Qiniseka ukuthi ukukhokhwa kwemithi yakho kanye nemibhalo kuyiqiniso
Umuthi wezokwelapha ungadlulisa ukuhlolwa kwaMedare kalula uma unolwazi olufanele. Omunye wemiphumela yokwelapha iziguli zikaMedarela ukuthi lo mkhuba ubheke ukuhlolwa kweMedare. Lokhu kungaholela ekumisweni kwemali yokukhokha kanye nemali eningi ekhokhwa ku-Medicare. Ukuze umkhuba onama-akhawunti amaningi we-Medicare wesiguli, lokhu kungabangela inkinga yezezimali.
Ngeshwa, ukuhlolwa kwemithi ku-Medicare kuyinxenye ebalulekile yesistimu. Imfucuza yezempilo, ukukhwabanisa nokuhlukunyezwa kuholele i-CMS (amaCenter for Medicare neMedicaid Services) ukuze zikhuthele ekubuyiseleni imali eningi yemali ngangokunokwenzeka. Lokhu kubeka umthwalo ezindaweni ezilandela imithetho. Ngisho noma kungekho njongo yokungathembeki, lo mkhuba usengabhekana nezijeziso uma unecala lokuthola imali eningi kuM Medicare.
5 Izindlela Zokudlula Ukuhlolwa Kwakho Kwemithi Elandelayo
Ngenkathi kungekho ndlela yokugwema ukubhekana nokuhlolwa kweMedare, kunezindlela zokuzilungiselela ezizosiza ukunciphisa imiphumela emibi. Nazi izindlela ezinhlanu zokudlula ukuhlolwa kweMedare yakho elandelayo:
- Gwema amaphutha okubhala: Ukwenza ikhodi kusiza inqubo yokukhokha ngokuletha ukufaniswa ngezinqubo ngokusebenzisa amakhodi aqaphelayo. Ukusebenzisa amakhodi okuhlola okujwayelekile kanye nezinqubo zamakhodi, i-coder yezokwelapha iqinisekisa ukuthi i-Medicare izobona into ekhokhelwe nokuthi ukuxilongwa kuqinisekisa kanjani inqubo, ukuhlolwa, noma ukwelashwa. Uma ukufaka ikhodi ekumangalisweni akuhambisani nemigomo ye-Medicare futhi uMedare ukhokha isimangalo noma kunjalo, ukuhlolwa kungathola leli phutha. Ukuze uvimbele amaphutha amakhodi, qiniseka ukuthi izincwadi zamakhodi ezikhona kakhulu zisekhona futhi zisebenzisa ama-modifiers afanele ngokulandela imihlahlandlela ye-Medicare.
- Faka ngokucophelela amashadi wesiguli: Amadokhumenti afanele abalulekile ekuhlinzekeni ukunakekelwa kwekhwalithi yekhwalithi kuphela kodwa futhi nokukhokha ngokunembile kwamasevisi. Izinsizakalo ezikhokhwayo kufanele zihambisane namadokhumenti eshadini lesiguli . Uma izinsizakalo kanye nokuxilongwa akusekeli isimangalo esinikezwe nge-Medicare, lokhu kungatholakala ngesikhathi sokucwaninga.
- Yenza ukuhlolwa okuhlelekile okuhlelekile: Yenza ama-audit auditor yakho ngokungahleliwe ngokusekelwe ezinkambisweni ezifana nomcwaningi wemithi we-Medicare ukuze uthole ukuthi bayothola yini ngaphambi kokuba bavele emnyango wakho. Nakuba kungekho ndlela eqondile yokunquma ukuthi umcwaningi wamabhuku angayithola yini, kunezinto ezimbalwa ezingenziwa ukuze uhlele uhlu lokuhlola.
- Vakashela iwebhusayithi ye-CMS ukuze uthole ulwazi oluthe xaxa ekuhambiseni izimangalo ezihambisana nemikhombandlela ye-Medicare.
- Vakashela iwebhusayithi ye-RAC ngezinkokhelo ezingafanele zangaphambilini ezitholakale ngesikhathi sokuhlolwa kweMedare futhi ufunde emaphutheni omunye.
- Qaphela izimangalo eziphikisiwe zamaphethini eziphula imihlahlandlela ye-Medicare.
- Lungiselela futhi usebenzise izinqubomgomo nezinqubo: Abaphathi behhovisi lezokwelapha kufanele balungiselele futhi basebenzise izinqubomgomo ezisekelwe emihlahlandleleni yeMedarela ukuze babe nenqubo ehlangene esikhundleni sokuba abasebenzi bahambe. Ukuhlinzeka ngezindlela ezibhaliwe zokwenza imisebenzi kuyindlela ephumelelayo yokuvimbela amaphutha angabangela ukubuyiselwa kwemali e-Medicare. Ucabanga ukuthi abanye benza futhi bangenzi lutho lokukhokhelwa kweMedricare encwadini yakho yenqubomgomo nenqubo.
- Buyekeza uphinde uphenye izimangalo ezihloliwe: Nakuba kungavamile ukuba khona, abahloli bama-Medicare bangenza amaphutha angaholela ekukhokheni kwembuyiselo engalungile. Ukuze uvimbele lokhu kungenzeki, thatha isikhathi sokwenza ucwaningomabhuku uma kwenzeka ihhovisi lakho lihloliwe. Lokhu akugcini nje kuphela ukuvikela ihhovisi lakho, okubaluleke nakakhulu, ukuhlolwa kwamabhuku kuyisipiliyoni sokufunda esingcono kakhulu ukuthola ulwazi lokuthi kwenziwa kanjani ukuhlolwa koMnyango wezeMpilo nokuthi yini okumele ulindele esikhathini esizayo.