Ama-Basics of MedPay Reimbursements

I-Medpay , noma i-Personal Automobile Medical Payments, ifomu lokubambisana nomshuwalense okhokhela konke noma ingxenye yesimangalo sezokwelapha zomshayeli we-insured ngokulimala okwenziwe ngenxa yengozi yemoto futhi ukhokha kungakhathaliseki ukuthi kwenzeke iphutha.

Imibuzo e-Med-Pay

Ubani Ogcotshwa Ngama-Med-Pay?

Kuncike ekuhloleni kokubambisana, i-Med-Pay izovame ukufaka izindleko zezokwelapha zomshayeli kanye nabagibeli bayo emotweni ehlanganisiwe. Izindleko zezokwelapha ezenziwa umshayeli olimele kanye / noma abagibeli kwenye imoto bakhokhelwa ngendlela ehlukile.

Yiziphi Izinkonzo Zezokwelapha Ezikhokhelwa Ukukhokhela I-Med?

• Ukuvakasha Kwamakamelo Eziphuthumayo
• Ama-ambulensi nama-EMT Izimali
• Amalebhu nama-X ray
• Izinqubo Zokuhlinza
• Isibhedlele Sokugula Isiguli

Ingabe i-Med-Pay ithatha indawo yomshuwalense wezempilo?

Cha. Izinqubomgomo eziningi ze-Med-Pay zikhokha kuphela ku-$ 5,000 umuntu ngamunye ngengozi nakuba ezinye izinqubomgomo zingakhokhela ku-$ 100,000 ngomuntu ngamunye. Lapho uhambisa izimangalo zemali zokukhokha, landela le nqubo:

1. UBill the Med-Pay njengomshuwalense oyinhloko
2. Ifayela lomshwalense wezempilo kuphela uma kuqala:
   • Isiguli ngeke sinikeze ulwazi lokufaka umshwalense we-Med-pay
   • Ukukhokha okusheshayo, noma ukukhokha kungakapheli izinsuku ezingu-30, akukwenziwanga yi-Med-Pay (Landela izikhombisi-ndlela zokukhokha ezenzelwe iziguli ze-Medicare)
   • I-Med-Pay iphika isimangalo ngokugcwele
3. Faka i-inshuwalense yezempilo njengesibili uma i-Med-Pay yenza inkokhelo ebhekisweni nesimangalo kodwa izinzuzo azifihli inani lemali yesimangalo

Ingabe i-Medical Office kufanele ifake isimangalo se-Med-Pay?

I-Medical Office ingabeka izinqubomgomo kanye nezinqubo zayo kuphela endaweni yokunquma ukuthi ngabe ifaka izimangalo ze-Med-Pay. Akukho mithetho evimbela noma ukuphoqelela ukukhokhiswa kwe-Med-Pay, noma kunjalo, ngokusho kwe-MSP Guidelines Medicare idinga ukuthi uma isiguli sinemikhankaso ye-Medicare yonke imizamo eyenziwa ukukhokhisa i-Med-Pay ngaphambi kokufaka i-Medicare.

I-Medicare Secondary Payer noma i-MSP ikhuluma ngezinzuzo zeMedare uma uMedare engeyona umshuwalense oyinhloko. I-Medicare idinga bonke abanikezeli bezempilo ukuthi bazi ukuthi kanjani uma uM Medicare engumshwalense oyinhloko noma wesibili weziguli zabo zeMedare.

Ingabe isiguli singagcwaliswa ngokuqondile ukuze uthole ukwelashwa?

Izimo eziningi zingase zenzeke ukuthi i-Medical Office kufanele ifune isiguli ukuthi sikhokhe imali engaphambili.

• I-Medical Office ayinayo i-lien esayinwe futhi isiguli siqashe ummeli
• Isiguli, umphathi we-Med-Pay, kanye / noma ummeli wesiguli wenqaba ukuxoxisana nokuhlelwa kokukhokha ngaphambi kokuxazulula leli cala.
• Isiguli senqaba ukufaka imvume yokunikeza izinzuzo zokukhokha ukuthi zithunyelwe ngqo kwi-Medical Office
• Isiguli singase sibe nezindleko eziphezulu zezokwelapha ngenxa yokuhlinzeka okukhulu noma ukuvakashelwa okuphindaphindiwe njengokwelapha ngokomzimba, ukuvakashelwa kwe-chiropractic, njll.

Imithetho Yomshuwalense Wokuzenzakalela

Imithetho yomshwalense ye-Auto ihluke kusuka kumbuso kuya kwesimo. Ngaphambi kokuthatha noma yisiphi isinyathelo sezimali noma ukuthuthukisa inqubomgomo yezezimali mayelana neziguli ezihilelekile ezingozini zezimoto, zijwayele kakhulu izimiso zombuso zakho mayelana nezimangalo zemoto. Amanye amazwe anemithetho yomshuwalense "engekho-iphutha" engase ithinte isinqumo sakho mayelana ne-Med-Pay.

I-Medical Office nayo yonke impahla enikeziwe yenzelwe ukunikeza ulwazi olunembile nolusizo. Yonke imizamo enengqondo eyenziwe ukuqinisekisa ukuchithwa kolwazi olunikeziwe. Noma kunjalo, yonke imithombo efanele kufanele iqinisekiswe njengoba umbhali engekho icala futhi akenzi isiqinisekiso noma iwaranti; kungabonakaliswa noma kuchaze ukuthi ulwazi oluhlanganisiwe noma olwethulwa alukho iphutha.

Nakuba yonke imizamo isenziwa ukugcina izihloko zisesikhathini futhi zamanje, ulwazi lungashintsha ngaphandle kwesaziso. Bonke abasebenzisi kudingeka baqinisekise ulwazi nge-CMS, DOJ, OIG, kanye nezinhlangano zikahulumeni zendawo, zombuso nezifundazwe ezihlobene. Umsebenzisi uthola yonke ingozi kanye nenkokhelo ngokusetshenziswa kanye / noma ukusetshenziswa kabi kwalolu lwazi.