Jiva FAQs: Nkag mus thiab tswj cov lus thov hauv Chaw Pabcuam Portal

Tus neeg mob hauv tsev kho mob txhais tau hais tias tus tswv cuab nyob hauv ib lub tsev kho mob xws li tsev kho mob, chaw tu neeg mob, kev saib xyuas mus sij hawm ntev, thiab lwm yam. Txhua yam yog tus neeg mob sab nraud—kev sab laj/ua raws li, cov txheej txheem, x-ray, ECM/CS, PAD, thiab lwm yam.

Cov Hom Code yuav tsum tau vim Jiva configurations uas hloov tsis tau. Hom code hom muaj xws li HCPC, CPT los yog CUS (rau kev cai). HCPC cov lej yog cov lej lej, pib nrog tsab ntawv ua raws cov lej, xws li G0181 rau Kev Noj Qab Haus Huv Hauv Tsev. CPT cov lej yog cov lej lej tag nrho, xws li 33016 rau kev phais plawv. Yog nws yog a CUS hom code, koj yuav tsum nkag mus rau thawj ob peb tsab ntawv ntawm tus lej kom tau txais kev xaiv poob. Custom codes suav nrog Acupuncture (ACUVISITS); Dental Anesthesia (DENTALANESTHI); MRI; Kev xa mus (CON coj los xaiv Tus Kws Pab Tswv Yim Pab Tswv Yim nrog Kev Mus Saib Xyuas Tom Qab; FOL coj tuaj Follow-Up Mus saib xwb); Palliative Care (PLTVCR); ECM (ECM01, ECM02) thiab Qauv TSIS MUAJ: CS01-CS08.

Yog lawm.

Kev xa mus rau PCP los yog Tus kws kho mob tshwj xeeb rau kev xa mus Cov kev xaiv tsuas yog rau kev thov rau kev xa mus (Office Visits), tsis yog rau OP Services. Yog tias koj tau xaiv Qhov Kev Thov OP Services thiab Hom Kev Pabcuam Kev xa mus thaum nkag mus rau qhov kev pabcuam tshwj xeeb, ces koj yuav tau txais qhov yuam kev vim tias cov kev xaiv tsis sib xws.

Koj yuav tsum manually sau koj tus xov tooj thiab fax tooj. Koj tuaj yeem siv koj tus kheej cov ntaub ntawv yog tias yog cov ntaub ntawv raug rau peb tiv tauj.

Yog lawm. Los ntawm Add Request dropdown, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv OP Pharmacy. Xaiv RX-Tus kws kho mob muab tshuaj nyob rau hauv Service Type dropdown thiab nkag mus rau qhov kev pab cuam code raws li niaj zaus. Txuas ntxiv mus rau lwm yam tshuaj los ntawm Medi-Cal Rx.

Thaum nkag mus rau kev thov tshiab rau DME los ntawm Add Request dropdown, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv OP Services. Hauv Kev Pabcuam Hom dropdown, xaiv qhov tsim nyog xaiv DME (DME-Equipment, DME-Cov khoom siv kho mob, DME-Orthotics, DME-Prosthetics). Hom kab lis kev cai thiab cov lej kev pabcuam tseem zoo ib yam. DME cov lej yog yuav luag ib txwm HCPC cov lej.

Yog lawm. Thaum nkag mus rau kev thov tshiab rau ECM / CS cov kev pabcuam los ntawm Add Request dropdown, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv ECM los yog ECM CS. Hauv Kev Pabcuam Hom dropdown, xaiv Txhim Kho Kev Tswj Xyuas (ECM) los yog Kev txhawb zej zog. Hom code yog CUS (rau Kev Cai) thiab cov lej pabcuam tseem nyob ECM01 thiab ECM02 rau ECM thiab TSW 01-CS08 rau CS. Rau Kev Pabcuam Kev Noj Qab Haus Huv Hauv Zej Zog, siv hom code HCPC thiab cov lis dej num S5170 los yog s9977 ua thiab s9740 ua.

Hauv Kev Pabcuam / Tshwj Xeeb / Kev Thov Tshuaj.

J codes yog HCPC codes. Koj nkag mus rau lawv nyob rau tib qhov chaw tab sis hloov hom Code rau HCPC.

Thaum ua tiav qhov kev thov, muaj ib qho dropdown los teb Yog vim li cas thov. Los yog, koj tuaj yeem ntxiv cov ntsiab lus hauv cov ntawv sau hauv qab ntawm nplooj ntawv.

Nws yog qhov yuav tsum tau muaj tsawg kawg yog ib qho kev kuaj mob. Koj tuaj yeem sau ntau npaum li koj xav tau.

Koj tuaj yeem xa ib daim ntawv nkaus xwb thaum xa daim ntawv thov tshiab. Txawm li cas los xij, cov ntaub ntawv ntxiv tuaj yeem muab ntxiv tam sim tom qab xa daim ntawv thov. Nyem rau ntawm ntu ntu (IP lub OP) rov qab mus rau qhov screen ntu. Ntawm sab xis, nyem Ntxiv Cov Ntaub Ntawv thiab koj tuaj yeem ntxiv cov ntaub ntawv ntxiv. Tsis muaj qhov txwv loj thaum txuas cov ntaub ntawv.

Yog lawm, tsuav yog lub Alliance tseem tsis tau kaw (ua rau peb txiav txim siab) qhov kev tso cai thiab yog tias qhov kev thov tau txuas nrog koj cov neeg muab kev pabcuam thaum thov nkag. Los ntawm Kev Tshawb Nrhiav Qhov screen, xaiv Tus naj npawb thiab sau tus lej tso cai. Qhib qhov ntu uas siv lub iav (action) icon thiab xaiv Ntxiv Cov Ntaub Ntawv los ntawm cov ntaub ntawv seem ntawm sab xis ntawm qhov screen.

Nkag mus rau thawj tus hloov kho hauv qhov kev thov kev pabcuam hauv lub Hloov kho teb thiab ntxiv lwm cov kev hloov kho hauv ntu sau ntawv.

Lub Alliance tsis tas yuav paub qhov no. Siv cov CUS kev cai MRI codes xaiv ib tug ntau ntawm cov lis dej num kom zoo sib xws yuav siv tau los yog tsis siv raws li xav tau ntawm tus kws kho mob.

Siv Thov Tus Neeg Mob Sab Nraud, vim = OP Services, Service Type = Kev kuaj mob, Service Code Type = CUS, Code = type in MRI thiab xaiv los ntawm cov npe dropdown. Tsuas yog siv xwb Kev xa mus rau PCP rau kev thov mus ntsib chaw ua haujlwm (sib sab laj thiab ua raws) los ntawm PCP.

Yog hais tias kev sab laj / ua raws li / kev mus ntsib hauv chaw ua haujlwm tsuas yog rau cov kab mob xwb, ces nws yog kev xa mus. Yog tias nws yog cov txheej txheem tiag tiag nrog CPT / HCPC cov lej, ces nws yog daim ntawv thov kev tso cai thiab yuav tsum siv Vim Li Cas Thov OP Services.

Thaum nkag mus rau qhov kev thov, thawj lo lus nug yog ib qho kev poob qis uas suav nrog kev pabcuam tom qab ua kev xaiv.

Yog tias nws yog hom kev thov uas tau txais kev pom zoo pib, ces nws yuav tsum tau txais kev pom zoo tsis hais qhov kev thov retro.

Tsis yog, tab sis ib xyoos yog tus qauv. Yog tias laus dua ib xyoos, nws xav tau kev txiav txim siab vim li cas nws thiaj li lig. Txwv tsis pub, nws yuav raug tsis lees paub rau ntau tshaj ib xyoos txij li cov kev pabcuam tau muab.

Txhua qhov kev thov retro xav tau cov ntaub ntawv muaj feem cuam tshuam, uas yog tib tus qauv raws li kev thov ua ntej. Peb xav tau cov ntaub ntawv los txiav txim seb lawv puas tau txais kev kho mob.

Yog vim li cas = OP Services, Service Type = Rehab Therapies, Code Type = CPT, Code (sau CPT code). Tag nrho lwm cov kauj ruam yuav tsum zoo ib yam rau lwm qhov kev thov.

Thaum qhov kev thov raug xa mus thiab txiav txim siab (pom zoo lossis tsis lees paub), cov xwm txheej yuav hloov mus kaw. Hauv qhov no, koj qhov kev thov tau ntsib "auto-pom zoo" cov cai thiab tau pom zoo tam sim ntawd thiab yog li ntawd kaw.