Which payment model allows for individual billing for services or procedures?

Study for the RMA Administrative Assisting Test with our comprehensive guide. Prepare using flashcards and multiple choice questions that come with detailed explanations and hints. Ace your exam with confidence!

The fee-for-service (FFS) model allows for individual billing for each specific service or procedure provided to a patient. In this model, healthcare providers are compensated for each service rendered, effectively itemizing each encounter or procedure. This approach enables transparency in billing and ensures that providers are paid for the specific services they perform, leading to a direct relationship between the services rendered and the payment received.

In contrast, capitation involves a set payment for a defined period covering all services needed by a patient, regardless of how many services are provided, making it more challenging to itemize individual procedures. Value-based care focuses on outcomes and improving patient health rather than the volume of services delivered, which does not align with billing each service separately. Bundled payments cover a group of related services for a single episode of care, which again does not facilitate itemized billing for individual services. Thus, fee-for-service stands out as the model that enables billing for each distinct service rendered.

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