Kwiminyaka embalwa edlulileyo, kwakungeke kwenzeke ukufumana ugqirha oza kuchitha ixesha kunye nezigulane kwi-fowuni, kwaye i-imeyile yayingaphepheli kumbuzo.
Ngoba? Ngenxa yokuba oogqirha abazange bakwazi ukuhlawula ixesha abachithayo ukwenza umsebenzi, nangona bahambisa iingcebiso zonyango.
Ngaba imeko iphuculwe? Yintoni imeko yezigulane ezibandakanya noogqirha ngeefowuni kunye ne-imeyile?
Ugqirha Wakho Akunakwenzeka kwiBhili yeenkonzo ezingabonakali ubuso nobuso
Ngaphambi kuka-2009, ukuba ubuze oogqirha ukuba kutheni bangayichithe ixesha kwifowuni okanye batshintshe i-imeyile kunye nezigulane zabo, bangaphendula ukuba abanakho ukuhlawulwa ngexesha. Bachaza ukuba akukho khowudi ye-CPT abanokuyihlawula ngayo. Ukuqonda kangcono indlela oku kusebenza ngayo, funda eli nqaku malunga neziseko zekhowudi ze-CPT .
Ngaphandle kwekhowudi ye-CPT, bekungekho ndlela yokuvumela umgcini-mali wakho ukuba ixesha lichithwe. Ubungekho kwiofisi yegqirha, ngokokuba inkampani yakho yenkampani yomshuwalense yayixhalabile, akukho nkonzo yakhululwa.
Oko kwaqala ukutshintsha xa i-American Medical Association yakha iikhowudi ezintsha ze-CPT ukuvumela ixesha elichithwe kwifowuni kunye ne-imeyile. Ukubizwa ngokuba yi-"Non-Face-to-Face Services" iikhowudi ezintsha ze-CPT zivumela ugqirha ukuba aphendule ixesha elichithwe kwifowuni ngesigulane, okanye usebenzisa i-imeyile, ngokunyuka kwexesha (imizuzu emi-5, imizuzu eyi-10 njalonjalo.) Akunjalo kuphela, iikhowudi ze-CPT zenzelwe bobabini ugqirha kunye nababoneleli "abangenalo ugqirha" njengogqirha bamayeza kunye nabahlengikazi.
Kwakubonakala ngathi iingcango zavulwa ekugqibeleni olu hlobo loqhagamshelwano olukhawulezayo noluncedo.
Kodwa - kungekudala! Oogqirha abaninzi abasayi kubachitha ixesha kwifowuni kunye nezigulane zabo, kwaye bancinane banokutshintshiselana ne-imeyili kunye nezigulane-kuba ukuphuhliswa kweekhowudi ze-CPT kwakuyingxenye yengxaki.
Njengoko kukhankanywe ngasentla - abaqinisekisayo bayisigxina se-equation-doctor-equation. Kungenxa yokuba iikhowudi ze-CPT zenziwe zazingenakuthetha ukuba iinkampani ze-inshorensi zezempilo ziya kuzibuyisela. Abaninzi abanako. Kwaye ngoku kudideka. Abanye abaqinisekisayo baya kuhlawula, abanye abayi kubuyiselwa, kwaye nakwiinkampani ezifanayo, izicwangciso ziyahlukahluka omnye komnye.
Oko kubeka ugqirha wakho kwindawo enzima. Masithi ubuyela edeskini yakhe ekupheleni kosuku olude kwaye ufumene iincwadi ezimbalwa zee-imeyile zokubuya, kunye neema-imeyile ezivela kwizigulane zakhe. Mhlawumbi kufuneka abuyisele - okanye awanaki. Kwaye ngaphandle kokuba azi kakuhle ukuba yintoni inkampani yomshuwalense nganye ye-inshurensi ithi malunga nokubuyiselwa imali, akayi kukwazi ukuba ixesha lakhe lingabuyiselwa.
Ngaphezu koko, ubhekene nengxaki. Ingaba uchitha iiyure ezimbini ezilandelayo zibuyisela ezo fowuni kunye ne-imeyile? Mhlawumbi ihlawulwa okanye mhlawumbi ingabi .... okanye ingaya ekhaya kwikhaya lakhe kunye nabantwana? Ungakhetha ntoni?
Emva koko, nangona xa i-inshorensi yempilo iza kubuyiselwa, ukuba ugqirha wakho uzimisele ukuqhubeka kwaye akhulume nawe ngefowuni okanye uphendule kwi-imeyile yakho, kukho imigaqo eqinile ekufuneka ilandelwe ukuba ingahlawulwa njani ixesha elichithwe kwifowuni okanye nge-imeyili kunye nawe.
Nantsi imigaqo yakho ugqirha okanye omnye umboneleli kufuneka alandele ukusebenzisa le khowudi yokubuyisela:
- Wena (isigulane okanye umzali / umgcini) kufuneka ube ngumsunguli wefowuni okanye i-imeyile. Ugqirha akanako ukuqala utshintshiselwano (umnxeba okanye i-imeyili kuqala).
- Wena (isigulane) kufuneka ube nesigulane esisisigxina ngomsebenzi wegqirha.
- I-imeyile okanye ikhowudi ye-CPT yeefowuni ayinakusetyenziswa ukuba yinxalenye yokulandelelana kwindlela yokuhlinzwa okanye inkqubo, ukuba isigulane siye savakashela ugqirha kwisithuba seentsuku ezingama-7 phambi kwefowuni okanye i-imeyile, okanye ukuba isigulane sibonakala kwiiyure ezingama-24 ( okanye ukunyanzelwa kwexesha eliphuthumayo) yefowuni okanye i-imeyile. *
- Ifowuni okanye i-imeyli kufuneka ibhalwe ngokucacileyo kwaye ixesha leemviwo alikwazi ukufakwa kwiintetho zangempela okanye kwixesha lokubhaliweyo. Ngoko ukuba ugqirha wakho uchitha imizuzu eyi-10 kwifowuni kunye nawe, besebenzisa imizuzu eyi-10 yokurekhoda amanqaku malunga nengxoxo, uya kuhlawulwa kuphela imizuzu eyi-10 kwifowuni.
* Ukuba le fowuni yenzeka kule mihla engama-7 ngaphambi kokuba umnxeba okanye i-imeyile, okanye ukuba "ixesha eliphuthumayo" emva kokuba umnxeba okanye i-imeyile, ngoko ixesha elisetyenzisiweyo libhekwa njengenxalenye yeenkonzo ezenze ukuba uqhagamshelane naye, okanye zibangelwa ngenxa yoqhagamshelwano. Akukho mali yokubuyisela eyongezelelweyo kuyo usebenzisa le khowudi.
Akumangalisi ukuba kusenzima ukubandakanya kwincoko yefowuni okanye utshintshiselwano nge-imeyili kunye nodokotela! Abaninzi banenkathazo enkulu yokubanxibelelanisa kunye nokulandelela kunye nokuqinisekisa ukuba bayamathela kwimigaqo.
Amaphuzu ambalwa okugqibela malunga nekhowudi ye-CPT yokubuyisela iifowuni okanye i-imeyli kunye nodokotela wakho:
- Ukongeza kuzo zonke idideko malunga nokubuyiselwa kwemali, abanye oogqirha baya kukuxelela ukuba baxhamla ukusebenzisa i-imeyile kuba baxelelwe ukuba akakhuselekanga (ukusuka kwindlela yokuphepha kwe-cyber.) Abanye banokuxelela ukuba i-imeyile ayikwazi ukusetyenziswa kuba ukuphula umthetho we-HIPAA . (Akunjalo). Kunzima ukwazi ukuba ukhuseleko luyinto engokoqobo, okanye ukuba yinto ebangela ukuba udokotela akakwazi ukuhlawulwa.
- I-Medicare ayifaki ukubuyisela oogqirha ngefowuni okanye nge-imeyile ngexesha ngokusebenzisa inkqubo yayo yeekhowudi zeHCPCS. Intlawulo yokulungiselela ukunakekelwa okungapheliyo kwabadala yaqaliswa ngoJanuwari 2015. Iyaqhubeka ibonakala ukuba le nto iyakwandiswa kuzo zonke izigulane nokuba ngaba amazwe aya kuwamkela iinkqubo zabo zeMedicaid .
- Nangona konke oku kudideka, unokufuna ukuzama ukukholisa ugqirha wakho ukuba abuyisele iifowuni okanye i-imeyili nantoni na. Nayi indlela yokunyathela ngamanyathelo okuthetha nogqirha wakho ngefowuni okanye nge-imeyile.