Malipiro onse ochiritsidwa a zachipatala amapangidwa kwa othandizira pogwiritsa ntchito zida za CPT, zida zamakono zamakono. Chikho chilichonse chimayimira utumiki, ntchito, mankhwala, kapena ndondomeko yomwe amapatsidwa kwa wodwalayo omwe angakhoze kulipira, ndipo amalipira kuti achite ndi inshuwalansi kapena ena olipidwa.
Nthawi zina misonkhano imayenera kuyenda nthawi zonse ndipo nthawi yomwe imachita komanso nthawi zonse imagwiritsidwa ntchito limodzi, imatha kusungidwa mu code limodzi.
Momwe Kugwirira Ntchito Kumagwirira Ntchito
Pano pali chitsanzo chomwe sichiri chithandizo chamankhwala koma chingakuthandizeni kumvetsa momwe ndikugwiritsira ntchito malonda.
Mufunika chikasu ndi jekoni. Pofuna kukupatsani mafuta a mandimu ndi masangweji odzola, timayenera kuphatikiza mkate, kapu, ndi zakudya; awaike iwo pa mbale; ndikukupatsani chopukutira pepala. Tikaphatikizana, tapereka ntchito yopanga ndi kupereka PB ndi J.
Ngati wina atiperekera kuti apange sketiketiyo kwa inu, ndiye kuti ayenera kulipira zigawo zonsezi: peanut batala, odzola, mkate, chopukutira pepala, kugwiritsa ntchito mbale, ndi nthawi. Kapena, mmalo molemba mayeso a aliyense payekha, akhoza kugulira zigawo zonsezo limodzi mu malipiro amodzi-PBJ kulipira. Ndizovuta kwambiri, ndipo malipiro angapangidwe mwamsanga.
Zotsatira zamankhwala zamakono
Zida zamankhwala ndi mautumiki angapangidwe mowonjezereka kupanga code imodzi yobwezera, mwinamwake zikhale zosavuta kwa wothandizira ndi wothandizira kuti aziyang'anira malipiro.
Zomwe zimagwiritsidwa ntchito zimapezeka mu chiwerengero chosasemphana cha zikhomo. Mwachitsanzo, code ya CPT yopereka jekeseni ndi imodzi. Kodi kupanikizidwa kudzakhala nambala ina. Chifukwa chomwe akujambulira akadali kachidindo ina. Choncho, chilolezo cha jekeseni, kapena kachidindo ka mankhwala, chingathe kulembedwa m'matumba ambiri, malingana ndi mankhwala omwe akujambulidwa, momwe amayidwira, kapena chifukwa chake akujambulidwa (katemera wa chimfine vs cortisone jekeseni, chitsanzo).
Nthawi zambiri, kaya kulipira ngongole kapena kusamalidwa kumakhala kusakhudza chisamaliro cha wodwala kapena kulipira (copays, co-inshuwalansi , kapena deductibles ).
Mavuto Ndi Makalata Ochiritsira Amankhwala
Mavuto amabwera pamene wodwalayo akusowa zina zomwe sizinaphatikizidwe mu malipiro ambiri. Obwezera sangathe kubwezera ndalama zina kunja kwa mtolo. Izi zingapangitse wothandizira kuti asapereke thandizo ngati sangathe kubwezeredwa. Akhoza ngakhale kulipira wodwala wowonjezereka, pa mtengo wathunthu, kupereka chithandizo. Odwala amafunika kuwongolera mtundu woterewu chifukwa amatha kubweza ngongole kapena kukweza , zomwe zonsezi ndi zosaloleka .
Ngati mupeza chikhombo cha CPT pa ndondomeko yanu ya Mafotokozedwe Opindulitsa (EOB), ndipo ili ndi B pafupi nayo, yomwe ikuwonetsa kuti yaphatikizidwa. Komabe, sizinthu zonse zomwe zidalembedwa pakhomo zingaphatikizepo B.
Mukhoza kuyang'ana ndondomeko za CPT monga momwe mungagwiritsire ntchito code CPT.
Zizindikiro za HCPCS ndizolemba za Malipiro a Medicare, pogwiritsa ntchito zizindikiro za CPT, ndipo angathenso kusungidwa. Mutha kuyang'ana ma code kapena ma HCPCS osatambasula .