What is managed care pr104 withholding?

Managed care PR104 withholding refers to the practice where a portion of payments to healthcare providers is withheld by managed care organizations to incentivize quality care and cost management. This withholding can be based on the provider meeting specific performance metrics or benchmarks. The withheld amount is typically released after evaluating the provider's performance over a certain period. This approach aims to align provider incentives with patient outcomes and overall healthcare efficiency.