Isihloko esithandwayo esakhiweni sethu senziwe mayelana nokucubungulwa kokumangalelwa kwe-Medicaid. Futhi ngenkathi sesigubungile le nkinga esikhathini esidlule , kufanelekile ukugqamisa izindlela zokwenza inqubo yesimangalo ibe ngcono, uqinisekise ukuthi ukhokhelwa futhi ugweme ukuhlolisiswa.
Thumela nge-Electronically
Thumela izimangalo ngekhompyutha.
Inqubo yokumangalelwa kwe-elekthronikhi eyodwa kwesithathu isikhathi esidingekayo sezimangalo zamaphepha. Ukuthunyelwa kwe-elekthronikhi kunciphisa amaphutha, kuvimbela ukuphika okungadingekile kokumangalelwa, ukwandisa ukugeleza kwemali, nokunciphisa izindleko.
Ukucubungula kwe-elekthroniki yi:
- Ngokushesha
Iningi lezinkampani zokufaka izicelo zekhomphyutha esikhathini esisodwa kuya kwamasonto amabili. Uhambisa izimangalo, buka isimo semangalo ku-intanethi, ubuke iseluleko sokudilizwa, ucele ukugunyazwa kwangaphambili, ubuze ngokuhlola, ugcine iphrofayela yakho yomhlinzeki futhi uqinisekise ukufaneleka kwamalungu. Izimangalo zigwetshwe emahoreni amabili noma ngaphansi. - Kalula nakakhulu
Ungakwazi kalula ukuhambisa zonke izimangalo zendabuko ye- Medicaid , kufaka phakathi izimangalo ezidinga izinamathiselo, usebenzisa iWebhu. - Okuningi okuneqiniso
Ukumangalelwa kwe-elekthronsi kusiza ukunciphisa amaphutha okuthumela Ngaphezu kwalokho, izimangalo ezithunyelwe ephepheni zivame ukubhalwa ngesandla, okwenza zibe lula futhi zikhudlwana ukufunda. - Okuncane kakhulu
Ngokufaka isicelo sokumangalelwa kwe-electronics, abasebenzi abanikezeli abahlinzeki abasebenzisi isikhathi sokunyathelisa kanye namafomu okuposa - inqubo ebiza kakhulu.
Amanye amathiphu
- Faka phakathi izinombolo zokukhomba zokuthola umamukeli (RIDs) nazo zonke izinhlobo zesimangalo.
- Faka i-Identifier Provider ye-National evumelekile (NPI) nayo yonke inhlobo yesimangalo.
- Ungasebenzisi i-red inkin - iyanyamalala lapho izicelo zifundwa.
- Qinisekisa ukuthi i-Medicare, i-third party party (TPL), nolwazi lwe-Medicaid lufakwa emasimini afanele kumabango e-UB-04.
- Fakela ama-invoyisi afanele amanani entengo.
- Qiniseka ukuthi izimangalo zamaphepha ezibhalwe ngezandla zikhona futhi zifaka amasignesha aphelele.
- Bhalisela ukukhokha okuqondile kwemali yakho ye-Medicaid.
- Zijwayele nge- Handicid Provider Handbook.
- Buyekeza imiyalo yokukhokha ejwayelekile.
- Ukubukezwa okuqondene nesevisi kanye nemiyalelo yokukhokha.
- Buyekeza imiyalo yokukhokha yezimangalo ze-Medicare Crossover.
- Setha uhlelo lwakho lokulandela isimangalo.
- Landelela isimo sokufaka isicelo sakho sokuqala.
Buyekeza "Izimangalo Zakho Zokumangalisa Ngenqubo Ezingaphezu Kwama-30". - Buka izaziso mayelana Nezimangalo Ezibuyiselwe, Ezilahliwe noma Ezikhishiwe.
Ngemuva kokuthi uthumele isimangalo, ungathola isaziso ekutshela ukuthi isimangalo sakho asikwazanga ukungena futhi / noma sicutshungulwe ngokuphelele. Yenza izilungiso kumangalo noma ugcwalise isimangalo esisha bese uyithumela kungakapheli unyaka owodwa kusukela ngosuku lomsebenzi.
"Umbiko oshicilelwe ukufaka isicelo se-Medicaid" - Lo mbiko ubeka izicelo zephepha ezingakwazi ukucutshungulwa ngokuphelele. Izimangalo zalo mbiko zifakwe ngempumelelo, kodwa izinkinga ezithile ngokumangalelwa zikuvimbela ekusetshenzisweni kokugcina. Izimangalo ezisusiwe azibhekwa njengezimangalo 'eziphikisiwe'; yizimangalo okufanele zilungiswe futhi zenziwe kabusha.
"Umbiko Wokusebenza Kwe-Electronic Claim" - Lesi saziso sisho izimangalo ze-elektroniki. Ihlanganisa kokubili ukulahlwa nokususwa kwezimangalo. Kuthunyelwa ku-submiter yakho / indlu yokuhlanza. - Buyekeza Isexwayiso sakho se-Medicaid Remittance futhi ulandele ngokushesha.
- Qonda ukuthi ungathumela kanjani Izicelo Zokulungiswa Kwemangalo.
- Landelela Izicelo Zokulungiswa Kwezimangalo zakho.
Ngenkathi uhlelo lokukhokha lubonakala lubunzima (futhi lungcono), ungagwema ikhanda ngokuthumela kahle nokulandela izimangalo zakho. Sithemba ukuthi lezi zindlela ezinhle zisiza.