Ma'aikatar Kuɗi na Medicare (FFS) tana da'awar kwanan wata ko sabis na kwanan wata a ranar 1 ga Afrilu, 2013, za ta ci gaba da haifar da rage kashi 2 cikin biya na Medicare har sai ƙarin sanarwa. Wannan ya kasance a cikin shekarar 2017. Sai dai idan ba a canza ba, ƙaddarar ba za ta ƙare ba sai 2021.
Harkokin kasafin kudin kasafin kudin da aka yankewa kudirin Mutuwar Medicare ya shiga cikin ranar Afrilu Fools Day, amma ba abin dariya ba ne.
Suna shafar shirin shirin Medicare Fee for Service (FFS), wanda aka fi sani da Medicare HMO (Sashe na C) da kuma Durable Medical Equipment, Prosthetics, Orthotics, da Supplies (DMEPOS).
Ana ƙayyade Biyan Kuɗi na Medicare tare da Rushewar Rushewar
An rage kashi biyu bisa dari a cikin biyan kuɗi bayan da ba a iya rage yawan kuɗin da aka yi wa mai haƙuri, da dai sauransu, kuma an cire shi daga yawan kuɗi.
Kafin Afrilu na Afrilu 2013, ana biyan kuɗin Medicare a wannan hanya
GARANTI YAKE - KUMA KUMA (ya haɗa da rashin daidaituwa, coinsurance, da kuma copay) = MEDICARE PAYMENT
Bayan Afrilu na Afrilu 2013, an biya biyan kuɗin Medicare a wannan hanya
BABI MUTANE - MUHIMMATI DA KUMA (ya haɗa da rashin daidaituwa, coinsurance, da copay) = MEDICARE PAYMENT X 98% = NEW MEDICARE PAYMENT
Ƙa'idar Sauya Hanyoyin Hanyoyi
Shawarar ta na lantarki (ERA) ta lissafa da'awar ƙayyadaddun lambobin da aka yi amfani da su don aiwatar da da'awar. Wasu daga cikinsu sun haɗa da wadannan:
Ƙa'idar Sauya Hanyoyin Hanyoyi
- CO 45
- PR 1
- PR 2
- PR 3
- PR 96
Shirye-shiryen Sauya Hanyoyi
- CO Tsarin kwangila
- Matsayin haƙuri na PR
- 1 Deductible Adadin
- 2 Haɗin Kuɗi
- 3 Bayyana Ƙimar
- 45 Kaya ya wuce jadawalin kuɗin kuɗin / iyakar izini ko kwangila / tsarin kudade na doka
- 96 cajin da ba a rufe (s)
Domin yin bayanin kashi kashi biyu na raguwa akan ERA, ana amfani da sabon tsarin daidaitawa.
CO 253: Kashewa - ragewa a biyan kuɗin tarayya.
Saboda 253 yana tare da CO, marasa lafiya ba za a iya cajin wannan adadin ba. Yana da rubuce-rubuce don mai badawa. Wannan raguwa kawai yana rinjayar mai bada, wanda shine dalilin da ya sa aka rage ragu bayan an ƙaddara alhakin haƙuri.
Alal misali, a kan da'awar cewa yana da dala $ 50.00 daga Medicare a baya zai zama dala $ 49.00 tare da $ 1.00 da aka ba CO 253 don wakiltar ragowar kashi biyu.
Hada Rushewar Lafiya na Magungunan Medicare a Ofishin Jakadancin
Domin yayata yadda za a gudanar da harkokin kudi na ofishin likita, yana da muhimmanci don sabunta rahotanni don yin la'akari da canje-canje a kan kuɗin kuɗi. Wannan kuma yana kawo matsala ga ayyuka da yawa waɗanda wadannan cututtuka zasu iya tasiri. Wasu likitoci suna yanke shawara don ko iyakance yawan marasa lafiyar Medicare da suke bi ko dakatar da zalunta marasa lafiya Medicare. Abin takaici, wannan yana haifar da matsala ga marasa lafiya, waɗanda ba su da ƙananan zaɓuɓɓuka don magance matsalolin kiwon lafiyarsu da na gaba.
Samun samun dama ga marasa lafiyar Medicare yana nufin karin ziyara a gaggawa, karin asibiti, kuma ana kashe farashi a cikin masana'antun neman hanyoyin rage farashin.
Akwai wani madadin kawar da marasa lafiya Medicare, yawancin wadanda suka kai shekaru 65 da / ko kuma a cikin jiki ko na kwakwalwa. Ma'aikatan kiwon lafiya zasu iya mayar da hankali ga abin da suke rasa daga Medicare da kuma aiwatar da hanyoyi don inganta ayyukan kudi a wasu yankuna.
Don ci gaba da kashi biyu na Medicare, ɗaya daga cikin wuraren wurin likita naka zai iya mayar da hankalin shine ta hanyar bayar da rangwamen kwangila don tayar da kamfanonin inshora na kamfanoni, ma'aikata masu biyan kuɗi da masu karɓar marasa lafiya don biyan bashin su. Bayar da rangwame na kyauta zai sa cibiyar likita ku sadu da albashin kuɗi, fadada da girma da kuma inganta yawan asusun kuɗin kuɗi.
> Source:
> C MS.gov MLN tana haɗi da sabbin masu bada kyauta, Maris 3, 2016.