Iimpazamo eziMatyala eziMatyala ezi-5 eziphezulu

Ukunciphisa amaTyala okuLawulwa kwezoNyango ngokuBamba iziPhambeko eziYilwayo

Iiphoso zokuhlawula iinjongo zingabangela ukuba amaninzi amanqatshwa amabango kunye neengxaki zezezimali ze-ofisi. Ukuhlawulwa kweentlawulo, iintlawulo ezibizayo kunye nokulahlekelwa kwengeniso kunokwenzeka xa zonke iimpazamo zingabanjwa ngaphambi kwexesha. Ukuba iofisi yakho yezobugqirha ibona ubunzima bezemali, kunokuba kuyimfuneko ukuhlaziya amabango akho kwiimpazamo eziqhelekileyo zokuhlawula ngaphambi kokuhlawula amabango akho ngaphandle.

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Ukungaphumeleli Ukuqinisekisa iIninshurensi

Isizathu esisodwa sokuba kutheni amaninzi amabango okuhlawula iibrari aphikisiwe yiphumo lokungaqinisekisi ukukhutshwa kwe-inshorensi. Ngenxa yokuba ulwazi lwe-inshorensi lunokutshintsha nangaliphi na ixesha, nangona izigulane eziqhelekileyo, kubalulekile ukuba umboneleli aqinisekise ukuba ilungu ngalinye liyakulungelelwa.

1. Amalungu okunika ingxelo agqitywe okanye angakufanelekanga kulo mhla wenkonzo
2. Iinkonzo ezingagunyazisiweyo
3. IiNkonzo ezingakhange zihlanganiswe nezibonelelo ezicwangcisiweyo
4. Izibonelelo ezininzi zidibene

Kaninzi

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Ulwazi olungagqibekanga okanye olungapheliyo

Ukungqiniswanga okulula kwiinkcukacha zesigulane kunokukhokelela ekukhokeleni imali. Iinkcukacha ezincinane kakhulu zibalulekile ukufumana iibhilidi zonyango ezihlawulwa okokuqala. Abasebenzi bephambi zangaphambili banokukunceda ukunciphisa oku kulahleka ngokujonga iinkcukacha ezilandelayo zesatshati sesigulane:

• Ngaba igama lomguli ligama ngokuchanekileyo?
• Ngaba umhla wokuzalwa nokulala ngesondo?
• Ngaba i-inshorensi echanekileyo ingeniswe?
• Ingaba inombolo yomgaqo-nkqubo iyasebenza?
• Ngaba ibango lifuna inombolo yeqela ukuba ifakwe?
• Ingaba isimo sengxaki yesigulane kwisigulana esilungileyo?
• Ngaba ikhowudi yokuxilongwa ihambelana nenkqubo eyenziwa?
• Ingaba ikhowudi yenkqubo eyenziweyo eyenziweyo ifanelana negunya eligqityiweyo?
• Ukufumana iintlawulo ezininzi, ngaba yiyona nto ichanekileyo yinshurensi echanekileyo yokulungelelaniswa kwezibonelelo?

Ukulahlwa ngenxa yezinto ezichazwe apha ngasentla zingaphinda zifakwe kodwa endaweni yokuhlawula kweentsuku ezili-14 zijikeleze, zingathatha iintsuku ezingama-30 ukuya kwi-45 ukuya ekugqibeleni zihlawulwe.

Kaninzi

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Ukuxilongwa okungalunganga okanye iiNkqubo zeNkqubo

Amabango okuhlawula ngokuchanekileyo avumela ukuba umntu ohlawula i-inshorensi azi iimpawu, ukugula okanye ukulimala kwesigulane kunye nendlela yokonyango eyenziwa ngugqirha. Iiposiso zeCoding zenzeka xa ibango lingeniswa kwikhampani yomshuwalense enexilongo engafanelekanga okanye ikhowudi yenqubo kwibango. Oku kungabangela ukuba ibango liphiwe ngenxa yezizathu ezifana nokuba akukho nonyango okanye inkqubo ayihambisani nokugunyazwa.

Ezinye izizathu ezenza ukuba ikhowudi engafanelekanga yokuxilonga okanye ikhowudi yenqubo ingapheli kwibango:

• Ukusebenzisa iincwadi zokudala zeenkcukacha. Iincwadi zeenkodare zifanele zihlaziywe ngonyaka ngenxa yeenguqu zokubhalisa. Ukutshintsha iincwadi zeenkcukacha zingabiza kodwa akufanelekile ukulahlekelwa yintlawulo ngenxa yokungafuni okungadingekile.
• I mpazamo zo kubhala. Kubonakala kungenangqondo kodwa kungabikho kobugqirha obumpofu ngenye yezona zinto ezibangela ukuphosa iimpazamo ngamnye ngonyaka. Enye indlela yokuphucula ukuchaneka kukutshintshwa kwindlela yokusekela iphepha kwiirekhodi zezempilo ze-elektroniki (EHR).

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Ukuphindaphinda okanye ukuhlawula okungalunganga

Ukuhlawulwa kwakhona kwentlawulo yintlawulo yenkqubo efanayo, uvavanyo, okanye unyango ngaphezu kweyodwa. Iimpazamo ezifanayo zinokuba yi-billing yeenkonzo ezingalunganga okanye ukuhlawula iinkonzo ezingakhange zenziwe. Ngamanye amaxesha inkqubo okanye uvavanyo lukhanselwa kodwa alususwanga kwi-akhawunti yesigulane. Uninzi lwexesha, ezi ntlobo zeephoso zibangelwa iphutha lomntu. Nangona kunjalo, amaziko amaninzi ahlawulwa ngamnye ngonyaka ngenxa yokwenza ubuqhetseba ngenxa yesi sizathu. Ukukhwabanisa kuthathwa njengento ngokuzithandela nangokwaziyo ukufaka amabango ezonyango ezingachanekanga.

Enye indlela yokuthintela ukungalungi kwintlawulo yezobugqirha kukukwenza ukuphicothwa kwetati. Ukuphicothwa kwamatriki yindlela elula yokuqinisekisa ukuba zonke iinxalenye zesibango zihlawulwa ngokuchanekileyo.

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Ukuhlaziya okanye ukuCima

Ukungafani kakuhle nenqanaba lenkonzo okanye inkqubo eyenziweyo ukwenzela ukuhlawulisa ngaphezulu okanye ukufumana isantya sokubuyiselwa esiphezulu kuthathwa njenge-coding. Ukugqithisa kwakhona kuyenzeka xa inkonzo eyenziweyo ingagqitywa yi-Medicare kodwa iindleko zeenkonzo ezikhuselekileyo kwiindawo zayo.

Ezinye iinkonzo zibhekwa njengento yonke. Ukuqhawula ukuhlawulela i-billing kwiinkqubo ngokwahlukileyo ezihlawulwa ngokuqhelekileyo njengentlawulo enye. Ngokomzekelo, umniki-mboleko wonikezelo lwezilwanyana ezimbini zokungcebelekanga, endaweni yokuhlawula i-1 yokuhlaziya i-mammogram.

Kaninzi