[singular] formal a reason for something have occasion to do something: Iâve had no occasion to complain about their service. Synonyms and related words. Reasons and excuses:reason, excuse, point... Explore Thesaurus. a. a cause of something be the occasion of something: His mistake was the occasion of much amusement.
Provider Based Billing refers to the billing process for services rendered in a hospital department or location. This process takes place when the hospital owns or leases space and employs physicians and other support personnel who are involved in patient care.Medicare and Medicaid have designated specific rules and requirements for Provider Based Billing which we follow.his process takes place when the hospital owns or leases space and employs physicians and other support personnel who are involved in patient care. Medicare and Medicaid have designated specific rules and requirements for Provider Based Billing which we follow.
Balance billing is generally prohibited by managed care plans. Capitation-The insurer pays health providers a set amount for each person enrolled in the managed care plan rather than for the number and type of services delivered.The amount paid may vary by factors such as age and sex of the enrolled member.atekeeper-A primary care physician (PCP) in a managed-care plan who is responsible for monitoring a patient's care and deciding when specialized care or tests are needed. Except in actual emergencies, all care from providers other than the member's PCP must be authorized by the gatekeeper.