Kunzwisisa Pamwe Chete, Nezvikamu, Kutengesa, uye Mari-ye-Service
Inishuwarenzi yezvokurapa inopa vateresi kushandisa maitiro mana akasiyana. Kunzwisisa nzira dzakasiyana-siyana dzokubhadhara kunokosha pakugadzirisa zvemari kwehofisi yezvokurapa . Izvi zvinofanirwa kutaridzirwa pakuchengeta nzira yekugadzirisa mari.
- Per Diem / Visit Payments
- Per Pai Payments
- Kufuridzirwa Kwokubhadhara
- Mari Yekubhadhara Kwebasa
Per Diem uye Pokushanyira Kunoshanyira
Imari yehushuwarisi yakaitwa kuhofisi yezvokurapa kwezuva rimwe nerimwe kana kushanyira ndeyokutaridzika kana kwekubhadhara kushanyira. Chero rinotora zvikwereti zvinowanikwa zvichienderana nemari yakatemerwa zvisinei nokuti yakawanda nguva yakashandiswa nechiremba achipa kurapwa kana huwandu hweshumiro inogona kugamuchira murwere panguva yekushanya.
Chipatara chekushanyirwa kwezvipatara uye vakwegura vane unyanzvi ndeimwe mienzaniso yezviitiko zvingave zvakakodzerwa kugamuchira zvikwereti zvakatarwa zvichienderana nesangano rine mubhadharo weinishuwarenzi ine nzvimbo.
Kuongorora-kubhadhara mari inowanzobhadharwa mune kliniki, hutano hwemusha, kurapwa kwepanyama, kana kuti kunze kwekugadzirisa.
Per-Episode kana Case Rate Payments
Per-episode zvikwereti zvinowanikwa kune yese inoshandiswa panguva imwe yezviitiko zvekutarisira. Izvo zvinoshandiswawo sezviitiko zvekuda. Chiitiko chekuchengetedza chinogona kuwedzera kwemazuva mashoma kana kushanyira uye kuvharwa nebhadharo rimwe chete.
Chikamu chekubhadhara chinowanzoitwa nokuda kwekutsvaga mukana wekutsvaga, kushandiswa kwekuvhara chirwere, kana kuchipatara kushanyira varwere. Kana ikashandiswa muchipatara kushanyira varwere, kubhadhara kunowanzoitwa kubva kuDDRG (Kuziva Maonero Akasiyana).
DGG dzinopiwa chirongwa chinoenderana nekubatanidzwa kweCI-9 kuongorora zvirongwa, CPT uye HCPCS nzira dzekuita, zvinetso kana mamiriro ezvinhu aripo pakugamuchira, kusunungurwa kwehutano, makore, uye zvepabonde. Mitsara yeDGG inowanikwawo pane imwe nguva, iyo inopedzisira kuwanda kwemazuva anodiwa pakurapa kwakakwana.
Per Patient or Capitation Payments
Pose mubhadharo wekutenda, kana kubhadhara chikwereti, zvakagadziriswa, mwedzi miviri zvipo zvakagamuchirwa nehofisi yezvipatara kune murwere. Iyi mari inoramba ichifanana zvisinei nokuti vangani vanoshanyira murwere ane kana mari yezvakawanikwa mari uye kunyange kana vasingagamuchiri kutarisirwa zvachose.
State Medicaid zvirongwa ndeyemuenzaniso wemubhadhati unoita kuti mumwe murwere atore mari. Vanachiremba vanobhadharwa mari yakatarwa yega yega Medicaid vane murwere vanopa mazano kune avo vakanyoresa mumakiriniki kana maitiro avo. Iri ndiyo nzira yakanakisisa yekugadzirisa mari yekuchengetedza utano paunenge uchisimudzira kuchengetedzwa kwekudzivirira.
Mari Yekubhadhara Kwebasa
Nzira yakakurumbira yekubhadhara ndiyo mari yekubhadharira. Mune mari-ye-kushanda, hofisi yezvokurapa inobhadharwa mari yakatarwa yega yega yega kana chikwata chebasa rakashandurwa. Kufisi yehofisi, mabhii ekuongorora, x-ray kana imwe sangano inobhadharwa maererano nemutengo wemari. Kunyanya kutarisira murwere anogamuchira, mari yakawanda inowanikwa.
Iyi nzira yekubhadhara inobvumira hofisi yezvokurapa kugamuchira kubhadharwa kwakakwana kwechikamu chega chega chekutarisira.
Mari Yehupfumi uye Nhoroondo Dzakagamuchirwa
Kudyidzana kwehupfumi ndiko kushandiswa kwakanaka uye kwakanaka kwemari inoumbwa nesangano iyo inosanganisira zvose zvikamu zvehuwandu hwemari kusanganisira maakaiti anogamuchirwa.
Nhoroondo dzezvikwereti zvinowanikwa, iyo inozivikanwawo sehuwandu hwemagariro, inoreva kumari inogadzirwa asi isati yaunganidzwa. Kuita kuti hutungamiri hwemari hukwane hukwanikidzwa nekutarisa kwakanaka, hofisi yezvokurapa ine mutoro wekuwedzera mari inogona kuwanikwa.
Imwe hofisi yezvokurapa inogona kuwana inshurensi ikopi neipi kana yese iyo nzira dzakasiyana. Kusarudza iyo inshuwarisi yekushanda nayo kunogona kusarudza rudzi rwekubhadhara iyo hofisi ichawana.