Kulemba Chigamulo ndi Medicaid

Khwerero ndi sitepe thandizo

Medicaid ndi ndondomeko ya inshuwalansi ya umoyo kwa anthu omwe ali ndi ndalama zochepa komanso mabanja omwe sangakwanitse kupeza chithandizo chamankhwala. Centers for Medicare ndi Medicaid Services (CMS) ndi bungwe la federal lomwe limayang'anira ndi kuyang'anira ndondomeko zonse za boma za Medicaid. Ovomerezedwa oyenerera amalandira chithandizo chamankhwala kuchokera kwa opereka omwe ndiye amalandira Medicaid kuti athandizidwe. Kulipira kumeneko kumachitika pa mlingo waderalo kotero boma lirilonse limasiyana ndi momwe pulogalamuyi ikuyendera.

Tiyeni tiphunzire momwe tingayankhire ndi Medicaid.

Musanapange Bill Muyenera Kukhala Wopatsa

Opereka amapatsidwa chilolezo ndi kuvomerezedwa malinga ndi malamulo ndi malamulo omwe akugwira ntchito.

Othandizira a Prospective Medicaid ayenera kuitanitsa ndi kulembetsa pulogalamu ya Medicaid, apatseni nambala ya wothandizira, ndipo avomereze zochitika zina za kutenga nawo mbali msonkho usanapereke kwa mautumiki operekedwa. Yang'anani ndi dziko lanu.

Amene Mumakhudza Mmene Mungayankhire

Mtundu umene mumapereka kuti mupereke malipiro umasiyana ndi momwe mumasankhira ngati wopereka. Mabungwe otsatirawa amapereka zifukwa zothandizira izi:

• akuluakulu osamalira anthu
• mabungwe a thanzi labwino
• ntchito zothandizira alendo
• malo oyamwitsa

Zolemba zamalonda zimatengedwa ndi:

• zida zogwiritsira ntchito zachipatala zotsalira
• mankhwala othandizira kuika mankhwala
• ntchito zaukhondo zaumwini

Kulemba Zolemba

Zotsatirazi ndizomwe mukutsatira. Ngati pali mutu wa nkhaniyi, fufuzani ndi dziko lanu.

Kawirikawiri muli ndi chaka chimodzi kuchokera tsiku la utumiki kapena tsiku lomaliza la utumiki kuti mupange.

Nazi zizindikiro zina ndi ndondomeko zomwe zingakuthandizeni pamene mukuyendera mawonekedwe a mapemphero.
MPN : Nambala ya Wopereka Medicaid, nambala ya Medicaid yomwe inafotokozedwa ndi Medicaid inalandira pa kulembetsa.
NPI : Chidziwitso cha Wopereka Zonse, NPPES-yofalitsa nambala 11 nambala yomwe imalandira pempho.

Code Taxonomy : Code ya 10-khalidwe yomwe imayimira mtundu wa opereka ndi apadera.

1. Pezani fomu yanu yodzinenera. Mayiko ambiri amapanga mafomu awo omwe akuyitanitsa kuchokera ku kachitidwe ka dziko kamene kanakhazikitsidwa ndi Komiti Yachigawo Yoyimira Zonse. Pezani fomu yodzinenera.
2. Fomu yodzinenera zambiri ndi yodzifotokozera komanso yodziwonekera pamene mukuyang'ana kuti tiwone malo omwe angakhale ovuta kugwiritsa ntchito chitsanzo chachitsulo chomwe chili pamwambapa. Mukhoza kusindikiza. Hafu yapamwamba ya mitundu yosiyanasiyana imafuna kuti mudziwe zambiri zokhudza wodwalayo komanso munthu wodalirika (ngati osiyana ndi wodwalayo). Theka la pansi lidzipatulira kwa otsogolera kapena zogulitsa katundu.
3. Gawo 14 - Tsiku la Matenda Aliwonse, Kuvulala - Tsiku lachilendo kapena kuvulazidwa kumeneku ndilo tsiku loyamba la matenda, kapena tsiku lenileni la kuvulala.
4. Chinthu 17 - Dzina la Wopereka Wowonjezeramo - Lowani dzina ndi zidziwitso za akatswiri omwe anatchula, kulamula, kapena kuyang'anira ntchito kapena kupereka (zomwe) pazomwe akunenazo. Chinthu 17a - Odziwitsira opereka amapatsidwa kwa wothandizira. Chinthu 17b: Lowani nambala ya NPI ya wotumiza.
5. Gawo 21 - Kudziwa kapena Mtundu wa Matenda kapena Kuvulaza - Chidziwitso kapena chikhalidwe cha matenda kapena kuvulala chimatanthauza chizindikiro, chizindikiro, kudandaula, kapena chikhalidwe cha wodwalayo chokhudzana ndi ntchitoyo pazifukwa. Lembani zizindikiro zosaposa zinayi za ICD-9 -CM.

1. Chinthu 24B - Lowani makalata awiri oyenerera kuchokera pa malo a Service Code mndandanda wa chinthu chilichonse chomwe chikugwiritsidwa ntchito kapena ntchito. Malo Amtundu wa Utumiki amasonyeza malo omwe msonkhano unaperekedwa. Apeze iwo pano.
2. Chinthu 24D - Ndondomeko, Mapulogalamu, kapena Zopereka - Lowani chikho kapena CPC kapena ma HCPCS ma code omwe ali oyenera pa tsiku la utumiki. Pezani mndandanda waukulu pa Centers for Medicare ndi Medicaid Services.
3. Tumizani fomu yobwereza potsatira malangizo operekedwa ndi ofesi ya Medicaid. Nthaŵi zambiri, mungangotumiza pempho lapakompyuta. Izi zingafunike kuti muzitsatira kapena mutenge mapulogalamu ena othandizira. Apo ayi, mufunikira kutumiza fakisi kapena kutumizira fomu yobwereza ku boma la Medicaid lomwe limapempha kuti lichitidwe.

Chifukwa chakuti mukuchita nawo boma mukuyenera kutsatira malangizo mosamala kapena kutsutsana ndi zomwe akutsutsa ndikutsitsimutsanso. Kumvetsetsa kuwerengera kuti mutumize zifukwa zoyenera pamene mukuchepetsa mbendera iliyonse yofiira ikukambidwa.