Ingxenye 6: Thola Amathuba Okuthuthukisa
I-schedule yemali ingenye yamathuluzi ebaluleke kakhulu wezezimali asetshenziswa yihhovisi lezokwelapha. Leli fayela alikhombisi kuphela inani lezinsizakalo ezinikezwa odokotela kodwa futhi libeka isisekelo senzuzo. Ukubuyekeza isimiso semali yakho okungenani kanye ngonyaka, uma kungenjalo, kuvumela ihhovisi lezokwelapha ukuba lihambisane nezinguquko emakethe yezempilo.
Njengoba uhlaziya isimiso sakho semali, kunezindawo ezintathu ezinkulu okufanele zihlolwe:
- Izindleko eziphelele
- Izimali zamanje nezinkokhelo
- UCR Database
Thola Izinkokhelo Zakho
Ngaphambi kokwenza noma yiziphi izinguquko esimisweni sakho samanje, qaphela ngokucophelela zonke izindleko ezibangelwa umkhuba wakho wezokwelapha kubandakanya izindleko ezidingekayo zokuhlinzeka ngemikhiqizo yekhwalithi namasevisi eziguli zakho. Ukunquma ukubaluleka kwezindleko zakho kuyisisekelo semali yokukhokhela inzuzo. Lapho ubala izindleko zakho, inkinga ku:
- Ukuqasha noma ukukhokha okuqashisayo
- Izinsiza
- Izimpahla zeHhovisi kanye nemishini
- Imithi kanye nemishini
- Imali Yokukhokha
- Imali Yokugcina
- Umsebenzi Wezisebenzi
- Ukukhishwa kwezimpahla kanye / noma Umshuwalense Wezenhlalakahle
- Umshwalense wezeMpilo nezinye izindleko zemihlomulo
Qhathanisa Izinkokhelo Zomshwalense Nge-Schedule Shee
Indlela elula yokuthola ukuthi uhlelo lwakho lwemali ludinge ukubuyekezwa ukuluqhathanisa izinkokhelo ozitholayo kubakhokhi bakho. Uma abakhokhi bakho bakahulumeni, njenge- Medicare noma i-Medicaid, bakhokhela imali yakho nganoma iyiphi yezinsizakalo zakho ngokugcwele, ngakho-ke udinga ngempela ukukhokhisa okuningi ngezinsizakalo zakho. Ngisho noma lokho kusho ukuthi abakhokhisi bakho abanenkontileka bayothola izaphulelo ezijulile, inzuzo yakho yonke kanye neholo engenayo kuyoba ngaphezulu.
- Dala ispredishithi ngokuhlanganisa uhlu lwamakhodi we- CPT asetshenziswe kaningi futhi inani elihambelanayo likhokhiswa ngayinye. Bona amakhodi asetshenziswa njalo ngezansi .
- Engeza amakholomu angeziwe kumkhokheli ngamunye kanye nokubuyisela kwawo okujwayelekile nge-CPT ngayinye.
- Uma isipredishithi sakho sesiqedile, qhathanisa inani lemali yokukhokha nenani elikhokhiselwe isevisi ngayinye.
- Ungayithatha isinyathelo ngokungezelela ikholomu ukuze ukhombise izindleko ezilinganiselwe ngenkonzo ngayinye ngokusekelwe ezindlekweni eziphelele zehhovisi lezokwelapha. Nquma ukuthi ufuna ukuthola inzuzo yakho nyanga zonke noma ngonyaka bese ulungisa izinombolo zakho ngokufanele.
Buyekeza i-UCR Database
Idatha ye-UCR (evamile, yesiko neyengqondo) iyithuluzi lamahhala le-intanethi evumela iziguli nabahlinzeki ngolwazi ngezindleko ezilinganiselwe zezinsizakalo zezinqubo zezokwelapha. Igama elisemthethweni yi-FH Consumer Look Up eyenziwe yi-FAIR Health. Impilo ye-FAIR yinhlangano engeyona inzuzo ehlinzeka ngemikhiqizo yedatha yabathengi kanye nezinsiza ngenjongo yokuletha "ukungabi nabulungisa nokucaca kolwazi lomshuwalense wezempilo".
I-FH Consumer Cost Look Up inikeza ulwazi lwe-UCR ngezinsizakalo zezokwelapha kanye namazinyo kuzo zonke ikhodi ye-zip e-US nedatha enikezwe ngabashuwalense ngezinqubomgomo zomshuwalense wangaphandle. Nakuba inhloso ukuthi abathengi benze izinqumo ezibalulekile mayelana nokunakekelwa kwabo kwezempilo, ithuluzi elihle kakhulu abahlinzeki abangasebenzisa njengesiqondiso sokusetha isimiso semali.
* Amakhodi we-CPT ajwayelekile
Ama-CPT amakhodi akhethwe yi-American Medical Association ukukhomba amakhodi ngokuvamile asetshenziswa odokotela abahlinzeka ngezinsizakalo ehhovisi lezokwelapha. Amakhodi asetshenziswe kaningi kakhulu amakhodi wezokuhlola nokuphathwa (E / M) wezokwelapha.
- 99201-05: Ukuvakasha kweHhovisi Lokubekezela Kwamanje
- 99211-15: Ukuvakasha kweHhovisi lokuPhepha eliMisiwe
- 99221-23: Ukunakekelwa Kwezibhedlela Zokuqala Kwamalungu Eziguli Ezintsha Noma Eziqine
- 99231-23: Ukunakekela Isibhedlela Esilandelayo
- 99281-85: Ukuvakashelwa koMnyango ophuthumayo
- 99241-45: Ukubonisana kwamaHhovisi
Uhlu olugcwele lwamakhodi we-CPT yi:
00000-09999: Izinsiza ze-Anesthesia
I-10000-19999: I-Integumentary System
20000-29999: Uhlelo lweMisculoskeletal
30000-39999: Ukuphefumula, I-Cardiovascular, Hemic, ne-Lymphatic System
40000-49999: I-Digestive System
50000-59999: U-Urinary, Isibeletho Sabantu Abesilisa, Isibeletho Sesifazane, Ukunakekelwa Kwabazali, kanye Nezokuthumela
60000-69999: I-Endocrine, i-Nervous, i-Eye ne-Ocular Adnexa, i-Auditory System
70000-79999: Izinsizakalo zezokwelapha
80000-89999: Imisebenzi yezokwelapha kanye nelebhulabhu
90000-99999: Izinsiza Zokuhlola Nokuphathwa