Momwe Mungayankhesire Mabanki Anu A Madokotala kapena Bilili Zina Zamankhwala

Pali zambiri zowonjezera pa ngongole zanu zamankhwala

Mukasankha kuchitapo kanthu kuti muzitha kuwononga ndalama zaumoyo wanu, kudziwa momwe mungawerengere madola anu madokotala ndi ngongole zina zamankhwala zidzakuthandizani.

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Bills Lonse la Zamankhwala Ali ndi Zomwe Zili Zofanana

Pali mapepala atatu omwe muyenera kuyerekezera.

1. Mndandanda wa mautumiki ochitidwa. Izi zimaperekedwa kwa inu mutachoka ku ofesi kapena dokotala.
2. Ndalama zomwe adokotala kapena chipatala chimakutumizirani. Ndi mndandanda wa mautumiki ochokera ku # 1 pamwamba, ndi milandu ya utumiki uliwonse. Ndalama imeneyo imayankhidwa m'nkhaniyi.
3. Kulongosola kwa phindu - EOB - yomwe imabwera kuchokera kwa wolipira (inshuwalansi, Medicare kapena wina wolipidwa).

Pa mapepala atatuwa, mupeza mayina ndi zizindikiro zomwe zingakuthandizeni kutsimikizirani kuti mukulipiritsa zokhazokha pazinthu zomwe zinachitidwa.

Tidzangoyamba mwa kuyang'ana pa ngongole ya mankhwala, yomwe mungalandire kwa dokotala kapena wina wothandizira.

Ngongole yanu ya zamankhwala ikhoza kapena siyiwoneka ngati iyi, koma idzakhala ndi zidziwitso zomwezo.

Mudzawona zonse kuyambira pazinthu za utumiki kupita kuzinthu zomwe zimaperekedwa pa mtengo wanu.

Mu kalata iyi, chigawo cha "Pat #" chimatanthauza kuti odwala omwe ali pa akaunti yanga adalandira chithandizo. Popeza ine ndinali ndi inshuwaransi, 1 imandiuza ine.

"Prv #" amagwiritsidwa ntchito ndi ofesi yanga ya dokotala kutanthauza kuti ndi ndani mwa madokotala omwe ndawawona. # 51 ndi dokotala wanga.

Ndipo mabungwe omwe ali pansi pa "Msg" amatanthauza kuti iwo adawuza inshuwalansi yanga.

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Khwerero 2 - Pezani Mndandanda wa Mapulogalamu pa Bill Your Medical

Bill ya dola yanu idzalemba mndandanda wa mautumiki operekedwa kwa inu. Kodi mungaphunzire chiyani za iwo?

Ambiri mwa mawu awa sakudziwika!

Kuti mudziwe tanthauzo la mawu otanthauzira mawu, gwiritsani ntchito dikishonale kapena mndandanda wa mayesero a zamankhwala.

Mu chitsanzo chapamwamba, ndikhoza kuyang'ana mawu monga:

"Lipid Panel Panel" yomwe imawoneka ngati mayeso kwa ma diasitoni yanga.

"Thyroxine Free" yomwe imawoneka ngati yowonongeka.

Mfungulo pano udzakhala kulumikiza mautumiki awa ndi mapepala omwe munapatsidwa mutachoka ku ofesi ya dokotala ndikukutsimikizirani kuti mwalandiranso misonkhanoyi. Nthaŵi zambiri zimakhala zosavuta kunena kuposa kuchita.

Ngati mautumiki ena akuwoneka osachilendo kwa inu, kapena ngati mukukayikira ngati munawalandira, funsani nambala ya foni yomwe inaperekedwa pa msonkho.

Pali zifukwa ziwiri zochitira izi:

1. Choyamba, simukufuna kulipira (kapena simukufuna inshuwalansi yanu kulipira) pazinthu zomwe simunalandire.
2. Chachiwiri, chifukwa zolakwitsa pa ngongole zimatipangitsa ife tonse ndalama. Zoona, mwina mwakhala nawo mautumiki atumizidwa ku akaunti yanu mwalakwitsa. Zingakhale zopanda malire. Koma mabiliyoni ambiri a madola amanyengerera ku Medicare ndi makampani a inshuwalansi chaka chilichonse. Ziri kwa aliyense wa ife kuti atsimikizire kuti opereka athu sakulipira ife mwachinyengo .

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Khwerero 3 - Penyani kawiri ma code a CPT

Pa bizinesi ya dokotala wanu, mudzawona code yajdi zisanu yomwe ikuimira code CPT.

Mukukumbukira kuti zida za CPT zikuimira ntchito zonse zomwe wothandizira zachipatala angatipatse. Ngati simukudziwa za momwe akugwiritsira ntchito, mukhoza kuwerenga zambiri za ma CPT, komwe amachokera komanso chifukwa chake ali ofunikira .

Pa kalata yanu ya zamankhwala, mudzapeza zizindikiro za CPT zogwirizana ndi mautumiki. Chilichonse chomwe udindo wautumiki udzakhala wofanana, ngati sichoncho chimodzimodzi, monga malemba a AMA a utumikiwo.

Chikumbutso, kuti, ma code HCPCS , Mzere Woyamba, ali ofanana ndi zizindikiro za CPT.

Ngati mukufuna kuyang'ana ndondomeko za CPT kuti mutsimikizire kuti zili zofanana ndi ndondomeko ya utumiki, mukhoza kuchita ndi kufufuza kwa codeTC .

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Khwerero 4 - Kufufuza Mndandanda wa Kufufuza kwa ICD pa Bill Yanu ya Zamankhwala

Mapulogalamu Odziwitsa, omwe amatchedwanso ICD-9 kapena ICD-10, amalembedwanso pamalonda anu azachipatala.

Dokotala wanu kapena wothandizira ena sangapezeke ndi kampani yanu ya inshuwalansi kapena ena omwe akupatsani chithandizo pokhapokha atapatsa chidziwitso chothandizira kuti azigwirizana ndi mautumiki. Chifukwa chake ndi kuti ntchito zina zingathe kuchitidwa kuti zidziwike bwino. Mwachitsanzo, dokotala wanu sakanatha kuyesa kuyesa mtima ngati vuto lanu linali kuthamanga mwendo.

Zizindikirozi zimayimilidwa ndi ma ICD (International Classification of Diseases), mwina tsamba 9 kapena 10. 10. Malipiro ambiri omwe amapezeka tsopano amasonyeza zilembo za ICD-9 koma zaka zingapo zotsatira, onse opereka chithandizo amatha kusintha ku ICD-10. Mungafune kudziwa zambiri zokhudza zizindikiro za matendawa ndi kusintha kwa atsopano.

Nthawi zina, padzakhala zizindikiro zingapo zogwiritsira ntchito, monga ziliri mu chitsanzo ichi. Izi zimasonyeza kuti dokotala sadziwa chimene chikuchititsa chizindikiro ndipo nthawi zambiri amaimira zifukwa zomwe zimayesedwa.

Mukhoza kukhala ndi chidwi choyang'ana makalata a ICD . Bill iyi ili ndi code ICD-9 code 785.1, yomwe imayimira mapiritsi a mtima, ndi 272.0 yomwe ili code ya hypercholesterolemia yoyera.

N'chifukwa chiyani mungafune kuyang'ana makalata a ICD? Ngati mwakhala mukupita kwa dokotala wanu ndi zizindikiro ndipo simukudziwa zomwe akufuna, mukhoza kupeza zizindikiro kuchokera kuzinthu izi.

Ngati zizindikiro sizikumveka bwino kwa inu, ngati mukudziwa kuti mulibe mavuto omwe akupezeka, ndiye kuti zikhoza kukuwonetsani kuti mwalandira ndalama zolakwika, kapena kuti chinyengochi chikuphatikizidwa mwanjira ina, kuphatikizapo mwayi wodziwa mankhwala kuba . Lankhulani ndi ofesi ya wothandizira mwamsanga kuti mufotokoze.

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Khwerero 5 - Kodi Ntchito yachipatala inalipira ndalama zingati?

Misonkho yanu ya zamankhwala idzakhala ndi ndalama zomwe dokotala wanu akulipira chifukwa cha ntchito zake pa ngongoleyo.

Inde, chifukwa chonse chomwe mwatumizidwira ndikuti muthe kudziwa kuti dokotala wanu kapena wothandizira zaumoyo amayendera mtengo wotani?

Ambiri a ife timangoganizira pa mitengoyo chifukwa tikudziwa kuti ndalamazo zidzakonzedwa ndi inshuwalansi kapena ena olipidwa. Ngati anthu ochepa amapezeka ndi inshuwalansi, kapena ngati ambirife timasamukira ku inshuwalansi yapamwamba yotengera inshuwalansi, ndalamazo zidzakhala zofunika kwambiri.

Pali chinthu chimodzi chomwe tingachite ndi manambalawa, ngakhale sitiyenera kulemba cheke kwa iwo. Titha kuyang'ana pa msonkhano kuti tiwone ngati mitengoyo ndi yolondola. Izi zikhoza kuchitika pogwiritsa ntchito chikhombo cha CPT ndi webusaiti ya AMA.

Pofufuza foni ya CPT iliyonse , mungathe kudziwa zomwe Medicare imabweretsera ntchitoyo. Makampani ambiri a inshuwalansi amatsatira mankhwala a Medicare bwino kwambiri. Ngati muli ndi inshuwalansi yapadera, musayembekezere kuti nambalayi ikhale yeniyeni, koma idzakhala yoyandikira.

Pamene muli pomwepo, mungafunenso kuti mudziwe chifukwa chake pali kusiyana pakati pa zomwe madokotala amagwiritsira ntchito komanso zomwe amapatsidwa ndi makampani omwe amawabwezera.

Tsopano kuti mukumvetsetsa momwe mungawerengere ndalama zamankhwala, mungafune kuwona zigawo zina zomwe mungathe kuzifananako ndi: mndandanda / mndandanda wa madokotala omwe akukuthandizani, ndi EOB (kufotokozera phindu) mutalandira mtsogolo kuchokera kumalipiro anu.