Home > Medical Terms for Billing and Coding > PHYSICIAN INCENTIVE PLAN



Any compensation arrangement at any contracting level between an MCO and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to Medicare or Medicaid enrollees in the MCO. MCOs must disclose physician incentive plans between the MCO itself and individual physicians and groups and, also, between groups or intermediate entities (e.g., certain IPAs, Physician-Hospital Organizations) and individual physicians and groups. See 42 C.F.R. 422.208(a).

Learn more about medical coding and billing, training, jobs and certification.

Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 877-524-5027.

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

Which eNewsletters are right for you?

Call 844-334-2816 to speak with a specialist now.

Which books are right for you?

Call 877-524-5027 to speak to a representative.