Yadda za a Sauke Dokokin Magunguna Mai tsabta a kan takardun takarda
Ana yin amfani da lissafin kuɗin lafiya ta hanyar yin amfani da ƙirar lantarki, amma takarda takarda ya zama wajibi don wasu da'awar. Lissafi na takarda ba shine farkon zabi ba kamar yadda ya fi tsayi kuma yana buƙatar karin hankali ga cikakken bayani game da kurakuran da ba'a ƙaddamar da kurakurai kamar yadda yake a lissafin lantarki. Ga wadansu sharuɗɗan don sarrafawa da'awar aikin likita.
Yi amfani da takarda mai kyau - CMS-1500 ko UB-04
Yana da muhimmanci a fahimta da amfani da tsarin likita na likita. Zaɓi tsakanin CMS-1500 da siffofin da'awar UB-04.
CMS-1500: Wannan shi ne ja tawada a kan takarda shaidar takarda mai tsabta takarda da likitoci da masu sayarwa ke amfani da su don biyan kuɗi. Duk wani mai bada sabis da mai ba da izini zai iya amfani da CMS-1500 don biyan kuɗi na lissafin kuɗi.
- Ayyukan likita
- Likitoci likita
- Nurse likitoci
- Ƙwararrun ƙwararrun likita
- Nurse ungozoma
- Ƙwararrun likitoci masu rijista
- Masanin binciken kwakwalwa
- Ma'aikata na zaman lafiya
- Gidan kayan abinci da kayan aiki
- Sabis na motar asibiti
- Ayyukan dakin gwaje-gwaje na asibiti
UB-04: Wannan shi ne ja tawada a kan takardun da'awar takarda ta hanyar takarda da ake amfani dasu don samar da lissafin kuɗi. Duk wani mai bada sabis na iya amfani da UB-04 don biyan kuɗi na lissafin kuɗi.
- Cibiyar Kiwon Lafiya ta Jama'a
- Ƙungiyar Gyara Gyara Bayarwa
- Ƙaramar Cibiyar Bincike
- Ƙungiyar Endal Stage Renal Disease Facility
- Cibiyar Kiwon Lafiya ta Federally
- Cibiyar Labaran Tarihin Tarihi
- Hukumar lafiya ta gida
- Hospice
- Asibitin
- Gidan Kula da Lafiya ta Indiya
- Organ Organ Organization
- Outpatient aikin farfasa jiki
- Ayyukan Farfesa
- Maganar Harkokin Harkokin Harkokin Kiyaye
- Ƙungiyar Kula da Kiwon Lafiyar Kiwon Lafiyar Addini
- Ciwon Kiwon Lafiya na Yamma
- Gudanar da Nursing Facility
Kara
Tabbatar cewa Tsarin ɗin Daidai ne
Wasu masu biyan kuɗi suna karɓar nauyin baki da fata na hoto na maganganun 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.
- Tabbatar cewa an haɗa shi da rubutu daidai don tabbatar da cewa an buga bayanin a wurare masu kyau.
- Kada ku haskaka duk wani bayani akan da'awar.
- Kada ka rubuta rubutun kalmomi a kan nau'i kamar "Ƙarƙashin Kira" ko "EOB Attached."
- Kada ka haɗa ginshiƙan, samfuri, kaset, bayanan kulawa, takarda takarda ko wani abu ga siffofin da'aƙan.
Shigar da Bayanan Daidai a wurin Daidai a kan Farin
- Duba tare da kowane mai biya biya don sanin abin da ake buƙatar bayanin.
- Tabbatar cewa an shigar da dukkan bayanai daidai kuma daidai a cikin matakan da suka dace.
- Don UB-04: Mafi yawan umarnin don sabis na asibiti da kuma fitar da kayan aiki sune ɗaya. Dubi Jagoran Bayar Gudanar da Ƙungiya ta Musamman don cikakkun bayanai.
- Shigar da bayanin inshora ciki har da sunan mai haƙuri kamar yadda ya bayyana a katin inshora.
- Yi amfani da lambobin ganewar asali (ICD-10 ) da ka'idodin tsarin (CPT / HCPCS) ta amfani da masu gyara idan an buƙata.
- Yi amfani kawai da adireshin jiki don filin filin wurin sabis.
- Kada ka manta ka hada bayanin NPI inda aka nuna.
Ƙara bayanin rubutun kyau
Wani lokaci takardar lissafin takarda yana buƙatar takardun dacewa don aikawa da takardar shaidar.
- Bayanan bayani
- Tarihin likita ko bayanan likita
- Darajar biya na farko na amfanin
- Shaida akan hadari, rauni ko ya faru
Fayata wani "Sanin" Sakamakon
Abinda yake da tsabta shine ɗaya wanda aka kammala daidai daidai da kamfanonin inshora da jagorancin biyan kuɗi na gwamnatin tarayya. Tunda 'yan wasan su ne hannayensu na ƙarshe da suka shafi maganin likita, suna da alhakin tabbatar da cewa yana da tsabta. Yin watsi da tsabta mai tsabta ita ce hanya kawai ta tabbatar da haƙƙin daidai a karo na farko.
Magoyacin ofisoshin kulawa da lafiya zasu iya yin aikin su wajen yin aiki na 'yan kasuwa kadan sauƙi a hanyoyi da yawa.
- Lokacin sayen takardun shaida yana iya adana lokaci mai mahimmanci ta hanyar tabbatar da asusun inshora na mai haƙuri a lokacin shiga lokaci.
- Gyaran tsohon tsarin rikodin likitancin ku na rubutun likita zuwa rubutun lafiyar lantarki (EHR).
- Ci gaba da biyan kuɗin lissafin lasisin cajin lambobi don sauye-sauye da biyan kuɗi, da kuma bayanan da wasu ke bayarwa don bawa ma'aikata damar yin gyare-gyare masu dacewa.