Which insurance model allows providers to bill for specific healthcare services according to a defined rate?

Prepare for the Certified Billing and Coding Specialist Exam. Improve your skills with multiple choice questions; each question comes with hints and explanations. Get confident for your exam!

The chosen model, fee-for-service, allows healthcare providers to bill for each specific service rendered to a patient at a predetermined rate. This means that for every individual service or procedure a provider performs, they are reimbursed accordingly. This model incentivizes the provision of more services since the provider is compensated for each one, potentially increasing the overall cost of care.

In contrast, other models, such as capitation, involve a fixed amount paid per patient regardless of how many services are provided, which does not align with billing for individual services. Exclusive provider organizations and health maintenance organizations focus on controlling costs and managing care through a network of providers, further limiting the ability to bill per service.

Thus, within the context of billing for specific healthcare services, the fee-for-service model distinctly fits the description, allowing for variable billing based on the quantity and type of services provided.

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