Capitation fee

A capitation fee is a fixed monthly payment made to a health care provider by a health care plan in exchange for a commitment to provide service to certain patients. Payment is made even if a patient never appears. When a health care provider accepts capitation fees, it must recognize a liability for unpaid claims, which includes claims that have not yet been reported. A review of the proportions of claims being reported in later periods, along with their amounts, can be used to estimate the amount of this liability.

Related Courses

Health Care Accounting