Zvinyorwa Zvinotevedzwa Sezvakaita Kushandisa Kwako Kwereti
Paunenge uchitsvaga hutano kana inshuwarisi yehutano, pachava nemitemo yakasiyana-siyana inoshandiswa nevanyori vekunyora pasi kuti uone kuti vachakubhadhara zvakadini kuti vakugone.
Sezvo, kuburikidza nomurairo, vatsigiri vanogona kuramba vachiramba kukusimbisai (sekuda kwekuenda kweAne Affordable Care Act ), vanofanira kunge vachinzwisisa kuti ichabhadhara zvakadini kubhadhara kutarisira kwako, izvo zvavanozowedzera kuwandu hwebasa ravanotarisira kuti aite, zvakare.
Zvose zvinosanganisira yako yehutano yeruzhinji .
The Collection of Medical Data
Kuti vaite izvozvi kutonga, vachatenga deta kubva pane zvakasiyana-siyana; dhesi iyo yakave yakagadzirirwa pamusoro pako uye hutano hwako hwausina kumboziva huri kuunganidzwa. Pakati pezvikamu zve deta zvichave iyo mharidzo yako ye Medical Medical Bureau , chikwereti chako chikoro, nhoroondo yako yemishonga uye mishonga yekunamatira mishonga.
Vakawanda vedu hatizivi kuti ani nani kunze kwedu isu kana vanachiremba, ari kuchengeta nhoroondo yemitemo yedu. Muzvokwadi, iyo nhoroondo inogona kutengwa nevanishuwarenzi nevamwe kubva kumakambani maviri. Iyo IntelliScript database (yakabudiswa nekambani inonzi Milliman) uye database yeMedPoint (yakabudiswa nekambani inonzi Ingenix) zvose dzinoona izvi data, uye dzinozvitengesa kuhutano, hurema, uye makambani e inshuwarisi yehupenyu.
Sezvo ruzivo rwunotaura nezvehutano hwevanhu uye kuchengetedza, makambani aya ose anotarisirwa kutevedzera mitemo yeHIPAA .
Havagoni kutengesa kana kugovera ruzivo kunze kwemvumo yako. Zvisinei, kuitira kuti ushande kune hutano inshuwarisi, unofanirwa kupa mvumo.
Kuunganidza deta iyi pamwe chete nenzira iyo inogona kutengesa kune inshuwarisi, IntelliScript uye MedPoint kutenga mashoko kubva ku Pharmacy Benefits Managers (PBMs).
PBMs inotangira kubva kumakemikari ako ekona (iyo inenge iri chikamu cheketani yakakura) kune tsamba huru yekurapa ma pharmacy sa ExpressScripts kana CVS Caremark. Kana uzadza zvinyorwa zvako pane chero ipi yePBMs, vanogona kutora kuti ndiani chiremba wako (uye naizvozvo izvo zvaanoda ndezvipi), mishonga uye madhavhiti chiremba wako akakurudzira iwe chero chikonzero, iwe kana iwe usina kuzadza chiremba, uye kana kwete kana ichizadzikiswa.
Kubva pane izvozvi, vanogona kutora mhedziso dzakawanda:
- Vanogona kuongorora kuti chii chinotaridzika iwe, kana kuti kuswedera pedyo, saka kana iwe (kana kuti wakanga uine) dambudziko rakaoma (rimwe richazoenda) kana dambudziko risingaperi (iro rinogona kudzoka pane imwe nguva, kana kukuvhundusa kwehupenyu hwako hwose.)
- Vanogonawo kutaurira huwandu hwekuongorora kwako kunokukanganisa sei nesimba reyero kana kuti kazhinji chiremba wako anofunga kuti unofanira kuitora sei. Dambudziko rakaoma ringasakugadzirisa zvakare, saka hazvizoiti mari yakawanda, kana chimwe chinhu. Asi chinetso chisingaperi, sechirwere cheshuga kana chirwere chemwoyo, kunyange kungoita kukwira kweropa, zvinogona kutengesa kudhura kupfuura nguva. Kana vachiona matambudziko asingagumi anongopfuurira mberi, ichava chirevo kune vanyori vekunyora pasi avo zvavanoda kuti vashandise mari yakawanda kune kambani, uye kusimudza miriyamisi yako saizvozvo.
- Vanogona kusarudza kana iwe une comorbidities , zvinoreva, zvinopfuura chimwe chinhu chakaipa newe. Kubatanidzwa kwezvinetso zvezvehutano kunogona kuvabhadhara zvakanyanya kudarika zvinodhura zvekutarisana nedambudziko rimwe nerimwe. Somuenzaniso, mari yekurapa chirwere chemwoyo nekenza panguva imwechete inogona kudhura kupfuura kuporesa chirwere chemwoyo mune murwere mumwe pamwe nekenza kune umwe murwere.
- Iyo data icharatidza kuti iwe unowanzozadza sei zvinyorwa zvako uye naizvozvo, iwe kana kwete iwe unodzidzisa . Iyi ihudziro yakafanana neyo inoratidzirwa neFICO yemishonga yekubatanidza mishonga iyo vanyori vanogona kushandisa kuenzanisa. Kana iwe uine mitezo, zvechokwadi, mitemo yako yezvinodhaka ichava nemari yavanogona kuita. Asi zvinogonawo kuvaudza, zvichienderana nekutarisa kwako, kuti uri kutonga dambudziko uye saka kuti hapazovi nemari yakawanda munguva shomanana isingafungi.
- Vanyori vanyori vanotarisawo vanotarisa kuona kana iwe wakarondedzerwa kurwadziwa zvinodhaka chero nguva yakareba. Kana iwe uchida ivo makore mashomanana adarika asi usina kuzadza chiremba kwavari munguva pfupi, ipapo hakuzovi nemari yekuwedzera. Asi kana iwe zvino uri kutora mapiritsi, uye kana uwandu hwawedzera mune simba kana kazhinji, huchava mutsvuku mutsvuku kune vanyori vanofanira kuwedzera mari yepurayamisi yako. Vanogona kuedza kuongorora kana uri kushandisa zvinodhaka, somuenzaniso. Kana kuti vangasarudza kukubhadharai zvakanyanya nokuda kwezvinetso zvakakura zvinogona kuitika kana mukaramba muchiedza kutsvaga marwadzo enyu, kana zvimwe zvinodhura mumarwadzo zvinorwadza.
Panogona kunge pane zvimwe zvikonzero izvi makambani anotora kubva mukushandiswa kwenyaya yako yemishonga, zvakare. Uye nokufamba kwenguva, sezvo ruzivo rwehuwandu uye ruzhinji runowanikwa kubva kune mamwe mavhesi akadai sekuvimbika kwemakadhi makadhi , vanyori vehurumende vanozotonga zvimwe zvehupenyu hwehupenyu hwako, uye kutengesa mari yavo yemainishuwarenzi zvakakodzera.
Patient Protection
Zvinosuruvarisa, hazviiti misiyano kana zvipupuriro zvavo nekutonga zviri, kana kuti kwete, zvakakodzera. Uye mari yaunofunga iwe ichave yakagadzirirwa pane izvo zvasarudzo, zvisinei kuti zvakanganisa sei.
Pane zvishoma kana pasina varwere vanogona kuzviita kuti vadzivirire pachavo kubva kune iyi ruzivo kunze kwekuti vaone kuti nhoroondo yezvinyorwa zvese yakarurama. Sezvo inoshandiswa kugadzirisa mari ye inshuwarisi yako, zvose IntelliScript uye MedPoint inofanira, kuburikidza nemitemo, kubatana ne Fair Fair Reporting Act (FCRA.) Izvozvo zvinoreva kuti, sekuda kwako chikwereti chikoro, unogona kukumbira kopi yemapirisi yako nhoroondo yenyaya yekusununguka kubva kune imwe yemasangano aya kamwechete pagore, kana kuti paunopedzererwa hutano hwehupenyu kana hwekuremara.
Wana Marenda Ako Okurapa
Zvinonzwisisika ipapo, kana iwe uri mumusika wehutano inshuwarisi, kuti iwe unowana kopi yemabhuku ako ezvokurapa (zvose zvinyorwa, kwete chete mishonga yako yemishonga), uzvidzorere zvakanyatsonaka , uye gadzirisa chero zvikanganiso .
Kuti uwane kopi yeIntelliScript yako yemapurisa yehupfumi mushumo, danai 877-211-4816.
Nokuda kwehupoti yako yeMedPoint, shanisa 888-206-0335 kana kunyora kuna:
MedPoint Compliance
Ingenix, Inc.
2525 Lake Park Blvd.
West Valley City, Utah 84120