Ukuqinisekiswa kweLayisensi nokuQeqesha kwaBaningi nabanye abahlinzeki
I-Credentialing yinqubo lapho amanethiwekhi yomshuwalense, izinhlangano zezempilo, nezibhedlela zithola futhi zihlolisise amadokhumenti ngokuphathelene nemfundo yomhlinzeki wezokwelapha, ukuqeqeshwa, umlando womsebenzi, ukugunyazwa kwelayisense, irekhodi lokuthobela imithetho, nomlando wokungasebenzi ngaphambi kokuvumela lowo mhlinzeki ukuba ahlanganyele kwinethiwekhi noma aphathe iziguli esibhedlela noma esibhedlela.
Ukusebenzisana nabathwali bomshuwalense kuyinkqubo edingekayo kunoma yiliphi ihhovisi lezokwelapha. Odokotela kanye nabanye ochwepheshe kufanele banikeze uhlu lwezincazelo kubathwali bomshuwalense, okufaka phakathi i- Medicare ne- Medicaid , ukuze bakwazi ukuthola izindleko zokukhokhela imali.
Izinhlobo zokuqinisekiswa ezidingekayo ze-Credentialing
Ukuqinisekiswa kobuchwepheshe bokuqinisekisa ukuhluka kwezimali kungahlukahluka ngokusho okushiwo yizinkampani zomshuwalense kanye nezinsiza zezokwelapha kodwa zingabandakanya lokhu okulandelayo:
- Isicelo sokubhalisa umhlinzeki
- Ilayisense Yombuso
- I-DEA License
- Isitifiketi seBhodi
- Imfundo Nokuqeqesha
- Ukubambisana kwesibhedlela
- Isitifiketi Somshuwalense Wokungasebenzi
Imiphumela Yengatholi Ukuqashelwa Ngesikhathi Esikhathini Esifanele
Ukuthola ukuqeqeshwa okwanele kochwepheshe bezinkampani zomshuwalense nezibhedlela kungathatha izinyanga eziyisithupha. Ihhovisi lezokwelapha kufanele lifake umthetho owodwa obaluleke kakhulu kumgomo wabo wezezimali : Ungavumeli noma yiliphi uchwepheshe wezokwelapha ukuba enze izinsizakalo ngaphandle kokuqinisekisa ngokufanele .
Imiphumela yokungatholakali ngokufanelekayo kungabangela imali elahlekile. Abathwali bomshuwalense ngeke babuyisele noma yiliphi ihhovisi lezokwelapha ukuthi izikweletu zabachwepheshe noma izinsizakalo ezinikezwa ochwepheshe abangazange baqinisekiswe kahle.
Uma ngesizathu esithile uvumele uchwepheshe ukwenza izinsizakalo ngaphambi kokuqedela ukuqinisekiswa, ezinye izinkampani zomshuwalense zizohlehlisa emuva ukubuyisela kwakho ukumboza izinsizakalo ezinikeziwe.
Noma kunjalo, kunomkhawulo esikhathini esithile. Ukuthatha leyo ngozi kungadala ihhovisi lakho lezokwelapha izinkulungwane zamaRandi ezingenakuqoqwa kusukela kumkhokheli womshuwalense noma oshwalensi.
Kuya kuba nzima ukuthola iziqinisekiso ngoba kukhona odokotela abaningi abazama ukuzisebenzisa ezindaweni ezifanayo, ukuncintisana ngezikhala kwiplanethi yenkampani yomshuwalense. Iphaneli luhlu lwadokotela abaqinisekisiwe, kodwa uma kunamagama amaningi ohlwini, inkampani yomshuwalense ingaphika ukungena kanye neziqinisekiso.
Isixazululo esiphephile futhi esinemali kakhulu ukuhambisa iphakethe lakho lokubhalisa lomhlinzeki kuhlanganise nanoma yimaphi amadokhumenti adingekayo kanye nokuqinisekisa ngokushesha ngangokunokwenzeka. Ukuphumelela kwehhovisi lakho lezokwelapha kuxhomeke kulo.
Phendula Ngokushesha Ukucela Ukuqinisekiswa Emlandweni Womsebenzi Wokuqanjwa KwamaCredentialing
Uhlangothi lwe-flip lokuqinisekisa ukuthi i-ofisi yakho yezokwelapha nabahlinzeki kufanele nabo babe ozakwabo abasebenza kahle futhi baphendule ngokushesha kunoma yiziphi izicelo zokuqinisekisa umlando womsebenzi noma izikhombisi zogqirha ezibizwa ngokuthi yi-inshuwalense. Ungabambelela ekuqinisekiseni labo bantu uma ungaphenduli ngokushesha.