What reimbursement methodology does Super Payer use to reimburse Dr. McGee for each service during a visit?

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The reimbursement methodology used by Super Payer, which offers payment for each service rendered during a visit, aligns with a fee schedule approach. A fee schedule is a set list of predetermined amounts that are paid for specific services or procedures. This methodology allows healthcare providers to know in advance what they will be reimbursed for each service they deliver to patients.

In this context, Dr. McGee receives individual payments for each service provided during a patient visit, reinforcing the nature of a fee-for-service model. This method contrasts with other reimbursement approaches such as capitation, where a fixed amount is paid per patient regardless of the number of services provided, and bundle payments or global payments, which aggregate payments for multiple services into a single payment for a course of treatment or specific episodes of care.

Thus, the fee schedule approach clearly demonstrates how reimbursement occurs on a per-service basis, making it the correct answer for how Super Payer reimburses Dr. McGee.

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