Medicare Secondary Payer (MSP) chikamu chakakosha chekutumira zvirevo zvinofanirwa kunzwisiswa nevanachiremba. Mitemo inogona kuva yakaoma. Mahofisi ezvokurapa anonzi Billard anofanira kuve nechokwadi kuti vashandi vavo vane basa rekugadzirira uye kuendesa zvikwereti vakanyatsodzidziswa uye vanoramba vachienda kune dzimwe nguva pamitemo nemirau. Funga kuenda kunekudzidzira zviitiko nemikana.
Chii chinonzi MSP?
Medicare Secondary Payer kana kuti MSP inoreva Medicare inobatsira apo Medicare haisi iyo inshuwarisi inokosha. Medicare inoda kuti vese vanopa utano hwehutano vazive nzira yekuziva kana Medicare ndiyo inishuwarenzi yepamusoro kana yechipiri yemishonga yavo yeMedare.
Iva neruzivo neCWF
ICWF kana Common Working File ndiyo yekushandisa kwaMedare inogadzirisa ruzivo pamusoro pekugoverwa kwaVagari veMedare . Iva nechokwadi kuti nguva dzose uongorore CWF kuitira kuti uongorore ruzivo rweMSP kuti uwane rumwe rubatsiro rwehutano hwehutano.
Varwere Vane Mishonga Ipi Ndiyo Inonyanya Kubhadhara
Medicare ndiyo inonyanya kubhadhara kune murwere anoita izvi:
- 65 kana kupfuura uye vane boka duku rerongwa hwehutano kuburikidza nevanenge vari vashandi vavo vemuzuva ranhasi kana kuti kuburikidza nevanoshandira vashandi vavo
- 65 kana kupfuura neine inshuwarisi kuburikidza neurongwa hwekurega basa
- Vakagadzikana uye vane hurongwa hwehutano hweboka hudiki kuburikidza nevanenge vashandi vavo ikozvino kana kuburikidza neavo vashandi varo vashandi
Varwere Vane Mishonga Icho Ndicho Chechipiri Chebhadharo
Medicare ndeyepiri wechibhadharo kune murwere anoita izvi:
- 65 kana kupfuura uye vane chirongwa chikuru cheboka rehutano kuburikidza nevanenge vari ivo vashandi vemazuva ano kana kuti kuburikidza nevashandi vavo vemazuva ano
- Vakagadzikana uye vane chirongwa chikuru cheboka rehutano kuburikidza nevanenge vashandi vavo iye zvino kana kuburikidza nevashandi vavo vemazuva ano
- Inofukidzwa neMupiro Wevashandi
- Yakaputirwa nehutachiona hwepabhasi kana kukwana
Chii Chinonzi Medicare Chii Kana Inonyanya Inishuwarensi Inoramba Kudai?
Mune mamiriro ekuti inshuwalisi yepamusoro inoramba kubvuma, Medicare inogona kubhadhara pane zvimwe zvikonzero zvekuramba, zvakadai se:
- Mutemo wemubhalisi wapera
- Miridzo yevashandi yakasarudza kuti mabasa haafaniri kuvharwa
- Njodzi yemhosva kana yekodzero inoramba kana kutora nguva yakareba kuti ibhadhara. Mupiki angave akafanirwa kubhadharwa kwepamusoro kana kudai kutarisirwa kutora nguva yakakwana yekubhadhara.
Kushandisa Nhamba Nhamba Codes FL 18-28
Kumbani 02: Chimiro chakabatana nebasa
Kumbani 03: Mwoyo Murefu Akafukidzwa nehushuwarisi hauratidzi pano
Kumbani 05: Chibvumirano chakaiswa
Mutemo 06: Murwere weE ESD mumwedzi 30 yekutanga
Kumbani 08: Mupi wekubatsira haaizopa ruzivo pamusoro peimwe yveshuwarisi
Nhamba yegumi nemapfumbamwe: Hamufaniri kushivirira kana mudzimai wako
Mutemo 10: Mwoyo murefu uye / kana mudzimai wako anoshandiswa asi kwete kugoverwa kweEGHP kune
Kumbani 11: Vakagadzirirwa vakaremara asi hapana kugoverwa kweHGHH
Kodheji 28: EGHP yevarwere uye / kana kuti yemukadzi ndeyepiri
Mutemo 29: Mutevedzeri wemagetsi uye / kana kuti weHCHP yemhuri ndeyepiri kune Medicare
Mutemo 77: Anopa mukana anogamuchira kana anosungirwa / anodiwa nokuda kwechibvumirano chechibvumirano kana mutemo kubvuma kubhadhara nemubhadhara wekutanga sebhadharo yakakwana. Hapana Medicare chikwereti chichaitwa.
Kushandisa Occurrence Mitemo FL 31-34
Kodhi 01: Njodzi - kubhadharwa kwekubhadhara kuchipatara
Kumbani 02: Hapana bhujhutisi yehutachiona inoshandiswa (shandisa nhamba yekukosha 14
Kumbani 03: Njodzi - mutoro (shandisa nhamba yekodzero 47)
Kumbani 04: Njodzi - kushandira basa (shandisa nhamba yekodhi 15)
Mutemo 06: Kupomerwa mhosva
Kumbani 18: Zuva rekushivirira / kubatsiririra kubhadhara
Bhuku 19: Zuva romudzimai wokurasikirwa
Mutemo 24: Mazuva inshuwarisi yakaramba
Bhuku 33: Zuva rekutanga rekubatanidza nguva yevashandi veSRD vakafukidzwa neEGHP
Mutemo A3: Mutero Mhuri dzakapera
Kushandisa Value Value FL 39-41
Pinda mubhadharo weKubhadhara A iri paFC 50 yeMitemo 12 - 43:
Bhuku 12: Kushanda muchengeti wemubereki kana mudzimai
Bhuku 13: ESRD inobatsira mumwedzi wekubatana kwemwedzi makumi matatu
Kumbani 14: Inishuwarenzi isina-mhosva kusanganisira auto
Bhuku 15: Mari yevashandi
Kodheji 16: Basa rehutano hwehupfumi kana mamwe masangano ehurumende akadai sekupara mhosva, kuedza zvinodhaka, nezvimwewo.
Purogiramu 41: Mutsvuku
Bhuku 42: Kutungamirirwa kwevarwi vekare
Bhuku 43: Vakagadzirirwa vakaremara vari pasi pemakore 65 neHGHH
Kodhi 44: Mutengo wemukana anobvumirwa kubvuma kubva pamubhadharo wekutanga apo iyo mari iri pasi pemitoro asi yakakwirira kudarika kubhadhara kwakagamuchirwa, saka mubhadhadzi wechipiri weMedare anokwana. Isa mari yose yawakabvumirana kana inosungirwa kubvuma.
Bhuku 47: Inishuwarenzi yemhosva
Kushandisa Relationship Codes FL 59
Kumbani 01: Waroora
Purogiramu 04: Sekuru / mbuya
Mutemo 05: Muzukuru / muzukuru
Mutemo 07: Muzukuru / mukomana
Mutemo wegumi: Mucheche mwana
Bhuku 15: Ward
Bhuku 17: Stepson / mwana wedangwe
Bhuku 18: Kuzvipira
Bhuku 19: Mwana
Bhuku 20: Mubashandi
Bhuku 21: Hazvizivikanwe
Mutemo 22: Handina kukwana
Mutemo 23: Kutsigirwa kunotsigirwa
Mutemo 24: Unodavirwa nevana vaduku
Bhuku 29: Zvimwe zvakakosha
Bhuku 32: Amai
Bhuku 33: Baba
Bhuku 36: Emancipated maduku
Mutemo 39: Mupi webumbiro
Bhuku 40: Cadaver mupi
Kumbani 41: Mumiriri wekukuvadzwa
Bhuku 43: Mwana apo inshurenzi isina mari yemutoro
Mutemo 53: Upenyu mushamwari
Mutemo G8: Dzimwe hukama
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