Isoftwe yokulawula umjikelo wemali-ngeniso (RCM) yokwelashwa kwamazinyo ithwala inkqubo ukusuka ngomzuzu ecwangciswayo ukuya kumzuzu ihlawulelwayo: iqinisekisa izibonelelo zesigulane ngaphambi kotyelelo, ifumana izigqibo zangaphambili zeekhowudi umsasazi oya kuzithandabuza, yakha ize ingenise ibango ngemiqhoboshelo echanekileyo, ilandelele izivumo zendlu yokucoca kunye neembuyekezo zemali, ibhale intlawulo kunye nokutsalwa komqulu wentsebenziswano kwincwadi-mali, kwaye ifake isibheno ngokuchasene nokwaliwa ngebango elilungisiweyo. I-Intake.Dental iqhuba lo mjikelo wonke njengenkqubo enye kuqhagamshelwano lwayo lwayo lwendlu yokucoca, nganye inqanaba liguqulelekayo phakathi kwe-Off, Recommend, Simulate, kunye no-Auto.
Uninzi lwezixhobo lugubungela ibhokisi enye engezantsi ze likunike iportal yonke into eseleyo. Nantsi into eyenziwa linqanaba ngalinye ngokwenene.
Umphezulu ngamnye wokuzenzekelayo — ukufaneleka, izincamathisi zesibheno, imifanekiso ye-radiograph, ukukhunjuzwa, ukungabikho, ulwamkelo lwonyango — uneemeko ezine, ezibekwe ngokweprakthisi. Hambisa isigaba senyuke kwilela xa nizithembile.
Isigaba asenza nto. Inkqubo yenu ekhoyo ihlala kanye njengoko injalo.
Ilungisa umsebenzi — amanqaku omngcipheko, uluhlu olungekhoyo lwezincamathisi, ileta yesicelo sokuphikiswa — kwaye ilinde ukuba umntu athabathe inyathelo.
Ukuqhuba okusethunzini okuzenzekelayo okuxhasayo: kwenza isigqibo sokuba ngekwenzeni ntoni kwaye kuyayirekhoda, ukuze nikwazi ukuthelekisa irekhodi nentoye yenziwe liqela lenu.
Ukungena okukodwa kuthatha indawo yeportal ye-clearinghouse, umthengisi wokuqinisekisa, kunye neshithi lokuphatha ukwaliwa.
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Bonani onke amaxabisoKwiibhango eliyiphathayo, ewe. Iibhango, izigqibo zangaphambili, imibuzo yesimo, kunye neembuyekezo zonke zihamba kuqhagamshelo lwe-clearinghouse yeqonga, kwaye iziqinisekiso neembuyekezo zithelekiswa ngokuzenzekelayo kwibhango ngalinye. Aninayo imfuneko yokungena okwahlukileyo kwe-clearinghouse ukufumanisa ukuba libhango likuphi. Ukuba niqhubeka nokungenisa ezinye iibhango kwi-PMS, shiyani ukungenisa kucinywe kwezi kwaye amanqanaba okulandelela nokupowusta asasebenza kwinto ebuyelayo.
Hayi. Ukungeniswa kwebhango kunye nemvume yangaphambili ye-elektroniki kucinywe ngokwendalo kuyo yonke indawo yokusebenzela, kwaye ukuvula nokuba yeyiphi kuyadinga ukuba iofisi iqinisekise ukuba i-PMS okanye i-clearinghouse yangaphambili iyekile ukuthumela — abahlinzeki bala ibhango abalifumana kwabathumeli ababini njengesiphinda-phindo. Kude kufikwe kuloo nto umjelo usaqhuba kwaye uwayinqaku amabhango kwaye ubhale iingxelo; awuthumeli nje.
Kwimida exhasayo (ukufaneleka, izincamathisela zokubanga, ii-radiographs, ukukhumbula, ukungabikho, ukwamkelwa kotyando) i-Simulate yenza isigqibo kwaye iyishicilele ngaphandle kokwenza, ukuze nikwazi ukuthelekisa ilogi nenye into iqela lenu enilenzayo phambi kokuba nitshintshe ku-Auto. Ukungenisa nezibheno zizitshixo ezicacileyo endaweni yoko: isibheno sinokuyila ileta kuphela, okanye siyile kwaye sidlulisele ibango elilungisiweyo.
Ukukhangela kwebhango phambi kotyelelo oluhlala ngaphakathi kwi-PMS yimveliso eyahlukileyo kwindlela yokungenisa. Sibhale umahluko ngokwenyaniso.
Intake.Dental vs Pearl RCMUkuqinisekiswa kuqhutywa ngokuzenzekelayo kwiintsuku ezimbini ngaphambi kwedinga ngalinye kwishedyuli kwaye kunyusela ude umsasazi aphendule ngenene.
Uluhlu lomsebenzi lwezicwangciso zonyango ezifuna isigqibo sangaphambili, zibekwe ngokulandelelana ngokuba isigulane sihleli nini kwakhona esitulweni — ukuze kungabikho nto ifumanwe ngentsasa yedinga.
Iklemi ihlanganiswa kwinto eyagqitywa ngokonyani kwi-PMS, ikhutshwe ngokujongene nemithetho yomhlawuli, yaza emva koko inikezelwe kwi-clearinghouse.
Akukho mntu ungena kwi-portal ye-clearinghouse ukuze afumane apho iklemi ikho. Iimpendulo ziza kwiklemi.
Ukuposa intlawulo kuvela kwintlawulo ngokwayo, kungekhona kwi-EOB ephinde yachazwa.
Ukuphikwa akusikhetshe kwisipredi. Kwahlulwa, kuphendulwe ngokwechati, kwaye kungeniswe kwakhona ngohlobo olwamkelekayo kumhlawuli.
Imbali yakho yezibheno, iguqulwe yaba yimigaqo kunye namandla.
Iyasebenza, kwaye irekhode yonke into eyenziwayo kumgca wexesha webhango.
Ukungeniswa kwebhango kunye nemvume yangaphambili ye-elektroniki zizitshixo ezizimeleyo zokuvula/zokuvala, Zicinyiwe ngokwendalo, kwaye ukuvula nayiphi na kuyadinga ukuba iofisi iqinisekise ukuba i-PMS iyekile ukuthumela — ukuze kungabikho nto ifakwa kabini. Izibheno ezizenzekelayo zinokumiselwa ekubhaleni kuphela ileta ngaphandle kokuyithumela.
Kwichati. Ifunda amanqaku eklinikhi, imilinganiselo ye-perio, iirekhodi ze-radiograph, kunye nembali eqhotyoshelwe kwisigulana, iyila ibali ngokubhekisele kwikhowudi ethile okanye isizathu sokulandulwa, kwaye icaphule ukuba zeziphi iingeniso zechati ezisebenzisileyo. Kwii-pre-authorizations ikwadwelisa into umhlawuli oya kufuna ngoko ichati engayiqulathanga, ukuze isikhewu sibonakalise ngaphambi kokungenisa kunokuba emva kokulandulwa. Kwimowudi yeRecommend umntu uyayifunda phambi kokuba ihambe naphi na.
Ii-EOB zamaphepha ziyafundwa kwaye zimibiwe ukuya kwinto efanayo yokupowusta njenge-835 ye-elektroniki, ukuze i-ledger kunye nokucinywa kubalwe ngendlela efanayo. Xa ukwaliwa kufika kungekho inombolo yebango lomhlawuli, ibango elilungisiweyo alinakubhekisela kulo, ngoko ileta yesibheno ilungiselwe nina ukuba niyingenise ngeportal yomhlawuli endaweni yoko.
Umbhobho ufunda iinkqubo ezigqityiweyo, izicwangciso zotyando, kunye ne-inshorensi kwi-PMS kwaye ubhala iinzuzo eziqinisekisiweyo, ubume bebango, kunye nokupowusta ngasemva. Ukudibanisa ngqo kugubungela iinkqubo ezinkulu zefu, kwaye ibhulorho eneguqulelo igubungela ezingaphezu kwama-60 — iphepha lokudibanisa lizidwelisa.
Ukuqinisekisa, ukugunyazisa kwangaphambili, ukungenisa, ukulandelela, ukufaka, ukutyhola, kunye nohlalutyo olufakela emva kumjikelo olandelayo — umbhobho omnye ofunda i-PMS yakho kwaye ubuyele kuyo. Lonke inqanaba liqhuba kwinqanaba lokuzimela enimilele lona.
Dibanisani i-PMS yenu, shiyani ukudluliselwa kucimile iveki enye, kwaye nibukele umbhobho uqinisekisa, unike amanqaku, kwaye uwudwele kwishedyuli yenu phambi kokuba niwavule amaqhosha.
