In a per-procedure payment model, what characterizes the payment for multiple procedures done during one visit?

Prepare for the HFMA Business of Health Care Test. Study with flashcards and multiple choice questions, each question offers hints and explanations to boost your confidence. Ace your exam!

In a per-procedure payment model, the characteristic of payment for multiple procedures performed during a single visit is that the primary procedure is compensated at the full rate. This reflects the standard practice in such payment structures, where the most significant service, often the one that required the most resources or time, is fully reimbursed. When additional procedures are conducted simultaneously, they tend to receive a reduced payment or are bundled based on established coding guidelines and reimbursement schedules.

This structure incentivizes providers to deliver comprehensive care in one visit while controlling costs for payers, as the rationale is that offering multiple services in a single encounter can be more efficient than scheduling separate visits. In this scenario, the primary procedure's full payment helps ensure that the healthcare provider is fairly compensated for the major service rendered.

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