Okudingayo ukwazi uma usuka esibhedlela kuqala
Esikhathini esiningi, odokotela neziguli bavumelana uma sekuyisikhathi sokukhishwa esibhedlela. Noma kunjalo, kunezimo ezithile lapho kunokungavumelani.
Ngezinye izikhathi, inkampani yomshuwalense noma omunye umkhokha angavumelani nokuhlala esibhedlela isikhathi eside. Bangase bacabange ukuthi isikhathi sesiguli siphelile nokuthi ngeke besayikhokha. Uma kunjalo, isiguli noma umhlinzeki angafaka isikhalazo kwisinqumo sokukhishwa kwesibhedlela .
Ngezinye izikhathi, lesi simo sihlukile. Isiguli singase sizizwe sengathi silungele ukuhamba, kodwa odokotela abakholelwa ukuthi isiguli silungele ukuhamba. Uma isiguli siphume ngaphandle, sizobizwa ngokuthi "ukukhishwa kweseluleko sezokwelapha" (DAMA).
Okwenza Izibhedlela Zifuna Iziguli Zihlale
Sithanda ukucabanga ukuthi odokotela nezinye izisebenzi zezibhedlela babe nezithakazelo zethu zezempilo kanye nezentando yenhliziyo lapho bephikelela ukuthi sihlale esibhedlela, futhi abaningi benza. Kodwa-ke, kungase kube nezikhathi lapho "imfuneko" yokuhlala ingaphezulu ngemali kunempilo yesiguli.
Esinye isizathu kungenzeka ukuthi uma uhlala isikhathi eside, imali esengeziwe esibhedlela. Okusho ukuthi, uma nje bekwazi ukubuyiselwa imali yomshuwalense wakho, omunye umkhokha, noma wena.
Esinye isenzo esingabazeki ukuthi uma uhlala esibhedlela isikhathi eside, izinto ezingaphezulu ezingakwenza. Isibonelo, bangase bahlele izinqubo ezengeziwe, ukuhlolwa okwengeziwe, nokunye.
Akuzona zonke lezi zinto ezingabalulekile, kodwa zizofaka izindleko ezengeziwe.
Kodwa esinye isizathu saqala ukusebenza nge- Care Affordable Act , okufaka uhlelo olubizwa ngokuthi uhlelo lokunciphisa isibhedlela se-Hospital Readmissions Programme (HRRP). Ihlawulisa izibhedlela uma iziguli ze-Medicare zivunywa zingakapheli izinsuku ezingama-30 zokukhishwa kwazo.
Lokhu kwaklanyelwe ukuqinisekisa ukuthi iziguli azikhululwa ngaphambi kokuba ziphile ngokwanele ukuya ekhaya ukuze zivimbele ukuba zingabuyeli.
Kungani Ungase Ufune Ukushiya i-AMA
Ukushiya esibhedlela ngokumelene neseluleko sezokwelapha (AMA) akusona isinqumo sokuthatha kalula. Nakuba kunezizathu eziningana ongaqala ukucabanga ngakho.
Esinye isizathu esivamile ukuthi ungase uzizwe sengathi awusakwazi ukuhlala. Isibonelo, uma unomshuwalense wezempilo okhishwa kakhulu noma okhokhela imali, ungase uthande ukunciphisa izindleko zokuhlala esibhedlela. Ngaphambi kokuba ucabange ukuthi awukwazi ukuwukhokhela, cela ummeli wesiguli esibhedlela, ummeleli weziguli, noma i-ombudsman mayelana nezindleko zangempela. Kwezinye izimo, kungase kungabi nakakhulu njengoba ucabanga.
Ungase futhi wesabe ukuthi ukuhlala isikhathi eside kuyoba nethonya elibi empilweni yakho. Izibhedlela zingaba izindawo eziyingozi neziphuzo zezidakamizwa futhi izifo zingenzeka. Yiqiniso, kunezinzuzo ezinkulu zokuhlala esibhedlela isikhathi esithile esidingekayo. Inkinga izitshalo lapho wena nodokotela bakho ningavumelani nalokho okudingekayo.
Abanye abantu baye babhekana nesipiliyoni esibi esibhedlela futhi bangathanda ukuhamba uma isimo singabonakali "silungile." Isibonelo, ungase uzizwe sengathi kwenziwa amaphutha angenangqondo engayingozi impilo yakho noma impilo yakho.
Izibhedlela kanye nodokotela babhekene nezimo ezibizwa ngokuthi "izenzakalo ezibi kakhulu" (SREs) . Ezimweni eziningi, ukhethe lapho ungathola khona ukunakekelwa uma uzizwa uphephekile esibhedlela sakho samanje.
Ngaphambi kokuba unqume ukushiya i-AMA kuze kube yingozi empilweni yakho, ungase ufune ukucela othile ukuba akukhuthaze kuze kube isikhathi sokukhishwa. Ilunga lomndeni, umngane, noma ngisho nommeli wezempilo wangasese, owaziwayo kungaba yindlebe eliqaphileyo ngenkathi uphilisa.
Okudingeka Ukwazi Nge-DAMA
Uma ufuna ukuhamba, ungakwazi. Njengoba iziguli eziningi zingenqaba ukwelashwa , iziguli eziningi zingashiya esibhedlela uma zifuna, futhi.
Akuyona emthethweni futhi kuyisinqumo sakho. Okuhlukile, ezimweni eziningi, kuneziguli zempilo yengqondo okubhekiswe kuzo imithetho nemithetho.
Zama ukuxazulula izinkinga. Kuye okwenzekile ukuze wenze ukuphuma ekuseni, kungenzeka kube nabantu abangakusiza. Odokotela, abamele isiguli esibhedlela, nabanye bangase bakwazi ukuxazulula inkinga uma ukhuluma ngezinto ozikhathazayo.
Ungenzi isinqumo yedwa. Ngokuyinhloko, uma izikhungo zakho zokwelapha zihlanganisa ukwelashwa nganoma yiluphi uhlobo lwezinhlungu noma izidakamizwa zokulala, noma uma uzizwa ugula kakhulu noma ungazitholi "ngokwakho," khona-ke lesi sinqumo sibaluleke kakhulu ukuzenza ngokwakho. ummeleli wangasese ukukuqondisa ekwenzeni isinqumo. Akuyona into yokwenza uma amandla akho engqondo nangokomzwelo engekho endaweni yawo.
Uzocelwa ukuba usayine idokhumenti. Lokhu kuzosho ukuthi uyaqonda ukuthi ushiya iseluleko sezokwelapha. Isibhedlela ngasinye sinesimo sayo futhi singasabisa, yingakho kungcono ukuyibuyekeza nomuntu omethembayo naye.
Kungase kube khona izinhlobo zonke zokudalulwa ezifakwe emaphepheni, ngakho-ke qiniseka ukuthi ulifunda ngokucophelela futhi uliqonda kahle. Kungenzeka ukuthi kufaka phakathi ukuthi unesibopho sini nokuthi yini isibhedlela esingekho esibhekene nayo mayelana nempilo yakho, ukukhokhisa, nanoma yiziphi izibopho zomthetho.
Umshuwalense wakho cishe uzokhokhela ukunakekelwa owutholile. Abasebenzi bezibhedlela bangakutshela ukuthi uzodingeka ukhokhele ukuhlala kwakho. Kodwa-ke, ucwaningo luye lwabona ukuthi ukushiya i-AMA kwakungekho nhlobo emithwalweni yomshuwalense wokunakekelwa kwakho. Ukuze ube ohlangothini oluphephile, hlola nomshwalense wakho ngaphambi kokuba usuke esibhedlela.
Ngaphambi Kokushiya i-AMA
Kungenxa yokuthi ukhetha ukuhamba kusheshe akusho ukuthi inqubo yokukhipha kufanele ifinyelelwe. Kusabalulekile kakhulu ukuthi ubuze imibuzo efanele futhi uthole ulwazi oludingayo ngaphambi kokuba uphume umnyango.
Yenza konke okusemandleni akho ukugcina inqubo ehloniphayo futhi uzame ukungalahleki noma ukukhathazeka kakhulu. Abasebenzi bezibhedlela bangase bazame kakhulu ukukugcina lapho futhi benza imisebenzi yabo nje. Njengoba nje uzobahlonipha, kufanele ucele inhlonipho kubo.
Izwi elivela
Ngaphambi kokuba unqume ukushiya esibhedlela, yenza konke okusemandleni akho ukuhlola izingozi kanye nemivuzo yokukhetha ukushiya i-AMA. Khuluma nomndeni wakho noma ummeli mayelana nokuthi kungani ucabanga ukuthi kungcono futhi uthole umbono wabo esimweni. Ngaphezu kwakho konke, khumbula ukuthi impilo yakho ibaluleke kakhulu, nakuba unelungelo lokukhetha ukuhamba uma uzizwa ukuthi kungcono kakhulu.
> Umthombo:
> Alfandre D. Ukucabangela Ukuphulukiswa Kwezeluleko Zezokwelapha: Ukwamukela Isiguli-Isikhungo Ukuze Sikhuthaze Ukunakekelwa Kwezinga Eliphezulu kanye ne-Agent Research Agenda. I-Journal of General Medicine Internal . 2013; 28 (12): 1657-1662.
> Amasevisi wezeMithi ye-Medicare & Medicaid. Uhlelo Lokunciphisa Ukufunda (HRRP). 2017.