Nkhani yodziwika pa webusaiti yathu yakhala ikukhudza processing claims Medicaid. Ndipo pamene taphunzira nkhaniyi m'mbuyomu , ndibwino kuti tiwonetsere njira zothetsera ndondomekoyi, ndikukutsimikizirani kuti mulipidwa ndikupeweratu.
Tumizani Mawindo
Tumizani malonda pamagetsi.
Ndondomeko yamankhwala ya elekiti mu gawo limodzi mwa magawo atatu omwe nthawi yoyenera pa mapepala akunena. Kugonjetsedwa kwa magetsi kumachepetsanso zolakwa, kuteteza kukana kudandaula, kuwonjezera ndalama, komanso kuchepetsa ndalama.
Kukonzekera kwa magetsi ndi:
- Mofulumirirako
Njira zambiri zogwiritsira ntchito magetsi pamasabata umodzi kapena awiri. Mumapereka chigamulo, muwone zomwe zilipo pa intaneti, muwone uphungu wothandizira, pemphani chilolezo chisanachitike, funsani za ma check, ndikupatseni Wopereka Zopereka zanu ndikuwonetsetsani kuti ndinu woyenera. Zomveka zimatsutsidwa mu maola awiri kapena osachepera. - Zosavutirako
Mukhoza kupereka mosavuta zonena zonse za Medicaid , kuphatikizapo madandaulo omwe akusowa zojambulidwa, pogwiritsa ntchito Webusaitiyi. - Zolondola Zambiri
Zothandizira zamagetsi zimachepetsanso zolakwika. Kuonjezera apo, zolemba zomwe zimaperekedwa pamapepala nthawi zambiri zimakhala zolembedwa pamanja, zomwe zimapangitsa kuti zisamve zovuta komanso zovuta kuwerenga. - Zosafunika Kwambiri
Ndi kugonjera kwa zipangizo zamagetsi, ogwira ntchito ogwira ntchito sagwiritsanso ntchito nthawi yawo yosindikizira ndi mafomu olembera - ndondomeko yotsika mtengo.
Nsonga Zina
- Phatikizani manambala ozindikiritsa ovomerezeka (RIDs) ndi mitundu yonse yobwereza.
- Phatikizani chizindikiro chodziwika cha National Provider Identifier (NPI) ndi mitundu yonse ya madandaulo.
- MUSAMAGWIRITSE INAI YOYERA
- Onetsetsani kuti Medicare, udindo wachitatu (TPL), ndi nkhani ya Medicaid imayikidwa pazinthu zoyenera za UB-04.
- Tumizani mavoti oyenera a mitengo yamtengo wapatali.
- Onetsetsani kuti mapepala olembedwa pamanja ali ovomerezeka ndipo akuphatikizapo zolemba zonse.
- Lowani ndalama zanu pamalipiro anu a Medicaid.
- Dzidziwitse nokha ndi Buku Lopereka Buku la Medicaid .
- Bweretsani malangizo ambiri okhomera.
- Gwiritsani ntchito ndondomeko yowonjezera mautumiki ndi malangizo akulipira.
- Bweretsani malangizo akulipira madandaulo a Medicare Crossover.
- Yambani dongosolo lanu lotsatira malonda.
- Tsatirani momwe mungayankhire poyamba.
Onaninso "Mayankho a Medicaid Mu Njira Yoposa Masiku 30" lipoti. - Yang'anirani zotsatsa za Madandaulo Obwezeretsedwa, Otsutsidwa Kapena Ochotsedwa.
Mutapereka chilolezo, mutha kulandira chidziwitso kukuuzani kuti zomwe mukufuna sizikanalowa komanso / kapena kukonzedwa kwathunthu. Pangani kukonza pazomwe mukutsutsa kapena mutsirizitse chigamulo chatsopano ndikuchipereka mkati mwa chaka chimodzi kuchokera tsiku la utumiki.
"Kuchotsedwa kwa Mayankho a Madokotala" - Lipotili likulemba mapepala omwe sangathe kukonzedwa kwathunthu. Zomveka pa lipoti ili zinalowetsedwa bwino, koma mavuto ena ndi zomwe amadzitetezera amaletsa ku processing komaliza. Madandaulo ochotsedwa saganiziridwa kuti 'anakanidwa' zodzinenera; iwo ndi zotsutsa zomwe ziyenera kuti zikonzedwe ndi kubwezeretsedwa.
"Electronic Claim Activity Report" Zimaphatikizapo zonse ziwiri zomwe zimakana ndi kuchotsedwa. Zimatumizidwa ku nyumba yanu yosungiramo katundu / magetsi. - Onaninso Malingaliro anu a Medicaid Remittance ndipo tsatirani mwamsanga.
- Mvetserani momwe mungaperekere Zopempha Zokonzera Zobwereza.
- Tsatirani Zopempha Zomwe Mukufuna Kuitanitsa.
Ngakhale kuti ndalama zowonetsera zikuwoneka zovuta (ndipo ziri bwino), mungapewe kupweteka mutu mwa kugonjera bwino ndikutsatira zomwe mumanena. Tikuyembekeza kuti njira zabwinozi zithandizira.