Kunzwisisa Maonero Ezvinyorwa Zvinowanikwa
Icho chinangwa chikuru chekambani chinogamuchirwa kutarisira ndechokuwana nguva shoma yekuunganidza inogoneka. Nhoroondo dzezvikwereti zvinowanikwawo, iyo inozivikanwawo sevheta dzevarwere, inoreva nezvemari inokonzerwa asi isati yaunganidzwa. Kuita kuti hutungamiri hwemari hukwane hukwanikidzwa nekutarisa kwakanaka, hofisi yezvokurapa ine mutoro wekuwedzera mari inogona kuwanikwa.
Nhoroondo dzinowanikwa (AR) kutarisira dzinosanganisira inenge yose nzvimbo yehutano ehofisi.
Kubudirira kwekambani inogamuchirwa kutarisirwa kunoda kunzwisisa zvakakwana kuti nzvimbo imwe neimwe kana dhipatimendi inobatanidza sei uye inokanganisa purogiramu yemari uye nguva AR yekuunganidza. Ngatitsvakei imwe neimwe yezvikamu zvisere.
1. Mutemo Wezvemitemo
Mitemo yemitemo inosanganisira kunzwisisa uye kutevera nyika nehurumende mitemo. Nharaunda yave yakanyanya kuve yakanyanya kunetseka ndeyekubiridzira uye kushungurudzwa, kunyanya panyaya yeMedare, Medicaid, uye mamwe mapurogiramu anobhadharwa nemari.
Kunyengera kunoreva kuzvipira nemaune uye kuzviziva zvekurapa muchiedza chekubiridzira purogiramu ipi zvayo yemari inobhadhara mari. Nzira dzakawanda dzekubiridzira uye kushungurudzwa dzinosanganisira kubhadhara kwemidziyo isina kumbopiwa, kubhadhara kwebasa risati raitwa, kukwereta kwekodzero yekuwana chikwata chekubhadhara zvakakwirira, uye kusunungura mhaka.
Ihofisi ye Inspector General (OIG) yakagadzira uye yakabudisa zviyeuchidzo zvekunyengedza kune vekuchengetedza utano hwevanhu.
Izvi zviyeuchidzo zvakafanirwa kuparidzira tsika dzenyika dzekubiridzira kuvanhu vose. Iyowo nzira yekupa ruzivo uye kuziva nezvekuita kweukanganisa mukati mebhizimisi uye kukanganisa kwekodzero chaiyo kuMedareri uye Medicaid Anti-Kickback Mutemo.
2. Kambani Negotiation
Chibvumirano chibvumirano chinosanganisira kusimbisa ukama hwezvemari nemasangano ekuchengetedza anotarisira
Masangano anotarisirwa anotarisirwa anomiririra kusvika ku50 muzana yematare emari emahofisi akawanda ezvokurapa.
Kukurukurirana kutungamirirwa kwekutarisira zvinotarisirwa kunoda ruzivo rwakakwana rwekugombedzera. Izvi zvinosanganisira kubhadharwa kwemari, mazuva anobudirira uye ekugadzirisa, maitiro ekutsvaga mabhuku, kubhadhara mitemo, nezvimwe zvibvumirano.
Sangano rega roga rezvehutano rekugadzirisa matanho rakasiyana uye richavakirwa pane zvakasiyana-siyana, asi idzi pfungwa dzinokosha dzinofanira kuchengetwa mupfungwa:
- Ziva mumusika: Unoziva here mazana emusika wako ane Medicare, Medicaid, Cigna, Blue Cross Blue Shield, Aetna, United HealthCare kana isina kuvimbiswa? Kuongororwa kwemusika kunopa ruzivo rwakakosha runodikanwa rwekubvumirana kwegvumirano.
- Iva nemaonero echokwadi: Kunzwisisa nzvimbo yakachengetedzwa yekuchengetedza kusanganisira nzira dzakasiyana-siyana dzokubhadhara ichakupa ruzivo rwemashoko anodiwa kuti utore nzira chaiyo yekukurukurirana.
- Hire mutungamiri: Masangano akawanda anotenderera kuburikidza nekubvunzurudza mazano ekupa rubatsiro rwekutarisira kugadziriswa kwekugadzirisa kukurukurirana pamusana pehutano hwakaoma hwezvibvumirano uye nenyaya dzepamutemo dzinobatanidzwa.
Zano rezvemutemo rinofanirwa kuongororwa panhau dzose dzebvumirano kana pane zvakawanda uye zvakasiyana-siyana zvinotarisana nemasangano kana kana zvibvumirano zvisingabatanidzi ruzivo rwehutano hwehutungamiri hwehofisi yehurumende.
3. Kuteerera
Kuita chirongwa chekuteerera kunosanganisira kugadzirisa bhuku rakanyorwa rinotsanangura mutemo wekuteerera uye Medical Office Code of Conduct. Nyaya dzakawanda dzehutano dzekuteerera mitemo dzinosanganisira zvose zvetsika uye zvemitemo. IOIG (Office of Inspector General) inopa zvinhu izvi zvinomwe zvinopa hwaro hwakasimba hwehurongwa hwehutano hwekuchengetedza mahofisi.
- Kufambisa mukati uye kuongorora;
- Kutevedzera kutevedza nekuita mitemo;
- Kugadza mukuru wekuteerera kana kutaurirana;
- Kuita kudzidziswa kwakakodzera uye dzidzo;
- Kugadzirisa zvakakodzera kutaridzirwa kukanganisa nekuvandudza chiito chekugadzirisa;
- Kukurudzira miganhu yakazaruka yekukurukurirana; and
- Kusimudzira mitemo yekuranga kuburikidza nemitemo yakanyatsoratidzwa.
4. Kodzero dzevarwere
Ihofisi yeUnited States Staff Personnel inotaura zvinangwa zvitatu zvakakosha zvekusimudzirwa uye kushandiswa kweHurwere hwevarwere.
- Kutanga, kusimbisa kuvimba kwevatengi nekusimbisa hutano hwehutano hwakanaka uye hunoenderana nevanodikanwa nevatengi, inopa vashandi nenzira yakarurama uye inoshanda yekugadzirisa zvinetso zvavo, uye inokurudzira vatengi kuti vashande nesimba mukuvandudza nekusimbisa hutano hwavo.
- Chechipiri, kugutsikana kukosha kwehukama hwakasimba pakati pevarwere uye vadzidzisi vavo vehutano.
- Chechitatu, kugadzirisa basa rinokosha vatengi vari kutamba mukuchengetedza utano hwavo pachavo kuburikidza nekugadza kodzero dzose uye mabasa evanhu vose vanotora chikamu mukuvandudza mararamiro ehutano.
Kune humwe hupfumi hutano hunoenderana nekodzero dzevarwere mukati mehofisi yezvokurapa.
- Mashoko ekushivirira: varwere vane kodzero yekutaura zvakarurama uye zvinonzwisiswa pamusoro peurongwa hwavo hwehutano, vashandi vezvoutano, uye nzvimbo dzokuchengetedza utano.
- Kusarudzwa kwevatapi: varwere vane kodzero yekusarudza vatapi vehutano pavanenge vachida.
- Kuwanika kune zvekukurumidzira mabasa : varwere vane kodzero yekurapa kwekukurumidza zvisinei nokuti vanogona kubhadhara sei.
- Chibvumirano chekubvumirana: varwere vanofanira kungobvuma kurapwa kana vane ruzivo rwakakwana pamusoro pekutsvaga kwavo uye nzira dzose dzekurapa dzinowanika maererano nezvavanokwanisa kunzwisisa.
- Kuremekedza uye kusasarura: varwere vane kodzero yekufungisisa, kuremekedza nekuremekedzwa kubva kune vese vehutano hwehutano uye kusasarudzwa mukuendesa kwemashumiro.
- Kuvanzika: varwere vane kodzero yekukurukurirana voga uye kuva nekuvanzika kwemashoko avo ega anozivikanwa akachengetedzwa.
- Zvichemo uye kukwidza: varwere vane kodzero yekugadzirisa zvakanaka uye kushanda kwekunyunyuta kwakaitwa kuhofisi yezvokurapa.
- Mwoyo murefu: varwere vane mabasa akawanda kuhofisi yezvokurapa kusanganisira kubatanidzwa muurongwa hwavo hwokurapa, kugadzirisa panguva yakakodzera yezvavanosungirwa mari uye kubatana kwekuremekedza nevashandi vose.
5. Patient Access
Kubudirira kwehufisi yako yezvehutano kunotenderera zvikuru pamusoro pokuti zvakanaka sei Patient Access services (kana kuti mberi kwevashandi) vanoita. Kutenderera kwenyaya yevarwere kunotanga nekupinda kwekutanga kwehutano hwemagariro evanhu. Kuvaka dhamiti yevhiringidzi yevarwere ishato inokosha pakuvandudza kubhadhara uye kuunganidza mazano uye kuwedzera mari yekushandiswa kwemabasa.
Izvo zvinowanzoita zvikonzero nei vazhinji varwere vanogona kubata maekirini ehurumende vane uwandu hwekushanda kwepamusoro ndiko kusakosha kwezvinhu zvakakodzera, kudzidziswa kwakakwana, uye kusakwana kwevashandi. Nenzira yakanaka, izvi zvinogona kugadziriswa nokukurumidza uye pasina mari yakawanda.
6. Mutero wakabata
Kukosha kwebhadha rakapambwa kunofanira kuratidzwa kumatare ose. Vanachiremba vanofanirwa kunge vachiziva nezvemhosva yavo kumakambani anogamuchirwa nemabhuku akakwana uye kukwidzwa kwebhadharo.
Charge capture inosanganisira kubatana kwakakodzera kwemashoko ekurapa kumabasa uye nzira dzinoshandiswa apo murwere achishanyira. Nzvimbo imwe neimwe yekliniki inoita basa rinokosha mukugadzirisa kwekodhi uye kukwana kwebhadha. Kune nhamba huru yenzvimbo dzinobatsira kutengesa kubata, kusanganisira, asi kwete ku:
- Kuchengetedza Kwemhirizhonga
- Case Management
- Kutarisira Kunokosha
- Laboratory
- Maternity
- Chiremba-Surgical Unit
- Hutano hwepfungwa
- Nyukliya Mishonga
- Pain Management
- Chiremba
- Pharmaceutical
- Therapy Therapy
- Radiology
- Kuchengetedzwa Kwokukuvara
7. Health Information Management
Health Information Management ndiyo nzira yekuchengetedza, kuchengetedza uye kugadzirisa hutano hwehutano hwehutano maererano neHurumende, State, uye zviremera zvinoshanda. Pane mitoro inegumi mukati mehutano hwehutano hwehutano hwekutarisira.
- Medical Coding
- Medical Transcription
- Kurapa Kunokosha
- Vanachiremba Vanotsigira
- Gungano reZviremba Zvokurapa
- Maintenance Medical Records
- Kubika nekudzorera
- Privacy and Security
- Kusunungurwa kweNhau
- Kuchengeta Kuvanzika
8. Mwoyo Murefu Mari
Patient Financial Services ndiyo inogadzirisa kukwana kwakakwana uye yakakodzera panguva yekubhadhara uye kuunganidzwa kwezvikwereti zvinowanikwa muhofisi yezvokurapa.
Chirongwa chekubhadhara chiremba chinoda ruzivo rwakakwana rwevayiridzi vanobhadhara uye mitemo nemitemo yekambani yezvoutano. Zvikwereti zvekurapa mahofisi zvinokonzera kuendesa panguva yakakodzera yezvigadzirwa zvemishonga kana zvehutano zvemakambani emishuwarenzi kusanganisira mahofisi echiremba, zvipatara, misha yevanamukoti, kana imwe nzvimbo yehutano.
Kubudirira kwezvikorekedzo zvinotevera zvinowanikwa mukugadzirisa kwakakurumidza kwezviremba zvekurapa ehofisi. Mitsva inotevera inofanira kutanga nekukurumidza semanomwe kusvika kune gumi mushure mekunge mvumo yako yakatumirwa kubhadhara. Kushingaira kutsvaga zvikwereti hazvirevi kungotapudza mazuva ako maawa anogamuchirwa asiwo kuwedzera kukwira kwemari.
Vashandi vakakwana vane mazano akakodzera ekurovedza vachapa mhedzisiro inofanirwa mune chikamu chekuunganidza chekuwana mari. Vashandi vepahofisi yezvokurapa vanofanira kuziva nezvenhanho dzinokosha dzinofanirwa kuitira kutevedza kwakakwana kwehushuwarisi yemhosva.
Kubatana uye kubatanidzwa kwezvikamu zvose zvisere ndezvimwe zvikamu zvekubudirira kwemabhuku anogadziriswa. Kunyange zvazvo kune zvipingamupinyi zvisingatarisirwi zvinogona kukonzera nguva yekuunganidza AR, iyo inotungamirirwa nehutungamiri kutora nekugadzirisa zvipingamupinyi izvi kubudirira kwe sangano.