Mahimman Bayanan Gidajen Lafiya

Idan kuna sha'awar zama likitan likita, to wannan darasi ne game da aikin dabarun likita.

Makasudin darasi

Manufar 1: Sha'idodin Lissafin Kuɗi

• Ƙayyade 837-P
• Ƙayyade 837-I
• Gano ɓangarori na Transaction Set
• Ƙayyade wani tsauni

Manufar 2: Takardar Bayar da Sharuɗɗa

• Nemi daban-daban takardun lissafin takarda
• Kammala siffan CMS-1500 ko UB-04
• Bayani mai kyau na takarda takarda

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Sha'idodin Lissafin Kuɗi

Medicare , Medicaid , da kuma sauran kamfanonin inshora sun yarda da ƙididdiga na lantarki a matsayin hanyar hanyar caji. Ana kiran layin lantarki na CMS-1500 da 837-P, P da ke tsaye ga tsarin sana'a. Ana kiran lambar lantarki na UB-04 837-I, ni na tsaye don tsarin tsarin.

Don samun nasarar fayil ɗin ƙirar lantarki, masu ba da lafiya na likitanci dole su fahimci bukatun daban-daban na masu insurers su sallama da'awar. Kowane tayin 837 aika fayil ɗin bayanai ga mai insurer wadda ake kira Transaction Set. An rarraba Transaction Set cikin sassan:

1. Hanya na Transaction
2. Bayar da Bayani mai bayarwa
3. Biyan kuɗi
4. Bayanin haƙuri
5. Bayyana cikakken bayani
6. Tsaraicin Trailer

Duk da yake ba mahimmanci ga masu billar su fahimci yarjejeniyar ciniki ba, yana da muhimmanci cewa kowane abu da ya shiga tsarin lissafin kuɗi ya bi ka'idodin da ya dace don hana kurakurai da kuma iƙirarin saɓo.

Ɗaukakawa wani kamfani ne wanda zai yarda da duk abin da kuka yi da shi kuma ya tura su zuwa ga masu biyan kuɗi don aiki. Suna kuma gyara a wuri don bincika kurakurai a cikin ƙidaya don taimakawa wajen jinkirta jinkirin yin lissafin kuɗi.

Babban amfani na lissafi na lantarki ko kuna amfani da tsaftacewa ko kuma ku ba da lissafin kuɗi shi ne cewa za ku hanzarta aiwatar da ku. Kudi na takarda zai iya ɗaukar kwanaki 45 don aiki yayin da lissafin lantarki na iya ɗaukar kwanaki 7 zuwa 21.

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Takaddun Shari'ar Kuɗi

Lissafi na takarda ba shine farkon zabi na lissafin likita ba amma a wasu lokuta wani aiki ne mai wuyar gaske. Tabbas, tsarin da'awar ƙirar lantarki ya fi sauƙi da sauri idan aka kwatanta da tsarin sarrafa takarda.

A duk lokacin da aka yi amfani da lissafin takarda, kiyaye wannan a hankali:

• Zaɓi nau'in lissafi daidai: Yana da muhimmanci a fahimta da amfani da tsari na likita na likita. Zaɓi tsakanin CMS-1500 da siffofin da'awar UB-04 .
• Tabbatar cewa tsari daidai ne: Wasu masu biyan kuɗi sun karbi takardun launin baƙin ciki da launin fata na ƙididdiga na likita amma mafi kyau tsari shi ne sauƙaƙa da asalin ja-da-fari. Dangane da mai biyan kuɗi, lokacin da ba a yi amfani da nau'in da'awar asali na asali ba, da'awar bazai iya dubawa a tsarin su yadda ya kamata ba don jinkirta ko ƙaryatawa a biya.
• Shigar da cikakkun bayanai a wuri mai kyau: Duba tare da kowane mai biyan kuɗi don sanin abin da ake buƙatar bayanin. Tabbatar cewa an shigar da dukkan bayanai daidai kuma daidai a cikin matakan da suka dace.
• Ƙada littattafai masu dacewa: Lokaci-takarda takarda yana buƙatar takardun dacewa don aikawa tare da takardar shaidar.

Kara

Darasi na 4: Medicare, Medicaid, da sauran masu biya

Fahimtar basirar na Medicare, Medicaid, Tricare, da kuma masu ba da inshora na kasuwanci