Cov txheej txheem them nqi kho mob hauv Tebchaws Meskas nyuaj rau ob tus kws kho mob thiab lawv cov neeg mob. Cov txheej txheem kho mob yeej tsis pheej yig, thiab tus nqi ntawm kws kho mob lossis mus ntsib tsev kho mob yuav ua rau ntau tus neeg mob xav tsis thoob. Txawm li cas los xij, cov kws kho mob tsis raug cai kuj tseem tuaj yeem tau txais nyiaj ntxiv ntawm cov neeg mob. Piv txwv, cov kws kho mob tuaj yeem sau nqi rau cov neeg mob rau cov txheej txheem lossis kev sim uas tus neeg mob tsis tau txais. Yog tias koj ntseeg tias koj tau raug nyiag nyiaj, xub xub sim txheeb cov nqi nrog tus kws kho mob lossis tsev kho mob. Tej zaum nws tau ua yuam kev ncaj ncees. Yog tias lawv tsis kam kho cov nqi, hu rau koj tus kws pov hwm kev noj qab haus huv.
Cov kauj ruam
Ntu 1 ntawm 2: Ua haujlwm nrog Tus Kws Kho Mob lossis Tsev Kho Mob
Kauj Ruam 1. Hu rau lub tsev kho mob lub chaw them nqi
Yog tias tus kws kho mob lossis tsev kho mob tau ua yuam kev ncaj ncees, nws yog qhov zoo tshaj kom nqa daim nqi yuam kev mus rau lawv sai li sai tau thaum koj pom qhov teeb meem. Saib ntawm lub chaw haujlwm lossis tsev kho mob lub vev xaib txhawm rau nrhiav cov ntaub ntawv hais txog kev tsis txaus siab ntawm daim nqi.
Yog tias lub tuam txhab them nqi tsis muaj cov ntaub ntawv tiv toj teev tseg, hu rau lub chaw haujlwm tus lej tseem ceeb thiab thov tham nrog ib tus neeg saib xyuas kev them nqi tsis txaus siab
Kauj Ruam 2. Thov CFO cov ntaub ntawv tiv toj
Yog tias lub tuam tsev them nqi tsev kho mob tsis kho qhov nuj nqis yuam kev, thov hu rau Tus Thawj Saib Xyuas Nyiaj Txiag. Piav qhia koj qhov kev txhawj xeeb nrog kev xa nyiaj mus rau CFO, thiab nug lawv tias lawv tuaj yeem ua dab tsi los kho qhov xwm txheej no.
- Qee qhov xwm txheej, kev hem thawj ntawm kev hu rau CFO yuav txaus los ua kom lub chaw lis haujlwm them nqi coj koj cov lus thov hnyav dua.
- Yog tias koj tab tom cuam tshuam nrog chaw haujlwm me lossis kev coj ua ntawm tus kheej, tej zaum yuav tsis muaj CFO. Yog tias qhov no yog, koj tuaj yeem thov cov ntaub ntawv tiv toj ntawm tus kws kho mob taub hau.
Kauj Ruam 3. Ua haujlwm nrog tus kws pab them nqi kho mob txhawm rau kho qhov kev dag
Tus neeg tawm tswv yim yuav tuaj yeem txiav txim siab seb koj puas tau raug nqi dag thiab, yog tias koj muaj, lawv yuav taug qab nrog tsev kho mob lossis nrog lub xeev saib xyuas kev noj qab haus huv. Yog tias koj tsis txaus siab liam lub tsev kho mob ntawm kev dag nyiaj, lossis yog tias koj tsuas tsis muaj sijhawm los nrhiav qhov teeb meem, tus kws pab them nqi kho mob yuav yog koj qhov kev xaiv zoo tshaj.
Ntu 2 ntawm 2: Qhia Txog Kev Them Nqi Phem
Kauj Ruam 1. Tiv tauj koj lub xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
Yog tias koj ntseeg siab tias koj tau raug nyiag nyiaj, thiab tsev kho mob lossis kws kho mob tsis kam hloov daim nqi, cov kauj ruam tom ntej yog hu rau lub xeev DOH. Ntau lub xeev yuav muaj pawg thawj coj saib xyuas kev noj qab haus huv hauv DOH uas tshuaj xyuas qhov kev thov ntawm kev coj ua tsis raug cai lossis kev them nqi dag ntxias. Pawg thawj coj no yuav tshuaj xyuas qhov kev dag ntxias ntawm koj.
Yog tias koj tsis nyob hauv Tebchaws Meskas, hu rau tsoomfwv saib xyuas kev noj qab haus huv uas tswj hwm thaj av uas koj nyob
Kauj Ruam 2. Tshaj qhia cov nqi dag dag rau koj lub tuam txhab pov hwm
Yuav luag txhua qhov xwm txheej, koj lub tuam txhab pov hwm yuav tau them rau feem ntau ntawm koj daim nqi kho mob, yog li lawv yuav txaus siab heev los hnov txog qhov xav tias dag. Koj lub tuam txhab pov hwm mob nkeeg yuav hu rau tus kws kho mob lossis tsev kho mob thiab nug txog qhov ua xyem xyav txog txheej txheem kev kho mob lossis kev kuaj mob uas koj tau sau nqi rau.
Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Tebchaws Anti-Fraud Association (NHCAA) teev cov ntaub ntawv tiv toj rau cov tuam txhab pov hwm loj hauv online ntawm: https://www.nhcaa.org/resources/health-care-anti-fraud-resources/private-health-care-fraud -contacts.aspx
Kauj Ruam 3. Qhia cov tuam txhab pov hwm kev dag mus rau Lub Xeev Kev Ruaj Ntseg Fraud
Hauv qhov tsis tshua muaj neeg tsawg, koj lub tuam txhab pov hwm yuav tuaj yeem koom nrog hauv kev dag nyiaj nrog tsev kho mob tsis raug cai lossis kws kho mob lub chaw haujlwm. Hauv qhov no, koj yuav tsum tshaj tawm qhov kev dag mus rau koj lub xeev Lub Chaw Haujlwm Saib Xyuas Kev Ruaj Ntseg Fraud.
- NHCAA teev npe Kev Ruaj Ntseg Fraud Bureau hu los ntawm lub xeev online:
- Cov Bureaus no feem ntau khiav los ntawm Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Ruaj Ntseg lossis Tus Kws Lij Choj General lub chaw haujlwm.
Kauj Ruam 4. Hu xov tooj mus qhia cov nuj nqis uas raug dag los ntawm tus kws saib xyuas kev noj qab haus huv hauv qab ACA
Yog tias koj tau sau npe rau koj li kev saib xyuas kev noj qab haus huv raws li Txoj Cai Saib Xyuas Nqi Them Nqi, koj tuaj yeem tiv toj lawv lub tuam txhab them nqi ncaj qha. Qhia txog daim nqi dag uas koj tau ntsib, suav nrog lub npe ntawm lub tsev kho mob, khoom siv, kev ua haujlwm, lossis kev sim koj tau them tsis raug rau, thiab tus nqi them.
Hu rau ACA Billing ntawm 1-800-318-2596
Kauj Ruam 5. Hu rau Medicare yog tias xav tias muaj nuj nqis dag
Yog tias koj tau txais kev pov hwm los ntawm Medicare, koj tuaj yeem tiv toj lawv ncaj qha thaum muaj teeb meem them nqi.
- Ntau txoj cai lij choj ntawm Tsoomfwv tau dhau los txhawm rau tiv thaiv cov neeg siv Medicare los ntawm kev sau tsis raug thiab tiv thaiv cov kws kho mob los ntawm kev xa cov nqi tsis raug mus rau cov kws khomob.
- Hu rau Medicare txhawm rau tshaj tawm kev dag ntxias ntawm 1-800-632-4327.
