California; D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D017598:Efficiency, Organizational; D004608:Eligibility Determination; D018588:Fee-for-Service Plans / Q000191:economics; D005375:Financial Audit; D007344:Insurance Claim Reporting / Q000592:standards; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration; D009937:Organizational Objectives; D011216:Practice Management, Medical / Q000191:economics*; D020414:Risk Sharing, Financial; D012984:Software; D014481:United States