Iva Necherechedza Icho Chinyengeri uye Maitiro Anodhura
Kudzorwa kwekodzero kubhadhara kwekurapa kwechiremba kunotitorera isu mari yose uye pamwe utano. Inoreva mutsika umo mupiro wemitero inishuwarenzi yehutano yehutano (ingave yega, Medicaid kana Medicare ) uchishandisa purogiramu yeCPT yebasa rinodhura kupfuura iro rakaitwa.
Kupikisa hakubvumirwi nemutemo. Iyo tsika inonyengera inoshandiswa nevatapi vanoedza kubiridzira urongwa kuitira kuti vazobhadharwa mari yakawanda kupfuura ivo vakataurirana nevaya vanobhadhara.
Iko inodhura zvikuru kune varwere mumwe nomumwe uye kune vateresi.
Uyezve, kukwidziridzwa kunogona kuva nehutano husina kunaka hwevatano. Inoisa ruzivo rwenhema pamabhuku avo ezvokurapa uye inogona kuchinja kukwanisa kwavo munguva yemberi yekuwana inshuwarisi.
Kukwidziridza mune zvimwe zvakawanda
Nzira imwe neimwe inoitwa nachiremba kana mumwe mupi wehutano ane kodhi yakanamatirwa iyo inovabvumira kubhadhara inshuwarisi yako, Medicaid kana Medicare, kana ani zvake ari mubhadharo wako-iyo inogona kuva iwe, murwere. Nhamba iyoyo inonzi CPT code, iyo inomirira Current Procedural Terminology.
Kana chiremba wako achitumira kadhi kumutengi wako, iyo code yeCPT inotarisa kuti ichabhadharwa sei. Nhamba dzakasiyana-siyana dzinofananidzwa nenzira dzakasiyana-siyana kana mabasa uye inogona kuva nepamusoro kana kuderedza mari. Chero bedzi mubatsiri achishandisa kodhi yakarurama, ipapo mupiro ari kubhadharwa zvichienderana nemabasa uye nzira dzakagadzirwa.
Kana munhu anopa upcodes, zvisinei, vanogovera kode yebasa rinodhura kana kuti nzira inodhura kupfuura yakaitwa.
Mienzaniso yeKutsvaga
- Muenzaniso 1: Unoshanyira chiremba wako nekukurumidza kuona. Nhamba yekushanya iyi inoratidza kuti yaizobhadharwa $ 50. Asi, kana chiremba achipa ikhodi yeCPT kuti awedzere kutarisa, aizorayirwa $ 100.
- Muenzaniso wechipiri: Dr. Cheater anoongorora Mukadzi Smith ane gumbo rakaputsika. Mai Smith's "break" inongova kuputika kwebvudzi. Dr. Cheater anomuudza kuti ave akachenjerera uye anoshandisa makanda kuti arambe ari pamakumbo ake kwemavhiki mashomanana.
Zvisinei, apo Dr. Cheater anopa mvumo yeMedare kune Mukadzi waSmith akaputsika, anopinda purogiramu yeCPT inoratidza kuti akaisa gumbo rake muchikanda, uye gare gare anopa mutemo wekubvisa izvozvi-zvose zviri kumubhadhara pane zvaainge aita kuti atarisire Mai Smith, vachishandisa nheyo dzakasiyana-siyana kuti vape mari yake inshuwarisi yevhisi iyo.
Kukwikwidza kunogona kuva nemigumisiro isina kunaka pahutano hwako
Kukwikwidza kunogona kuva nemigumisiro yakaipa pamusoro pekuchengetedza kwako mune ramangwana uye rako ramangwana rekuwana inshuwarano yehutano, zvichienderana nehutano uyo chiremba anoshandisa.
Semuenzaniso, ngatiti iwe une izvo zvinonzwa sokuti mwoyo inotapira. Chiremba wako angashandisa EKG uye anoona kuti hauna dambudziko nemoyo wako. Iwe unobva, unonunurwa. Zvisinei, chiremba wako zvikwereti zveEKG iyoyo, asiwo unotaridza kushanyira kwako sekugadzirira mwoyo wemurwere, izvo zvinounza mari yakawanda. Iye zvino marekete ako ezvokurapa anoratidza kuti unogona kuva nechinetso nemoyo wako-izvo hazvisizvo.
Mishonga yako yeramangwana inogona kukanganiswa nokuti rerekari yako inoratidza kuti uri munhu ane dambudziko remwoyo. Imwe chiremba angaronga mishonga zvakasiyana, kana kana iwe ukazviratidza mune ER , vangakubata zvakasiyana. Iwe haugamuchiri kurapwa kwakakodzera nokuti zvinyorwa zvako hazvina kunaka.
Uyezve, ndinoti iwe unorasikirwa nebasa rako razvino uye unozviwana iwe unoda kuwana hutano inshuwarisi gare gare. Iwe ikozvino haugoni kurambidzwa kuti uve nehuwandu hwehuripo huripo pane pasi pe Affordable Care Act , asi inshuwarisi yako ingave yakakuresa iwe kupfuura zvinofanirwa.
Zvakakosha kuti varwere vatore ruzivo rwezvinyorwa zvedu zvezvechiremba kuburikidza nekuongorora kaviri kwezvikanganiso.
Kudzora hakutenderwi uye kunotipa mari
Kudhura kwepamusoro hakubvumirwi nemutemo uye kunonyengera . Chero ani zvake anopa mupiro anonyanya kukwira ari kuputsa mutemo.
Sevarwere, tinogona kufunga kuti hazvina basa kwatiri nokuti ndiye mubhadhari uyo ari kuripa. Zvisinei, kukwidziridzwa kwekodhi kunotitorera isu tose mari, vose vari vateresi uye sevanotenga mari yepamusoro.
Apo Medicare kana Medicaid murwere ari kukwidziridzwa, mari yehurongwa hwehuruzhinji inowedzera uye isu tose tinobhadhara nekuda kwayo nemitero.
Kana bhizimisi yega yega inogamuchira mushumo wekodhidhi, ipapo zvikwereti zvinokwira kune wese ane iyo inshuwarisi . Mumwe mupiki wekodzero anogona kutitengesa mamiriyoni emadhora munguva.
Zvaunofanira Kuita Kana Iwe Uchitsvaga Kupikisa
Kana iwe uchitarisa kuongororwa kweZvibatsiro (EOB) uye iwe unotenda chiremba wako ane mhaka yekukwikwidza, kune mamwe matanho aunofanira kutora kuti uve nechokwadi chokuti mubhadhari wako haana kubhadharwa uchinyengera.
- Chokutanga, taura nemupi wako uye bvunza nezvazvo. Vanogona kukutsanangurira kuti nei kuri kwakarurama, kana kuti vangapa kupa kururamisa. Mune zvimwe zviitiko, zvichakuisa mucherechedzo kuti unoda kuramba uchiongorora EOB yako nguva imwe neimwe inosvika.
- Kana iwe usina kugutsikana nemhinduro yacho, uye kunyange kana vakapa kuigadzirisa, iwe unoda kutarisa maEOB apfuura kuti uone kana iwe unogona kuona mamiriro ekukwikwidza.
- Kana iwe uchifungidzira kuti mupi wako ari kukomberedza nguva dzose, iwe unoda kuudza iyo kumubhadhari wako pakarepo. Kana uyo anopa mupiro akakurudzira kutarisira kwako kanopfuura kamwe, ipapo iye akazviitira kune vamwe, zvakare.
Kana mubhadhari wako ari mubhadhadziro wega wega, tumira shamwari yavo yevashandi uye bvunza kune waunofanira kuudza upcoding ufeve.
Kana ukagamuchira Medicaid, iwe uchada kutarisa nehofisi yako yehurumende yeMedicaid kuti uone kuti vanoda sei upcoding kana zvimwe zvinyengeri zvataurwa.
Kana mubhadhari wako ari Medicare, uchawana matanho ekupa ruzivo rwekubiridzira, kusanganisira kukodhakwa kwepamusoro, pawebsite yeMedare.