Kusiyanitsa kwakukulu pakati pa kulipira kwa madokotala ndi kuchipatala

Momwe Ntchito Yogwirira Ntchito Yogwirira Ntchito Yopangira Ntchito Amagwirira Ntchito Zambiri Zosiyanasiyana

Ngati mukuyang'ana ntchito mu kulipira kwachipatala, nkofunika kumvetsetsa momwe ntchitoyo ikugwirira ntchito zosiyanasiyana. Makampani ambiri azachipatala adzakuuzani kuti pali kusiyana kwakukulu mukukonzekera madandaulo a zachipatala m'madera osiyanasiyana komanso malo osiyanasiyana. Pali kusiyana kwakukulu pa kulipira pakati pa chithandizo chamankhwala ndi mafakitale ena. Mu kulipira kwachipatala, pali mitundu iwiri yolipira-yothandizira kulipira ndi kulipira ngongole.

Kodi Ndalama Zamalonda Zotani pa Zithandizo Zamankhwala?

Ngakhale ntchito zambiri zomwe zimachitika ndi ofesi ya zachipatala ndi zofanana pa mitundu yonse ya chipatala, kulipira kwa mankhwala sikuli. Ofesi ya zachipatala imayang'anira ntchito zoyang'anira ntchito zachipatala, kuphatikizapo odwala moni, kukonzekera kusankhidwa, kufufuza ndi kulembetsa, kusonkhanitsa ndalama, ndi ntchito zina kuphatikizapo kubwezera mankhwala.

Kulipira ngongole kumapangitsa kuti kulipira kwa madandaulo operekedwa kuntchito akuchitidwa ndi madokotala, ogulitsa katundu, ndi ena omwe sapereka chithandizo kwa onse odwala komanso opaleshoni.

Mafomu Omwe Anagwiritsidwa Ntchito : Maofesi apamwamba amaperekedwa pa fomu ya CMS-1500 . CMS-1500 ndi fomu yofiira-in-white-paper-standard claim fomu yomwe amagwiritsidwa ntchito ndi madokotala ndi ogulitsa katundu chifukwa cha kulipira kubwereza.

Ngakhale kuti madandaulo ena pakali pano amaperekedwa pamapepala, Medicare, Medicaid, ndi ena ambiri makampani a inshuwalansi amavomereza madandaulo a zamagetsi monga njira yoyamba kubweza. Baibulo lamakono la CMS-1500 limatchedwa 837-P, P yomwe imayimilira akatswiri.

Ntchito Yopanga Udokotala Ntchito Zopangira Ntchitoyi: Olemba zamalonda amapanga ntchito zosiyanasiyana kusiyana ndi ndalama zamalonda. Kawirikawiri zamalonda zamalonda amafunika kuti azidziwa kulipira ndi kulemba. Mapulogalamu ambiri othandizira kupereka ndalama amapereka ngongole zachipatala ndikulemba pamodzi. Ambiri mwa mapulogalamuwa amaphunzitsa kuwerengera zambiri kuposa kulipira. Komabe, ngongole zamankhwala zimatha kupeza ntchito yophunzitsira ndalama koma zochitika zambiri zimafuna kuti mabanki azikhala ndi zolembera. Billers angakhalenso ndi udindo wolowera ndalama komanso kulipira malipiro ochokera kwa a inshuwalansi ndi odwala.

Kodi Ngongole Yoyendetsa Ntchito Zothandizira Zamankhwala Ndi Chiyani?

Kulipira kwapadera kumayang'anira kubweza kwa madandaulo operekedwa kuntchito zomwe zipatala, aubwino amwino , ndi zipatala zina zothandizira anthu odwala ndi odwala , kuphatikizapo kugwiritsa ntchito zipangizo ndi zina, ma laboratory, mautumiki a radiology, ndi zina.

Mafomu Omwe Anagwiritsidwa Ntchito: Maofesi apakhomo amaimbidwa pa UB-04 . Bungwe la UB-04 ndi inki yofiira pa pepala loyera lomwe likuyimira fomu yomwe imagwiritsidwa ntchito ndi omwe amapereka chithandizo pamalopo. Buku la electronics la UB-04 limatchedwa 837-I, i Yemwe ndikuyimira maofesi.

Ntchito Yopanga Udokotala Ntchito Zopangira Ntchitoyi: Nthawi zina mabanki amapanga ntchito zosiyanasiyana kusiyana ndi olemba ngongole. Mabungwe amilandu ndi omwe amachititsa kuti azilipira ngongole kapena azipanga ngongole ndi zokolola. Kuchipatala kwa zipatala ndi zovuta kwambiri kuposa zolemba zachipatala, chifukwa chake kulembedwa kwa ziwerengero zazakhazikitsidwe kumachitika ndi makalata okhaokha.

Ntchito Zopereka Udzu Wa Ntchito Zopereka Udindo

Mosasamala kaya ndi luso la akatswiri kapena mabungwe, mabungwe azachipatala ali ndi ntchito yofunika. Kuti apambane onse ogula ndalama ayenera kuphunzira zazing'ono zisanu:

1. Kuti apereke chigamulo choyenera cha zamankhwala, ndalama zamalonda zimayenera kudziwa kapena kupeza zambiri zambiri kwa kampani iliyonse ya inshuwalansi.
2. Ogwira ntchito zamalipiro azachipatala ali ndi mwayi wopita kuchidziwitso chachinsinsi cha thanzi lachinsinsi ndipo ayenera kudziwitsidwa njira zopeŵera kuphwanya malamulo a chitetezo cha HIPAA ndi chitetezo.
3. Kudziwika bwino ndi mtundu wa pulogalamu yogulitsa ntchito idzapulumutsa nthawi, kuchepetsa zolakwa, ndi kupewa matenda ambiri. Amalonda a zamankhwala ayenera kupindula ndi maphunziro omwe opatsa mapulogalamu amapereka ndipo ngati kuli koyenera, afunseni nawo ngati pakufunikira mafunso.
4. Kumvetsetsa mgwirizano wokhudzana ndi zopindulitsa kumatanthauza kumvetsetsa momwe mungagwiritsire ntchito ndalama zowonongeka kuti mupewe kuchepetsa kubwezera.
5. Gawo lirilonse la chithandizo cha zamankhwala limapereka chidziwitso chomwe chimasonkhanitsidwa kuchokera pamene wodwala amatha kukonzekera msonkhano mpaka wodwala atalandira misonkhano.