Kubantu abangakwazi ukuhamba kancane, ukuthola imvume yesihlalo esinamasondo kungashintsha impilo. Izihlalo ezinamasondo ezinamandla zinikeza ukuzimela kanye nenkululeko yokunyakaza kulabo abanobunzima bokuhamba noma abazungezile. Nokho, inqubo yokutholaisihlalo esinamasondo esinamandlaokuvunyiwe kungaba yinkimbinkimbi futhi kungaphezu kwamandla. Kulesi sihloko, sizohlola izinyathelo nezimfuneko zokugunyazwa kwesihlalo esinamasondo esinamandla.
Isinyathelo sokuqala sokugunyazwa isihlalo esinamasondo esinamandla ukuxhumana nochwepheshe bezempilo. Lona kungase kube udokotela, i-physiotherapist noma i-occupational Therapist ongahlola izidingo zakho zokuhamba futhi anqume ukuthi isihlalo sabakhubazekile esinamandla siyadingeka yini. Bazohlola isimo sakho somzimba, ukulinganiselwa kwakho ukuhamba, kanye nemisebenzi yansuku zonke ukuze banqume ukuthi isihlalo sabakhubazekile esinamandla siyindlela engcono kakhulu yokuhamba kuwe.
Uma usunqume ukuthi udinga isihlalo sabakhubazekile esinamandla, isinyathelo esilandelayo ukuthola incwadi kadokotela evela kuchwepheshe wezokunakekelwa kwempilo. Incwadi kadokotela yi-oda elibhaliwe elivela kumhlinzeki wezempilo elicacisa uhlobo lwesihlalo sabakhubazekile esidingekayo kanye nesidingo saso sokwelashwa. Incwadi kadokotela idokhumenti ebalulekile enqubweni yokugunyazwa futhi idingwa izinkampani zomshwalense kanye ne-Medicare/Medicaid ukumboza izihlalo zabakhubazekile ezinamandla.
Ngemva kokuthola incwadi kadokotela, isinyathelo esilandelayo ukuxhumana nomhlinzeki wemishini yezokwelapha eqinile (i-DME). Abahlinzeki be-DME yizinkampani ezihlinzeka ngemishini yezokwelapha, kuhlanganise nezihlalo ezinamasondo ezisebenza ngogesi. Bazosebenzisana nawe ukukhetha isihlalo esinamasondo esinamandla esilungile ngokuya ngezidingo zakho kanye nencwadi kadokotela yomhlinzeki wakho wezempilo. Umhlinzeki we-DME uyophinde asize ngamaphepha kanye nemibhalo edingekayo ukuze kuvunywe.
Inqubo yokugunyaza isihlalo esinamasondo esinamandla ngokuvamile ihlanganisa ukusebenzisana nenkampani yomshwalense noma uhlelo lokunakekelwa kwezempilo lukahulumeni olufana ne-Medicare noma i-Medicaid. Kubalulekile ukuqonda uhlelo lwakho lomshwalense noma izinqubomgomo zembuyiselo zohlelo lwezempilo. Ezinye izinhlelo zomshwalense zingase zidinge ukugunyazwa kusengaphambili noma ukugunyazwa kwangaphambili kwesihlalo esinamasondo esinamandla, kuyilapho ezinye izinhlelo zomshwalense zingaba nemibandela ethile yokufaneleka.
Lapho ufuna imvume yesihlalo esinamasondo esinamandla, kufanele uqoqe wonke amadokhumenti adingekayo, okuhlanganisa nemiyalelo, amarekhodi ezokwelapha, kanye nanoma imaphi amanye amafomu adingwa inkampani yakho yomshwalense noma uhlelo lokunakekelwa kwezempilo. Lo mbhalo uzokweseka isidingo sezempilo sezihlalo ezinamasondo ezisebenza ngogesi futhi ukwandise amathuba okugunyazwa.
Kwezinye izimo, ukuhlolwa komuntu siqu nochwepheshe wezokunakekelwa kwezempilo kungase kudingeke njengengxenye yenqubo yokugunyaza. Ngalokhu kuhlola, uchwepheshe wezokunakekelwa kwempilo angahlola izidingo zakho zokuhamba futhi aqinisekise isidingo sezokwelapha sesihlalo esinamasondo. Imiphumela yalokhu kuhlola izorekhodwa futhi ihanjiswe njengengxenye yenqubo yokugunyazwa.
Kubalulekile ukuhlala umatasa futhi uphikelela kuyo yonke inqubo yokugunyaza isihlalo esinamasondo. Lokhu kungase kuhlanganise ukulandelela abathengisi be-DME, abahlinzeki bezempilo, nezinkampani zomshwalense ukuze kuqinisekiswe ukuthi zonke izinyathelo ezidingekayo ziyathathwa ukuze kutholwe imvume. Kubalulekile futhi ukugcina amarekhodi anemininingwane yakho konke ukuxhumana kanye nemibhalo ehlobene nenqubo yokugunyaza.
Uma isigunyaziwe, umphakeli we-DME uzosebenza nawe ukuletha nokufaka isihlalo sabakhubazekile samandla. Bazohlinzeka ngoqeqesho mayelana nendlela yokusebenzisa isihlalo esinamasondo esinamandla ngokuphepha nangempumelelo. Sicela uqiniseke ukuthi ulandela imiyalelo neziqondiso ezinikezwa umphakeli wakho we-DME ukuze uqinisekise ukusetshenziswa kahle kwesihlalo sabakhubazekile sakho.
Kafushane, ukuthola imvume yesihlalo esinamasondo samandla kuhilela izinyathelo ezimbalwa, ezihlanganisa ukubonisana nochwepheshe bezokunakekelwa kwempilo, ukuthola incwadi kadokotela, ukusebenza nomhlinzeki we-DME, kanye nokuqedela inqubo yokugunyaza nenkampani yomshwalense noma uhlelo lwezempilo. Kubalulekile ukuhlala umatasa, uhlelekile, futhi uphikelela kuyo yonke inqubo. Izihlalo ezinamasondo zikagesi zingathuthukisa kakhulu ukuhamba nokuzimela kwabantu abakhubazekile, futhi ukuthola ukugunyazwa kungashintsha impilo.
Isikhathi sokuthumela: Jul-29-2024