Noma iyiphi indlela elula futhi ephumelelayo yokuqinisekisa ukuthi iziguli zakho zithola ulwazi olubalulekile ekunakekeleni kwazo ukuzinikela ngezibonelelo. Izibonelelo eziyisihlanu ezidingekayo zeziguli ezintsha zifaka ukuvakasha kokuqala kokuhambisa, uhlu lwalokho okuzoletha, inqubomgomo yokukhokha, isaziso semikhuba yobumfihlo kanye nokuhlola okwaneliseka kwesiguli .
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Ukuvakasha kokuqala kokuqalaUkuvakasha kokuqala kumhlinzeki omusha kungagcwala ukukhathazeka kwesiguli. Ukukhathazeka kwesiguli kungase kube mayelana nesimo sezokwelapha, imithwalo yemali noma ukukhathazeka ngokwemvelo kokuhlangana nodokotela omusha. Ukwenza ukukhathazeka kwabo kungaba lula njengokunikeza izimpendulo ezilula zemibuzo abangase babe nazo noma ukunikeza ulwazi oluyisisekelo mayelana nomkhuba wakho wezokwelapha. Qiniseka ukuthi uhlanganisa ulwazi olulandelayo:
- Umlayezo owamukelekile wesineke
- Isingeniso kumkhuba wezokwelapha
- I-bio emfushane kadokotela ngamunye
- Okufanele bakulindele ekuhlolweni kwabo kokuqala
- Ulwazi lokuxhumana
- Amahora okusebenza
- Izinsizakalo zinikeziwe
- Ezinye izindawo
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Uhlu Lokho Okumele KulethweIziguli nemindeni yabo kumele bathathe indima ekunakekelweni kwabo kwezempilo ngokukwazi ukuthi yiziphi izibopho zabo. Omunye wemfanelo ukuletha ulwazi olubalulekile ukusiza inqubo yokubhalisa noma ukusiza udokotela ekuhlinzekeni ukwelashwa okungcono kakhulu. Kukhona izinto ezingu-10 isiguli okufanele sizenze uma ziletha ehhovisi lakho ukwelashwa.
- Ulwazi lomshuwalense
- I-ID yesithombe
- Ithimba elimele / ulwazi
- Ulwazi Lwezibalo
- Izinkokhelo
- Ulwazi lwezokwelapha
- Oxhumana nabo abaphuthumayo
- Ulwazi Lwezingozi
- Izikhombisi-ndlela eziseduze
- Ukugunyazwa kwangaphambili / okudlulisiwe
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Inqubomgomo YokukhokhaUkuqinisekisa ukuthi iziguli ziyazi inqubomgomo yakho yokukhokha kusukela ekuqaleni kungenye indlela yokugwema ukudideka kamuva. Iziguli zingase zikhokhise izindleko zezokwelashwa uma zikwaziswa ngokulindela kwezezimali zehhovisi lezokwelapha. Hlanganisa ulwazi mayelana nohlelo lwakho losizo lwezezimali , uma unalo.
Qinisekisa ukufaka ulwazi olulandelayo ngenqubomgomo yakho yokukhokha:
- Ama-co-pay, ama-deductibles, kanye nemali yomshuwalense kumele kubonakale ngaphambi kokuhlinzeka ngezinsizakalo zokuvakashelwa ngalunye
- Iziguli ezizikhokhela zibophezele ukukhokha yonke imali ngokugcwele
- Izinhlobo zokukhokha ezamukelekayo ezifana nokuhlola komuntu siqu, amakhadi esikweletu, kanye namakhadi we-debit
- Imali ekhokhwayo yokukhokhwa kwemali ekhokhwayo engakhokhiwe ngesikhathi esithile
- Izinkokhelo zezincomo ezingabanjwanga azikhanseliwe noma zihlelwe kabusha ngaphambi kwesikhathi
- Uhlu lwezinkampani zomshuwalense ezibandakanyekayo
- Iziguli kufanele zinikeze ubufakazi bomshwalense ngaphambi kokwelashwa noma zibhekwe njengokuzikhokhela
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Isaziso Semisebenzi YobumfihloAbahlinzeki bokunakekelwa kwezempilo banesibopho sokunikeza iziguli zabo isaziso sezenzo zobumfihlo . Lesi saziso, njengoba kudingwa yi-HIPAA Private Rule, sinika iziguli ilungelo lokukwaziswa ngamalungelo abo okuyimfihlo njengoba zihlobene nolwazi lwabo lwezempilo oluvikelwe (i-PHI).
Ngaphambi kokwelashwa kokuqala kwesiguli, abahlinzeki kufanele banikele isaziso ngaphambi kokuba amasevisi akwenziwa ngaphandle kwezimo eziphuthumayo. Iziguli kufanele zisayine ukubhaliswa okubhaliwe ukuthi zithole isaziso semikhuba yobumfihlo. Inhloso eyinhloko yesaziso semikhuba yobumfihlo ukukwazisa iziguli zamalungelo abo nendlela yokusebenzisa lawo malungelo. Isaziso kufanele sichaze ulwazi oluthile kalula ukuqonda imigomo:
- Indlela umhlinzeki azosebenzisa ngayo futhi adalule i-PHI yabo
- Amagciwane amalungelo aqondene ne-PHI yawo
- Isitatimende esitshela isiguli semithetho efuna umhlinzeki ukuthi alondoloze ubumfihlo be-PHI yabo
- Iziguli ezingathintana nazo ukuze uthole olunye ulwazi mayelana nezinqubomgomo zobumfihlo zomhlinzeki
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Inhlolovo Yokunethezeka KwesinekeKukhona indlela eyodwa kuphela yokwazi ukuthi abasebenzi basehhovisi lezokwelapha kanye nodokotela banikeza kanjani ukunakekelwa kwesineke - buza nje. Ukunikeza ukuhlolwa kokwaneliseka kwesiguli kumuntu ngamunye ogulayo ovakashela ihhovisi lakho lezokwelapha njalo ukuhlola ukuthi izinqubo zakho kanye nabasebenzi bakholwa kanjani ngokuphumelelayo.
Ukuze unqume ukuthi ihhovisi lakho lezokwelapha lihamba kahle yini, thola izimpendulo zemibuzo elandelayo:
- Ingabe isiguli sasikhulunywa ngenhlonipho lapho singena ngemvume ukuze siqashwe?
- Ingabe isiguli samukelwa umkamukeli ngenhlonipho nangenhlonipho?
- Isikhathi eside isiguli silinde isikhathi esingakanani ukubona udokotela?
- Ingabe umhlengikazi nodokotela bachaza imininingwane yezinsizakalo ezinikezwe isiguli?
- Ingabe umhlengikazi nodokotela baphendula yonke imibuzo yesiguli?
- Ingabe isiguli sithole isevisi yamakhasimende enhle kakhulu?
- Ingabe igumbi lokuhlola lihlanzekile, likhululekile futhi lilungisiwe?
- Ingabe indawo yokulinda iphephile, ihlanzekile futhi ivulekile?