Iindlela ezi-5 zokupasa i-Your Medicare Audit elandelayo

Qinisekisa ukuba uMrhumo wakho weMali kunye neMibhalo ichanekile

Isicatshulwa sonyango singadlula ukuphicothwa kwe-Medicare lula ukuba benolwazi oluchanekileyo. Enye yemiphumo yokunyanga izigulane ze-Medicare kukuba oko kwenziwa ngoko kuxhomekeke kwi-Audit audit. Ezi zikhokelela ekumiselweni kweentlawulo kunye nemali eninzi ehlawulwa kwi-Medicare. Ngokwenza umgudu ngeengxelo zegulane zegulane, oku kungabangela ingxaki yemali.

Ngelishwa, uphengululo lwezeMpilo luyingxenye ebalulekileyo yenkqubo. Inkunkuma yonyango, ukukhwabanisa kunye nokusetyenziswa kakubi kwe-CMS (amaziko e-Medicare kunye neeNkonzo zeMedicaid) ukukhuthaza ekubuyiseleni imali eninzi yemali. Oku kubeka umthwalo kwiindawo ezilandela imigaqo. Nangona kungekho njongo yokuba ungathembeki, umkhuba usenokujamelana nezohlwayo xa unetyala lokufumana imali eninzi kwi-Medicare.

Iindlela ezi-5 zokupasa i-Your Medicare Audit elandelayo

Nangona kungekho ndlela yokuphepha ukujongana nokuphicothwa kwe-Medicare, kukho iindlela zokulungiselela oku kuya kunceda ukunciphisa iziphumo ezimbi. Nazi iindlela ezintlanu zokugqithisa uhlolo-ngxelo olulandelayo lwe-Medicare:

1. Gwema iimpazamo zokubhala: Ukwenza i-Coding kuququzelela inkqubo yokuhlawula ngokuzisa ukulingana kwiinkqubo ngokusebenzisa iikhowudi ezibonakalayo. Ukusebenzisa iikhowudi zokuxilonga eziqhelekileyo kunye neendlela zokusebenza, i-codeod yezokwelapha iqinisekisa ukuba i-Medicare iya kuqonda into ehlawulweyo kunye nendlela ukuxilongwa kuqinisekisa ukuba inkqubo, uvavanyo okanye unyango. Xa ikhowudi kwiibango ayihlangabezani neemfuno zeMedare neeMediare zihlawula ibango njalo, uphando luyakwazi ukufumana le mpazamo. Ukukhusela iimpazamo zekhowudi, qinisekisa ukuba iincwadi ezininzi zokunxibelelana ezikhoyo zikhoyo kwaye zisebenzisa izilungiso ezifanelekileyo ngokulandela izikhokelo ze-Medicare.

1. Ukuchaneka ngokuchanekileyo amashadi ezigulane: Amaxwebhu afanelekileyo kubalulekile ekunikeni ukunyamekela komgangatho wesigulane kodwa kunye nokuhlawula ngokuchanekileyo iinkonzo. Iinkonzo ezihlawulwayo mazihambelane namaxwebhu kwishadi lomguli . Ukuba iinkonzo kunye nokuxilongwa akuxhasekanga ibango elifakwe kwi-Medicare, oku kuyafumaneka ngexesha lophicotho.

1. Yenza uhlolo-ngxelo oluhlekisayo: Yenze uhlolo lwenkcazo lwakho oluthathwe ngokukhawuleza olusekelwe kwimiqathango efanayo nomphicothi-mphicothi weMagare ukufumanisa oko bakufumanisa, ngaphambi kokuba bavele emnyango wakho. Nangona kungekho ndlela ecacileyo yokumisela ukuba ngubani umphicothi-zincwadi onokuyifumana, kukho izinto ezimbalwa ezinokuthi zenziwe uluhlu lokuhlola.
   • Ukutyelela iWebhsayithi ye-CMS ngolwazi oluninzi olufikeleleko ngokuthumela izicelo ezihambelana nezikhokelo ze-Medicare.
   • Ukutyelela kwi-website ye-RAC yeentlawulo zangaphambili ezingafanelekanga ezifunyanwe ngexesha lokuphicothwa kweMedareri kwaye ufunde kwezinye iimpazamo.
   • Ukubeka iliso amabango aphikisiwe kwiipatheni eziphula izikhokelo ze-Medicare.
2. Ukulungiselela nokuphumeza imigaqo neenkqubo: Abaphathi beofisi yezobisi kufuneka balungiselele kwaye baphunyeze imigaqo-nkqubo esekelwe kwizikhokelo ze-Medicare ukwenzela ukuba kube nenkqubo ehlangeneyo kwindawo abaya kuyo. Ukubonelela ngeendlela ezichanekileyo zokwenza imisebenzi yindlela efanelekileyo yokuthintela iimpazamo ezingakhokelela ekubuyiselweni kwemali. Kucinga ukuba abanye benze kwaye bangenzi nto ye-Medicare ukuhlawula kwinkqubo yakho yomgaqo-nkqubo kunye nenkqubo.
3. Ukuphonononga nokuphanda amabango aphicothiweyo: Nangona kunqabilekile, abaphicothi-zincwadi beMediare bangenza iimpazamo ezinokubakhokelela ekuhlawuleni iintlawulo ezingenakulungiswa. Ukuze uthintele oku kungenzeki, thatha ixesha lokwenza uhlolo-phicotho kwimeko apho iofisi yakho iphicothwe ngayo. Oku kungakhuseli nje kuphela iofisi yakho, ngokubaluleke kakhulu, uphicotho luyimpumelelo yokufunda ukufumana ulwazi malunga nendlela ophicothwe ngayo unyango lwezempilo kunye noko ukulindela kwixesha elizayo.