Onetsetsani kuti Malipiro Anu a Medicare ndi Zolemba Zili Zolondola
Chithandizo cha zamankhwala chikhoza kupititsa kafukufuku wa Medicare mosavuta ngati ali ndi chidziwitso choyenera. Chimodzi mwa zotsatira za kuchiza odwala a Medicare ndi chakuti chizoloƔezichi chimagonjetsedwa ndi kafukufuku wa Medicare. Izi zingayambitse kuimitsa malipiro komanso ndalama zambiri zomwe zimaperekedwa kwa Medicare. Kwa chizolowezi ndi ma ARV ambiri odwala, izi zingayambitse mavuto azachuma.
Mwatsoka, ma Audit Audit ndi gawo lofunikira la dongosolo. Kuwonongeka kwa zaumoyo, chinyengo, ndi nkhanza zikutsogolera CMS (Centers for Medicare ndi Medicaid Services) kuti azigwira ntchito mwakhama pobwezera ndalama zambiri za federal momwe zingathere. Izi zimabweretsa katundu pa malo omwe amatsatira malamulowa. Ngakhale pamene palibe cholinga chokhala wosakhulupirika, chizoloƔezichi chikhoza kukumanabe ndi chilango ngati chikupezeka ndi mlandu wopeza ndalama zambiri kuchokera ku Medicare.
Njira 5 Zomwe Mungapititsire Zotsatira Zanu Zamankhwala
Ngakhale palibe njira yopewa kuyang'aniridwa ndi kafukufuku wa Medicare, pali njira zokonzekera zomwe zidzakuthandizira kuchepetsa zotsatira zolakwika zilizonse. Nazi njira zisanu zomwe mungapititsire kafukufuku wotsatira wa Medicare:
- Pewani zolemba zolakwika: Kulemba makalata kumayambitsa ndondomeko yolipira pobweretsa kufanana ndi njira zomwe zikupezeka kudzera mu zizindikiro zomveka. Pogwiritsira ntchito ndondomeko zochizira matenda ndi ndondomeko zotsatila, mankhwala ochizira mankhwala amatsimikizira kuti Medicare idzazindikira chinthu chomwe chimaperekedwa ndi momwe matendawa amavomerezera njira, mayesero, kapena mankhwala. Pamene kuwerengera pazinthu sikukugwirizana ndi zofuna za Medicare ndi Medicare zimabwereranso chigamulocho, kafukufuku angapeze cholakwika ichi. Kuti mupewe zolakwika zokopera, onetsetsani kuti mabuku omwe akupezekapo pakalipano ali pafupi ndipo mugwiritse ntchito zosinthika zoyenera malinga ndi malangizo a Medicare.
- Lembani mokwanira zolemba za odwala: Malemba abwino ndi ofunikira kuti musamangopereka chisamaliro choyenera cha odwala komanso kupereka ndalama molondola. Maofesiwa amalembedwa amayenera kufanana ndi zolembedwa pa tchati cha wodwalayo . Ngati mauthenga ndi chithandizo sichigwirizana ndi chigamulo chogwiritsidwa ntchito ndi Medicare, izi zikhoza kupezeka pa kafukufuku.
- Chitani kafukufuku wosasamala: Pangani ndondomeko zokhazokha zokhudzana ndi zomwe mukupeza, musanafike pakhomo panu. Ngakhale palibe njira yeniyeni yodziwira zomwe auditor angapeze, pali zinthu zingapo zomwe zingatheke polemba mndandanda wa mitundu.
- Pitani ku webusaiti ya CMS kuti mudziwe zambiri zokhudza kutumiza madandaulo omwe amatsatira malangizo a Medicare.
- Pitani ku webusaiti ya RAC kwa malipiro osayenerera omwe munapezekanso mukapeza kafukufuku wa Medicare ndikuphunzirani ku zolakwa za ena.
- Onetsetsani madandaulo odalirika a zitsanzo zomwe zimaphwanya malangizo a Medicare.
- Konzani ndi kukhazikitsa ndondomeko ndi ndondomeko: Oyang'anira ofesi ya zamankhwala ayenera kukonzekera ndi kukhazikitsa ndondomeko zochokera ku ndondomeko za Medicare kuti pakhale mgwirizano wogwirizana kuti ogwira ntchito azipita. Kupereka njira zogwiritsiridwa ntchito ndi njira yabwino yopezera zolakwika zomwe zingayambitse kubwezeretsa Medicare. Amaganizira za zomwe mumachita ndi ndalama za Medicare muzolemba zanu ndi ndondomeko yanu.
- Onaninso ndi kufufuza zonena za auditi: Ngakhale sizipezeka kawirikawiri, olemba Audare angapange zolakwika zomwe zingayambitse kubwezera ngongole zolakwika. Kuti muteteze izi, pangani nthawi yochita kafukufukuyo ngati ofesi yanu ikuyang'aniridwa. Sikuti izi zimatetezera ofesi yanu, chofunika kwambiri, kufufuza ndizopindulitsa kwambiri kuti mudziwe momwe madokotala amagwirira ntchito komanso zomwe muyenera kuyembekezera m'tsogolomu.