Ukuba Ufumanisa Ezi Khowudi kwiBhili Yakho, Uyazi ukuba Ziziphi
Ukuqonda iimali zakho zonyango kunokuba nzima. Inqaku ngalinye liza kuba nekhowudi ye-CPT okanye ye-HCPCS yeenkonzo ezihlawulwayo. Ezi ziquka iikhowudi zokuhlawula iifowuni okanye ukubonisana nge-intanethi kunye neofisi yakho yonyango, ebizwa ngokuba yi-telemedicine okanye i-telehealth.
Njengomguli, unokufuna ukwazi iikhowudi zefowuni ze-CPT okanye ezo zisebenza kwiinkonzo zonyango kwi-intanethi.
Makhe sijonge ezo iikhowudi kunye noko bathethayo ukuze ukwazi ukuthatha inyathelo elilodwa ekuqondeni iindleko zakho zokunakekelwa kwezempilo.
Iikhowudi zee-CPT zeeNombolo kwiBhili yakho yezoLimo
I-American Medical Association (AMA) imisa iikhowudi zeNkqubo zeNkqubo zeNkqubo zeNkqubo zeNkqubo zeNkqubo zeNkqubo zeNkcazo zeNkqubo zeNkqubo zeNkcazo zeNkqubo zeNkcazo zeNkqubo zeNkqubo zeNkcazo zeNkqubo zeNkcazo zeNkqubo zeNkcazo (Current Procedural Terminology) Kwiigulane ze-Medicare, ezi zibizwa ngokuba yiNkqubo yeCoding System Coding System (HCPCS) . Yonke inqubo, inkonzo, kunye nentlawulo oyifumanayo evela kumniki-zonyango usebenzisa le khowudi.
Ukuba usebenzise i-fowuni yakho okanye iinkonzo ze-intanethi ukubonisana, ezi ziinkonzo ezihlawulelwayo kwaye kukho iikhowudi ezinxulumene nazo. Kungenxa yokuba ezi khowudi zikhoyo ngoku oogqirha ekubuyiselweni kweenkonzo akuthethi ukuba wakho umshwalense uya kubahlawula, nangona kunjalo. Unokuhlawulwa ngeli xesha.
Ukuba ufumanisa naziphi na ezi zilandelayo zikhowudi ze- CPT okanye i-HCPCS kwi-billing yezokwelapha okanye i- Estimate Benefits (EOB) evela kumnikezeli wakho womshuwalense okanye omnye umhlawuli, ithetha ukuba ibhajethi ihloselwe ukufihla ixesha le-imeyile okanye ixesha le-imeyile.
Ezi zibizwa ngokuthi "Iinkonzo ezingaboni ubuso nobuso."
IiNkonzo zoNxeba zeeNgcali
Ezi khowudi zibhekisela kwifowuni iingxoxo kunye nogqirha wakho. Zihlawulwa ngexesha lokunyuka ukusuka emihlanu imizuzu ukuya kwisiqingatha seyure.
- 99441 umnxeba umnxeba emizuzu emi-10 ukuya kwe-10 yengxoxo yonyango
- 99442 umnxeba umnxeba we-11 ukuya kwimizuzu engama-20 yengxoxo yonyango
- 99443 umnxeba we-21 ukuya kwi-30 imizuzu yengxoxo yezokwelapha
UMboneleli wezeNkonzo zoLondolozo lwezeMpilo
Ukuba unxibelelwano nomongikazi, umongikazi, okanye uncedisa ugqirha, ezi zihlulwe phantsi kwelebula ' udokotela owandisa .' Kungenzeka ukuba i-bill yakho iya kuba ngaphantsi kule fowuni ingxoxo kunokuba ungathetha ngqo ugqirha wakho.
- 98966 umnxeba umnxeba emizuzu emi-10 ukuya kwe-10 yengxoxo yonyango
- 98967 ifowuni ye-11 ukuya kwi-20 imizuzu yeengxoxo zonyango
- 98968 umnxeba umnxeba ukuya ku-30 imizuzu yeengxoxo zonyango
Iinkonzo zezoLimo kwi-Intanethi
Oogqirha abaninzi, iikliniki, kunye nezibhedlele nazo zinika i-imeyile okanye olunye uhlobo lwenkonzo ye-intanethi kwizigulane. Kungakhathaliseki ukuba ifomathi, ezi ziinkonzo ezihlawulelwayo kunye ne-AMA zibachazela ngamakhowudi amabini: omnye ugqirha wakho kunye nomnye ugqirha ugqirha.
- 99444 I- imeyile okanye enye inkonzo ye-intanethi ukuxubusha ingxaki yonyango kunye nodokotela.
- 98969 I- imeyile okanye enye inthanethi enkonzo ukuxubusha ingxaki yezobugqirha kunye nodokotela owandisa.
Ukwazi njani iikhowudi ze-CPT kukunceda?
Njengomguli ogunyazisiweyo, unokuthatha ulawulo oluncinane lwezempilo lwakho ukuba uyazi indlela inkqubo kunye nenkqubo yokuhlawula ngonyango isebenza ngayo. Ukuyiqonda ngokwenene iibill zakho, ungafunda ngakumbi malunga nemigaqo yokusebenzisa le khowudi yeefowuni ze-CPT.
Ezi zibandakanya ngubani owavela umnxeba okanye i-imeyile, xa yenziwe, kwaye, mhlawumbi, isiphumo soqhagamshelwano.
Ukuba unemibuzo malunga neli li-bill kwaye uyazi ukuba ezi zikhowudi zisetyenziswa njani, unokuqhagamshelana neofisi yakho ugqirha ukuze uxoxe nabo.