Imiqondo esemthethweni ihlanganisa ukuqonda nokulandela imithetho kahulumeni kanye nesifundazwe. Indawo ehlala iwukukhathazeka kakhulu ukukhwabanisa nokuhlukumeza ikakhulukazi mayelana neMedare, Medicaid, kanye nezinye izinhlelo ezixhaswe ngezimali.
Izinkinga zokuziphatha zihlanganisa ukuqonda nokulandela imihlahlandlela yokuziphatha yebhizinisi neyezempilo. Ngezinye izikhathi izinkinga zokuziphatha zibhekwa njengezindaba zomthetho. Iningi lemithetho yezokwelapha ukuhambisana nemigomo ifaka phakathi kokubili imibono yokuziphatha nokusemthethweni.
Izinkinga Zamalungelo Eziguli
Ilungelo elibaluleke kunazo zonke isiguli unelungelo lokuvuma ulwazi. Isiguli kufanele sivume kuphela ukwelashwa uma kunolwazi oluthe xaxa mayelana nokuxilongwa kwabo kanye nawo wonke amakhetho okwelashwa atholakalayo ngokwemibandela ayengayifunda.
Kunamalungelo ayisikhombisa wesiguli:
- Ulwazi lwesineke
- Ukukhetha abahlinzeki
- Ukufinyelela kumasevisi aphuthumayo
- Inhlonipho kanye nokungakhethi
- Ukuyimfihlo
- Izikhalazo nezikhalo
- Imithwalo yemithwalo yesineke
Izinkinga zokukhohlisa nokuhlukunyezwa
Ukukhwabanisa ngokuvamile kubhekisela ekumangalisweni ngokuzenzekelayo kwezokwelapha emzamweni wokukhwabanisa noma yiluphi uhlelo oluxhaswe ngemali lwemali.
Izinhlobo ezivame kakhulu zokukhwabanisa nokuhlukumeza zihlanganisa ukukhokhiswa kwemishini engakaze inikezwe, ukukhokhelwa kwezinsizakalo ezingakaze zenziwe, amacala okukhwabanisa okuphezulu ukuze athole izinga eliphezulu lokubuyiselwa, nokukhishwa kwamacala.
Izinqubo Zokuqinisekisa
I-Credentialing yindlela eyodwa ye-insurers evikela iziguli zabo kubahlinzeki abangenayo imvume. 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.
Imiphumela yokungatholakali ngokufanelekayo kungabangela imali elahlekile. Abathwali bomshuwalense ngeke babuyisele noma yiliphi ihhovisi lezokwelapha ukuthi izikweletu zabachwepheshe noma izinsizakalo ezinikezwa ochwepheshe abangazange baqinisekiswe kahle.
Izinqubo Zokuphepha Nokuqapha Amakhemikhali
Ulwazi kufanele lunikezwe abasebenzi basehhovisi lezokwelapha mayelana nezinyathelo zokuphepha ezifanele zokusetshenziswa, ukugcinwa nokulahlwa kwazo zonke izinto eziyingozi.
- Izinto Zokuzivikela Ezizimele (I-PPE): Lokhu kufaka phakathi izigqoko zokuphepha, amagilavu afanelekile, namajazi asebenzayo.
- Ukubhaliswa Okufanele: Izinto eziyingozi akufanele zifakwe kwisitsha esingenakubhaliswa. Zonke izinto kufanele zifakwe kuhlu ku-Material Safety Data Sheets (MSDS) futhi zivuselelwe njalo.
- Landela Izinkombandlela Zabakhiqizi: Sebenzisa indlela efanelekayo yokulahla, uxhumane namehlo noma isikhumba, noma ukuchithwa.
Ukulahlwa Okufanele Kwokwaziswa Okubekezela
Noma iyiphi indawo echazwe yi-HIPAA njengenhlangano ehlanganisiwe inesibopho sokuqinisekisa ubumfihlo nokuphepha kolwazi lwesiguli sayo kanye nokugcina imfihlo ye-PHI yabo. Ukulahlwa okulungile kolwazi lwezempilo oluvikelwe (i-PHI) nolunye ulwazi oluyimfihlo ukuthi iphepha noma ifomethi ye-elektroniki iyimfuneko ye-HIPAA.
Ingozi yokuThutha nokuVimbela
Nakuba kungekho ndlela engamaphesenti angu-100 yokugwema noma yimuphi umlandu wezokwelapha, kunezindlela ezithile zokunciphisa amathuba okuba sekupheleni kokukhokha.
Ukuhlukahluka kanye nemikhuba yabasebenzi
Ukuhlukahluka kuseduze kwethu kodwa izinhlangano eziningi zithola kunzima ukufaka ukuhlukahluka kuzilungiselelo zansuku zonke. Emphakathini wanamuhla, ihhovisi lezokwelapha kumele lihlanganise ukuhlukahluka kulo msebenzi, umbono, kanye namagugu ukuze kuhlinzeke ukunakekelwa okungcono kwesiguli kanye nokuphatha kahle abasebenzi.
Ukuqonda ukuhlukahluka kusho ukuqaphela okuhlukile ngaphandle kwezizathu ezicacile ezifana nohlanga, ulimi, kanye nobulili. Ukuhlukahluka kubhekisela kukho konke ngabantu abenza sasihluke kufaka phakathi izitayela zomsebenzi, ukuziphatha nemagugu, imfundo, nokuxhumana.
Izimiso Zokubika
Izimiso Zokugcinwa Kwezimali Ezijwayelekile Zamukelekile (GAAP) yizigaba ezivamile zezimiso zokubalwa, amazinga, nezinqubo izinkampani ezisebenzisayo ukuqoqa izitatimende zabo zezimali. I-GAAP, ukubeka kalula, yizindlela ezamukelekayo ngokwezifiso zokurekhoda nokubika ulwazi lwezimali.
Inhlangano ngayinye ingase isebenze ngendlela ehlukile kodwa konke kufanele ilandelwe ngemikhombandlela esethiwe ngaphakathi komphakathi wenhlangano, umbuso nasezingeni likahulumeni. Uma lezi zindinganiso nezinqubo zingalandelwa i-US Security and Exchange Commission (SEC) izokwenza inhlangano futhi mhlawumbe iphishekele izinyathelo zobugebengu ukuphoqelela ukulandelwa.