Ungabhala kanjani uhlelo lwebhizinisi le-Medical Office

Nakhu okufanele ufake

Ukulungiselela uhlelo lwebhizinisi embonini yezokunakekelwa kwezempilo kuhlukile kunezinhlelo zamabhizinisi zendabuko ezifundiswa esikoleni sebhizinisi. Inqubo, amathuluzi okuhlaziya kanye nesakhiwo senqubo yebhizinisi yokuqalisa ngokukhethekile eyenzelwe ihhovisi lezokwelapha kudinga ukuqonda indlela umkhuba wokwelapha osebenza ngayo. Lolu hlobo lwezinhlelo zebhizinisi ludinga ukubambisana kweqembu labaqeqeshiwe abanolwazi.

Uhlelo lwebhizinisi kufanele lubandakanye nohlu lwezinkinga ezingase zenzeke nokuthi yiziphi amasu ezikhona ukuze ziwunqobe. Lokhu kubonisa ukuthi ithimba labaphathi lilindele amabhuloho kodwa noma kunjalo awuhlosi ukuvimbezwa nabo. Faka lezi zakhi ezibalulekile ohlelweni lwakho lwezebhizinisi lezokwelapha:

  1. Ukwakhiwa kohlelo
  2. Izimiso Zokuthengisa
  3. Ukubikezelwa Kwezezimali

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Ukwakhiwa kohlelo
Kenishirotie / iStock / Getty Izithombe

Inhlangano yenhlangano yepulani yebhizinisi ichaza isakhiwo sokuphatha. Ngenxa yamakhono ayingqayizivele adingekayo ukuphatha ihhovisi lezokwelapha, isakhiwo sokuphatha singase sihluke kunecebo lomsebenzi wendabuko lingabonisa. Umzila womyalo kanye nemithwalo yemfanelo yokuphatha ingathinteka ngokusekelwe ezinhlobonhlobo eziningana.

Ukwakha ishadi lenhlangano kungasiza ukufanekisa isakhiwo sokuphatha sehhovisi lezokwelapha. Iphinde ibonise ukuthi imithwalo yemfanelo inikezwa kanjani futhi ibonisa ukhetho oluhlelekile lomyalelo.

Esikhathini sokuhlelwa kwezokwelapha, kungase kube nemigqa emibili yegunya lokubonisa imisebenzi yemitholampilo nokungeyona imitholampilo. Isibonelo, imenenja yehhovisi izoba phezulu kweshadi lenhlangano ngomugqa kumasevisi omtholampilo kanye nemigqa yamasevisi ebhizinisi.

UMPHATHI WABASEBENZI BE-MEDICAL

I-CLINICAL ----------- ABASIFUNDI ABASIFUNDI NAMASI

IBHIZINISI ----------- IBHAYIBHELI ELINGCWELE NOKUHLOLA

Ngokuya ngobukhulu behhovisi, lesi sakhiwo singaba nzima kakhulu futhi sibe namazinga ahlukene wegunya.

Isakhiwo senhlangano kufanele siphinde siphendule le mibuzo eyisisekelo.

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Izimiso Zokuthengisa
angela labarbera / FOAP / Getty Izithombe

Isici sokuthengisa sezinhlelo zebhizinisi sichaza uhlobo lwemakethe ihhovisi lezokwelapha lizama ukuheha ngokusekelwe kohlobo lwezinsizakalo ezinikezwayo. Into yokuqala okufanele uyenze ngaphambi kokuqala isigaba sokumaketha sohlelo lwebhizinisi ukucacisa ukuthi ubani ozoba nomthwalo wokuthengisa. Kubalulekile ukukhetha umuntu noma inhlangano enolwazi lokukhangisa kwezokwelapha.

Isigaba sokumaketha sidinga umuntu ongabheka izinto ezimakethe, ukuhlela nokufeza imigomo, nokuhlola umncintiswano. Ukumaketha kubonisa izinhlobo zezinsiza okufanele zihlinzekwe ngokusekelwe ezimfuno zomphakathi, zihlaziye ukusebenza okungenzeka, futhi zenze amasu nezinhloso ezidingekayo ukuze kugcinwe ukuncintisana okuncintisanayo.

Ukuthengisa kuyasiza kakhulu ekuxoxweni okuphumelelayo kwezinkontileka zokunakekelwa okuphethwe . Ukwazi imakethe yabathengi kuyisici esisodwa esibalulekile seqhinga lesivumelwano. Uyazi ukuthi yimaphi amaphesenti emakethe wakho aneMedareid, Medicaid, Cigna, Blue Cross Blue Shield, Aetna, United HealthCare noma engaqinisekisiwe? Ucwaningo lwemakethe luhlinzeka ngolwazi olubalulekile oludingekayo kuzo zonke izingxoxiswano zezinkontileka.

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Ukubikezelwa Kwezezimali
BSIP / UIG / Getty Izithombe

Isici sezezimali sezinhlelo zebhizinisi lichaza ukuthi ihhovisi lezokwelapha kulindeleke ukuthi lisebenze kanjani ngokwezimali esikhathini esithile kusukela eminyakeni eyodwa kuya kweyishumi. Ukubikezela kwezezimali kuboniswa ukusetshenziswa kwezitatimende zezimali.

Ukubika kwezimali kusetshenziselwa izinhloso zangaphandle nangaphakathi. Uma isetshenziselwa izinhloso zangaphakathi izimali zezimali zisetshenziswe ngabaphathi ngokuhlela kanye nemiphumela yokuhlola.

Ukuphathwa kwezezimali kubhekisela ekusebenzeni kwansuku zonke kanye nesiqondiso sesikhathi eside sehhovisi lezokwelapha. Kukhona izingxenye ezihlukahlukene zokuphathwa kwezezimali kusuka ekubekeni amanani kuya ekulawuleni izindleko eziphathweni zokuphathwa kwezimali. Ihhovisi lezokwelapha eliphumelelayo lincike ekutheni inhlangano iqonda kanjani ukubaluleka nenjongo yokuphathwa kwezimali.