Cov peev txheej
Jiva FAQs: Nkag mus thiab tswj cov lus thov hauv Chaw Pabcuam Portal
Raws li Lub Xya Hli 15, 2024, Alliance tau hloov mus rau lub platform tshiab hu ua Jiva rau kev nkag mus thiab tswj kev tso cai thiab xa mus online. Qhov no suav nrog kev thov rau kev nyob hauv tus neeg mob, kev pab kho mob sab nraud, kev xa mus, tus kws kho mob muab tshuaj, Txhim Kho Kev Tswj Xyuas thiab Kev Txhawb Zej Zog (ECM/CS), kev thauj mus los thiab DME.
Cov ntaub ntawv qhia kev cob qhia hauv qab no muaj rau koj los tshuaj xyuas:
- Ib-teev video qhia txog kev xa cov ntawv tso cai thiab xa mus
- Jiva Provider Portal Training (Slides)
- Cov yeeb yaj kiab luv luv los ntawm lub ncauj lus suav nrog kev xa tawm, hloov kho thiab ncua kev thov.
- Job Aids los ntawm lub ntsiab lus:
- Txuas Cov Chaw Haujlwm Pabcuam Haujlwm
- Clear Memory List Job Aid
- Service Request Code Types Job Aid
- Ua kom tiav Cov Ntawv Pov Thawj Ua Haujlwm Pabcuam
- Nkag mus rau New Request Job Aid
- Extending Inpatient Stay Job Aid
- Yuav ua li cas xa daim ntawv xa mus rau Txoj Haujlwm Pabcuam
- Yuav xa Daim Ntawv Tso Cai Ua Haujlwm Li Cas
- Yuav hloov lossis ntxiv li cas rau daim ntawv thov Job Aid
- MRI Thov Kev Pab Ua Haujlwm
- Luam Ntawv Tso Cai (Episode) Job Aid
- Teb rau RFI Job Aid
- Nrhiav Txoj Haujlwm Pabcuam
- SNF/LTC Nkag Mus Rau Kev Thov Haujlwm Tshiab
- Saib daim ntawv thov xa ua ntej Lub Xya Hli 15 Txoj Haujlwm Pabcuam
- Saib Cov Ntawv Sau Ua Haujlwm Pabcuam
Cov lus teb rau cov lus nug uas nquag nug tau piav qhia hauv qab no. Yog xav tau kev pab ntxiv, thov mus saib cov ntaub ntawv tiv tauj rau lub tuam tsev muaj feem cuam tshuam. Yog tias koj xav teeb tsa kev cob qhia tus kheej rau koj qhov chaw, hu rau koj tus neeg sawv cev Kev Pabcuam.
| Department | Cov ntaub ntawv tiv tauj |
|---|---|
| Kev Tswj Xyuas Kev Siv (UM) |
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| Kev Thauj Mus Los Tsis Muaj Xwm Ceev (NEMT) |
|
| Txhim Kho Kev Tswj Xyuas/Kev Txhawb Zej Zog |
|
| Tus kws kho mob Portal |
|
Cov Lus Nug
Cov Tus kws kho mob Portal nws tus kheej tsis hloov. Koj tseem yuav muaj kev nkag mus rau cov kev sib txuas thiab cov ntaub ntawv muaj nyob rau ntawm Chaw Pabcuam Portal raws li koj tau ua ua ntej Lub Xya Hli 15, 2024. Qhov tshwj xeeb tsuas yog tias yuav muaj qhov txuas tshiab nyob rau hauv "Auths and Referrals" tab. Qhov txuas "Jiva" no yuav txuas koj mus rau lub platform tshiab rau kev nkag mus thiab tswj kev thov.
Tsis yog. Nws yog ib qho kev kos npe rau (SSO) los ntawm Chaw Pabcuam Portal. Thaum koj nyob hauv Tus Kws Kho Mob Portal, xaiv Jiva txuas hauv qab "Auths and Referrals" kom nkag mus rau lub platform tshiab.
Txhawm rau siv qhov kev pabcuam no, xyuas kom tseeb tias koj tus account portal uas twb muaj lawm muaj kev nkag mus rau Auth/Referral Search. Rau cov neeg siv tshiab, mus saib lub Tus kws kho mob Portal thiab nyem rau ntawm "Provider Portal Login" khawm thiab xaiv "Tus Neeg Siv Tshiab." Koj yuav tsum ua kom tiav daim ntawv nrog qee cov ntaub ntawv sau npe yooj yim. Koj tus lej nyiaj yuav raug tsim nyob rau hauv 5-7 hnub ua haujlwm thiab koj yuav tau txais kev ceeb toom los ntawm email nrog cov ntaub ntawv nkag mus.
Qhov kev hloov pauv no tsuas yog siv rau Alliance thov.
Tsis yog, cov chaw zov me nyuam tsis tuaj yeem hloov kho peb cov ntaub ntawv muab kev pabcuam.
Koj yuav tsum hu rau Cov Kev Pabcuam lossis koj Tus Neeg Saib Xyuas Kev Pabcuam (PSR) ntawm 831-430-5504. Koj tseem tuaj yeem hu rau Portal Support ntawm 831-430-5518.
Lub Portal yog tib yam thiab cov txheej txheem Code Lookup tseem nyob ntawd.
Koj tuaj yeem tshawb nrhiav los ntawm cov ntawv qhia zaub mov nrog ntau qhov sib txawv nrog rau cov tswv cuab lub npe, hnub yug, Tus Neeg Sau Npe ID (tus tswv cuab ID) lossis xaiv "Kuv Thov" ntawm lub dashboard (nplooj nplooj). Txhawm rau nkag mus rau Tus Tswv Cuab Txheej Txheem (tus tswv cuab daim ntawv lossis nplooj ntawv), nyem rau ntawm tus tswv cuab lub npe (hyperlink).
Tsis yog lub sijhawm no. Nws yog kev txhim kho peb vam tias yuav ua rau yav tom ntej, tab sis tam sim no koj yuav tsum tau nkag mus rau nws manually.
Peb tsis muaj tsab ntawv ceeb toom hauv Jiva; Txawm li cas los xij, tus kws kho mob tuaj yeem tshawb nrhiav los ntawm PCP lossis NON-PCP cov ntaub ntawv los tsim cov npe ntawm kev thov cuam tshuam nrog lawv qhov chaw.
Yog tias koj nyob twj ywm (tsis nquag nkag mus rau qhov kev thov (auth lossis xa mus), koj yuav raug rho tawm tom qab 20 feeb.
Tsis yog. Thov siv cov txheej txheem ib txwm ua hauv Portal los txheeb xyuas qhov tsim nyog.
Nco ntsoov rov kho koj lub dashboard kom pom cov hloov tshiab.
Yog tias muaj qhov sib txawv ntawm kev them nqi lossis kev tsim nyog, Alliance yuav tsis them cov kev pabcuam. Qhov no txhais tau hais tias tus neeg muab kev pabcuam yuav tau them nqi rau qhov tseeb-tejzaum Tus Nqi rau Kev Pabcuam. Txhua qhov kev thov xa mus rau cov kev pabcuam thaum tus tswvcuab tsis tsim nyog yuav raug tsis lees paub.
Yog lawm. Txawm hais tias koj tuaj yeem saib cov no ntawm Jiva platform, koj tseem yuav tau txais faxes li qub.
Tsis yog. Ib qho kev txuas ntxiv uas koj tuaj yeem thov tau nyob rau lub sijhawm no hauv online yog qhov txuas ntxiv nyob hauv tus neeg mob.
Nrhiav
Koj tuaj yeem tshawb xyuas txhua qhov kev thov cuam tshuam nrog koj lub chaw thiab cov tswv cuab txuas. Kev tshawb nrhiav los ntawm cov tswv cuab lub npe yuav tso tawm txhua qhov kev thov xa los ntawm tus neeg siv thiab cov chaw cuam tshuam rau tus tswv cuab. Koj tuaj yeem tshawb nrhiav cov npe ntawm kev thov cuam tshuam nrog koj lub chaw yam tsis tau nkag mus rau ib qho kev tshawb nrhiav los ntawm nias lub pob Tshawb nrhiav kom pom cov txiaj ntsig hauv qab no. Koj tuaj yeem lim koj cov txiaj ntsig los ntawm kev xaiv Saib Auths los ntawm Kev Tshawb Nrhiav Thov screen. Koj tuaj yeem lim koj qhov kev tshawb fawb los ntawm Non-PCP, Lub Npe Tus Kws Kho Mob thiab xa los ntawm.
Yog tias koj lub chaw yog PCP, koj tuaj yeem tshawb nrhiav thiab sau cov npe ntawm cov tswv cuab txuas rau koj qhov chaw los ntawm kev mus rau Cov Ntawv Qhia> Kuv Cov Tswv Cuab thiab Tshawb Nrhiav raws li PCP Cases. Yog tias koj lub tsev kho mob yog ib tus kws tshaj lij, koj yuav tsum xaiv "Tshiab Thov" los ntawm Cov Ntawv Qhia thiab nkag mus rau Tus Neeg Sau Npe ID kom pom cov tswvcuab populate. Koj tuaj yeem nyem rau ntawm Lub Npe Lub Npe (xiav hyperlink) mus rau lawv cov ntaub ntawv (Cov Tswvcuab Txheej Txheem lossis Tus Saib Xyuas Neeg Saib Xyuas). Nyob rau sab laug ntawm qhov screen, koj yuav pom cov tswv cuab lub sijhawm (kev tso cai, xa mus, thov). Muaj kev txwv qhib txhua qhov kev thov uas tseem tab tom nrhiav, tab sis koj tuaj yeem saib Rov Qab Abstract tag nrho.
Koj tuaj yeem tshawb xyuas los ntawm cov ntawv qhia zaub mov nrog ntau qhov sib txawv, suav nrog lub npe tswv cuab, hnub yug, Tus neeg siv npe ID (tus tswv cuab ID) lossis xaiv "Kuv Thov" ntawm lub dashboard (nplooj nplooj). Txhawm rau nkag mus rau Tus Tswv Cuab Txheej Txheem (tus tswv cuab daim ntawv lossis nplooj ntawv), nyem rau ntawm tus tswv cuab lub npe (hyperlink).
Hauv Jiva, koj tsuas tuaj yeem tshawb nrhiav thiab pom cov lus thov (ib ntu) uas tau nkag hauv Jiva txij Lub Xya Hli 15, 2024.
Koj tuaj yeem pom faxed thov hauv keeb kwm ntawm cov tswv cuab tom qab kev lag luam ua rau lawv, tab sis nws yuav tsis qhia rau koj lub dashboard. Lub dashboard tsuas qhia dab tsi koj xa dhau Jiva.
Koj tuaj yeem tshawb nrhiav tus neeg mob tsuas yog lawv lub npe yog tias koj tab tom nrhiav kev thov koj nkag.
Koj tuaj yeem ntxiv los ntawm ib qho ntawm cov tswv cuab txuas. Koj tuaj yeem ntxiv qhov kev thov los ntawm Tus Saib Xyuas Neeg Mob (Cov Tswv Cuab Txheej Txheem). Koj tau txais mus rau Tus Tswv Cuab Txheej Txheem los ntawm nyem rau ntawm tus tswv cuab lub npe los ntawm ib qho ntawm cov kab xa rov qab hauv koj qhov kev tshawb nrhiav.
Yog lawm. Koj tuaj yeem tshawb nrhiav los ntawm tus lej tso cai rau ib qho kev tso cai txuas nrog koj tus kws kho mob thaum xa daim ntawv thov. Hauv qab ntawv qhia zaub mov, mus rau Kev Thov Tshawb Fawb thiab sau tus lej lees paub kom rov qab tus tswv cuab los ntawm tus lej auth.
Tso cai hnub kawg
Qhov no yog Jiva technical teeb meem uas tau raug daws. Yog tias lub sijhawm lees paub lees paub yuav tsum yog ib xyoos, ces tam sim no nws yuav cuam tshuam txog ib xyoos rau koj qhov kev xa tawm. Yog tias koj qhov kev xa tawm yav dhau los tau hloov pauv mus rau 6 lub hlis thaum nws yuav tsum tsis tau, koj yuav tsum rov xa rov qab.
Kho kom raug, Hloov kho thiab tso tseg thov
Koj tuaj yeem ntxiv ib daim ntawv kom txog thaum lub sijhawm kaw (kev tshuaj xyuas los ntawm CCAH thiab pom zoo, tsis lees paub, tsis muaj, thiab lwm yam). Yog tias koj xav tau tshem tawm lossis hloov qhov kev thov tom qab xa nws, siv daim ntawv sau tseg lossis Hloov nrog cov ntsiab lus ntawm kev hloov pauv / tshem tawm. Tom qab kev txiav txim siab tau ua tiav lawm, koj yuav tsum tsim ib daim ntawv thov tshiab los ntawm lub portal lossis xa Daim Ntawv Thov Kev Hloov Pauv los ntawm fax (831-430-5851 rau RX-PAD thov thiab 831-430-5850 rau tag nrho lwm qhov kev thov). Koj tseem tuaj yeem ncav cuag los ua raws li kev hloov pauv ntawm cov neeg hauv qab no:
- Kev Tso Cai Kho Mob: hu rau 831-430-5506 lossis email [email protected].
- Kev Tso Cai Tsheb Thauj Mus Los: fax 831-430-5850, hu rau 831-430-5640, lossis email [email protected]
- Chaw muag tshuaj: 831-430-5507
- Txhim Kho Kev Tswj Xyuas / Zej Zog Txhawb kev tso cai: email [email protected]
Koj tsuas tuaj yeem hloov pauv rau cov ntawv tso cai tseem tos. Yog tias kev tso cai raug ua tiav / kaw, thov xa daim ntawv thov tshiab.
Ua ntej xa (thaum nyob rau hauv cov xwm txheej txheej txheem), koj tuaj yeem nyem rau ntawm lub iav icon nyob ib sab ntawm qhov tseem tab tom xa rov qab thiab xaiv "Hloov ntu." Hauv qab ntawm qhov screen, koj tuaj yeem xaiv "Delete." Tom qab ib ntu (thov) tau xa thiab ua ntej kev txiav txim siab tau nkag mus, koj tuaj yeem qhib qhov ntu thiab ntxiv ib daim ntawv nrog cov ntawv sau "Cancel" thiab sau ib daim ntawv thov kom rov ua dua. Tom qab txiav txim siab, koj yuav tsum hu rau Alliance UM kab ntawm 831-430-5506 lossis email [email protected].
Feem ntau "extensions" yog thov kom pom zoo rau lub sijhawm ntev dua. Qhov no yuav tsum yog qhov kev thov tshiab. Qhov kev thov tshiab tuaj yeem xa tuaj 2-4 lub lis piam ua ntej qhov kev thov ua ntej tas sijhawm. Nco ntsoov kom meej meej tias koj tab tom thov kom pib tom qab qhov kev tso cai tam sim no tas sij hawm.
Koj yuav muaj peev xwm ntxiv cov ntawv sau, cov ntaub ntawv, kev kuaj mob thiab cov neeg muab kev pabcuam rau qhov kev thov tseem tos. Rau lwm yam kev hloov pauv (lossis tshem tawm qhov kev thov), ntxiv ib daim ntawv. Xaiv hom ntawv "Hloov Thov" lossis "Cancel Request" thiab sau cov ntsiab lus hauv cov ntawv sau. Tus kws saib xyuas neeg mob yuav tau txais kev ceeb toom tias koj tau ntxiv qhov kev hloov pauv lossis tshem tawm qhov kev thov rau qhov tseem tab tom thov. Txhawm rau hloov pauv tom qab qhov kev thov raug pom zoo, thov fax hauv daim ntawv thov lossis xa daim ntawv thov tshiab.
Nws nyob ntawm qhov xwm txheej. Alliance cov neeg ua haujlwm yuav tuaj yeem kho qee yam ntawm lawv sab hauv. Txawm li cas los xij, yog tias nws yog ib qho teeb meem tseem ceeb thiab xav tau kev xa rov qab, peb yuav muab nws pov tseg thiab ceeb toom rau koj.
Koj yuav tau txais kev ceeb toom los ntawm tib txoj kev uas koj tau xa daim ntawv thov. Txawm hais tias koj yuav tsis tau txais fax lees paub qhov kev hloov pauv uas koj tau thov los ntawm PCR daim ntawv hauv Jiva, koj yuav tuaj yeem pom cov kev hloov pauv uas koj thov ntawm qhov screen rov. Rau ib qho PCR ntawm fax, koj yuav tau txais kev pom zoo fax. Yog tias koj qhov kev thov raug xa email, koj yuav tau txais email lees paub.
Koj yuav tau xa daim ntawv thov tshiab. Cov kws kho mob tuaj yeem xa fax tuaj rau peb rau txhua yam kev thov hloov pauv thaum kaw (pom zoo) ntu. ECM/CS cov chaw muab kev pabcuam (HTNS) tuaj yeem xa email tuaj rau peb.
Pending Submissions (Drafts)
Koj tuaj yeem pom koj cov ntawv sau rau ntawm koj lub dashboard. Nyem rau ntawm qhov bar ib sab ntawm "Tsav Xa Ntawv" nyob rau sab xis sab xis widget. Cov ntawv xa tsis tau xa tuaj (Pending Submissions) yog nyob rau hauv daim ntawv sau.
Lub tab "Pending Decision" yog tus kheej rau txhua tus neeg siv. Yog li ntawd, tsuas yog tus neeg siv uas tau xa daim ntawv thov yuav tuaj yeem saib cov kev txiav txim siab tseem tab tom thov lawv xa los ntawm "Kev Txiav Txim Siab" icon.
Kev tso cai
Tus lej Auth tsis yog alphanumeric lawm. Lawv tsuas muaj cov lej xwb. Qhov no yog qhov kev hloov pauv uas tau ua ua ntej Lub Xya Hli 15, 2024.
Yog lawm. Nkag mus rau Tus Kws Saib Xyuas Neeg Mob (MCV, Tus Tswv Cuab Txheej Txheem) los ntawm nyem rau ntawm tus tswv cuab lub npe (xiav hyperlink). Nyob rau sab laug, yuav muaj cov npe ntawm txhua ntu cuam tshuam nrog cov tswv cuab (ob qho tib si qhib thiab kaw) uas tau nkag mus txij thaum Lub Xya Hli 15, 2024.
Nws tau teev nyob rau ntawm qhov screen ntu thiab ntu ntu ntu (muaj los luam tawm ua PDF). Nco ntsoov tias tus lej auth hauv Jiva tsis yog alphanumeric thiab tsuas yog muaj cov lej xwb.
Yog lawm. Lawv siv tau rau cov hnub uas lawv tau pom zoo rau thiab tuaj yeem pom los ntawm qhov txuas tib yam li ua ntej hauv Portal.
Nyem rau ntawm lub iav icon nyob ib sab ntawm ntu thiab xaiv 'Episode Abstract." Koj tuaj yeem luam tawm ntawm qhov pom no.
Yog lawm. Yog tias tsab ntawv tsis lees paub tau faxed rau koj lub chaw, koj yuav luam tau nws (tab sis koj yuav tsis muaj peev xwm luam cov ntawv uas tsis xa tuaj rau koj).
Koj tuaj yeem luam tawm Daim Ntawv Qhia Ntxiv. Nyem rau ntawm lub iav icon nyob ib sab ntawm ntu thiab xaiv "Episode Abstract." Koj tuaj yeem luam tawm ntawm qhov kev pom no.
Los ntawm Cov Tswv Cuab Txheej Txheem, nyem rau ntawm qhov nthuav dav (X) icon nyob ib sab ntawm Cov Ntawv Xov Xwm widget qhib cov npe ntawm cov ntawv. Thaum koj pom tsab ntawv koj xav saib, nyem rau ntawm lub iav icon thiab xaiv "Saib PDF Letter."
Nws nyob ntawm seb yog vim li cas rau nws tsis muaj dab tsi, tab sis nws yog tib txoj kev ua ntej. Kev xa ntawv tsis raug yog cov voids tsis siv neeg uas tsis muaj kev ncua. Cov lus thov uas tsis muaj ntaub ntawv yuav tau txais Daim Ntawv Ceeb Toom Tsis tiav. Koj yuav muaj sijhawm los xa cov ntaub ntawv xav tau ua ntej tsis muaj kev lees paub yog tias peb tsis tau txais cov ntaub ntawv hauv 24 teev ntawm kev thov cov ntaub ntawv.
Ib qho kev lees paub nkag online ntawm lossis tom qab Lub Xya Hli 15, 2024, yuav nyob hauv Jiva auth / xa mus txuas. Auths nkag mus ua ntej Lub Xya Hli 15, 2024, tseem tuaj yeem pom hauv qhov qub kev lees paub / xa mus. Ntawm Cov Chaw Muab Kev Pabcuam, nyob rau hauv Auths thiab Thov, xaiv qhov kev xaiv thib peb "Kev Tso Cai / Xa Mus Tshawb Nrhiav - Ua ntej 7/15/2024".
Pib txij Lub Xya Hli 1, 2024, cov menyuam yug tshiab tuaj yeem tsim nyog raws li lawv tus kheej daim ID thaum Medi-Cal kev tsim nyog tau txais los ntawm Newborn Gateway program. Cov menyuam yug tshiab uas tau cuv npe hauv Newborn Gateway tau them rau hauv Xeev FFS Medi-Cal rau lawv lub hlis yug. Kev tsim nyog rau txoj haujlwm no yuav tsum raug txheeb xyuas los ntawm DHCS Tus Muab Kev Pabcuam Portal. Yog xav paub ntxiv, thov mus saib DHCS Newborn Gateway nplooj.
Cov menyuam mos yug tshiab uas tsis tau them rau hauv lawv tus kheej daim ID los ntawm Newborn Gateway qhov kev pab cuam yuav ua raws li cov kev pab them yug menyuam tshiab tam sim no, qhov uas cov menyuam yug tshiab raug them raws li niam tus ID rau lub hli yug thiab txog rau lub hlis thib ob ntawm yug. Cov kev pab cuam sab nraud thiab tus neeg mob hauv tsev kho mob yuav xav tau daim ntawv TAR raws li niam tus ID, uas yuav tsum qhia tias “tus menyuam siv niam tus ID; menyuam lub npe, DOB." Rau ib qho IP Post (nkag), daim ntawv ntsej muag, nyob rau hauv niam tus ID, yuav tsum qhia tias "tus menyuam siv niam tus ID; menyuam lub npe, DOB."
Lub Sijhawm Tig Rov Qab thiab Auto Pom Zoo
Lub sijhawm xav hloov pauv tsis cuam tshuam los ntawm kev hloov mus rau Jiva. Rau kev thov niaj hnub, lub sijhawm hloov pauv yog 5 hnub lossis tsawg dua. Kev thov ceev ceev muaj sijhawm 72-teev hloov pauv. Post-service/retro thov muaj txog li 30 hnub. Qee qhov kev thov uas tau pom zoo tam sim raws li cov txheej txheem kev pom zoo yuav raug pom zoo raws li lawv tau ua dhau los.
Cov txheej txheem rau kev pom zoo thov tsis tau hloov. Yog tias koj xav tau txuas cov ntaub ntawv ua ntej kev tsiv teb tsaws chaw mus rau Jiva, koj yuav tsum tau txuas tam sim no.
Qhov no yog cov npe ntev thiab tuaj yeem hloov pauv. Cov feem ntau yog Cov Kev Xa Mus Hauv Zos (kev sab laj / ua raws) thiab ECM thov.
Txuas Cov Kev Pabcuam
Tsis yog. Koj yuav tau xaiv koj tus kws kho mob ua tus thov kev pab thaum txuas cov chaw muab kev pab.
Koj nrhiav tsis tau los ntawm kev tshwj xeeb. Koj yuav tsum tshawb xyuas los ntawm lub chaw lossis lub npe xyaum. Hauv seem Cov Ntaub Ntawv Tiv Thaiv Kev Tiv Thaiv, koj yuav raug hais kom nkag mus rau tus kws kho mob lub npe.
Thaum txuas cov kws kho mob, tshawb xyuas lub tsev kho mob ib yam li koj tau ua tus kws kho mob thiab xa mus ua tus kws kho mob.
Ib qho txuas tsuas yog txuas rau ib tus neeg muab kev pabcuam. Koj yuav tsum rov qhib qhov kev tshuaj ntsuam xyuas ntxiv rau tus kws kho mob thib ob. Qhov kev xyaum zoo tshaj plaws yog ib txwm siv ntau qhov txuas.
Yog tias koj xa mus rau tus neeg muab kev pabcuam, koj tuaj yeem siv NPI #, tus neeg muab kev pabcuam #, lossis lub npe chaw uas zoo ib yam li Essette. Txawm li cas los xij, koj tsuas tuaj yeem tshawb xyuas los ntawm qhov chaw lossis qib kev xyaum (nqi) NPI. Tus kws kho mob tus lej yog tib yam li tus lej pseudo.
Muab “tsis tau paub” lossis “n/a” rau tus kws kho mob lub npe nyob rau hauv seem hu rau tus kws kho mob.
Koj yuav tsum nkag mus rau qhov kev xyaum ua lossis lub npe chaw ua haujlwm. Koj tsis tuaj yeem tshawb nrhiav los ntawm tus neeg muab kev pabcuam. Koj tuaj yeem ntxiv tus kws kho mob tshwj xeeb thiab qhov chaw nyob hauv thaj chaw uas xav tau tshwj xeeb. Kev zam: yog tias cov chaw zov me nyuam muaj / muaj lawv tus kheej xyaum, koj tuaj yeem tshawb nrhiav lawv thaum txuas cov chaw muab kev pabcuam.
Hu rau koj Tus Neeg Muab Kev Pabcuam Tus Neeg Sawv Cev (PSR).
Koj tsuas yog yuav tsum xaiv ib qho kev thov thiab ib tus neeg muab kev pabcuam. Qhov Kev Xaiv Ntau Ntxiv yog kom koj tuaj yeem xaiv tus thov thiab tus neeg muab kev pabcuam.
Yog lawm, tab sis koj yuav tau ntaus "ntau txuas" ob zaug thiab nco ntsoov sau ib qho kev thov thiab ib qho ua kev pabcuam.
Xa Cov Lus Thov
Yog lawm. Koj tseem tuaj yeem xa cov ntaub ntawv thiab thov ntawm fax lossis email. Qhov kev hloov pauv tsuas yog nyob rau hauv cov txheej txheem rau kev xa online. Txawm li cas los xij, xa online yog txoj kev ceev tshaj plaws.
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.
Hom Code yuav tsum tau vim Jiva configurations uas hloov tsis tau. Hom Code hom muaj xws li HCPC, CPT lossis CUS (rau Kev Cai). Yog tias nws yog CUS Code Hom, koj yuav tsum nkag mus rau thawj ob peb tsab ntawv ntawm tus lej kom tau txais kev xaiv poob. Kev cai lis dej num suav nrog Acupuncture (ACUVISITS); Kev Kho Hniav (DENTALANESTHI); MRI; Kev xa mus (CON los coj cov kev xaiv ntawm Tus Kws Pab Tswv Yim Pabcuam nrog Kev Mus Saib Xyuas Tom Qab; FOL coj mus ntsib Kev Rov Qab Mus Tsuas); Palliative Care (PLTVCR); ECM (ECM01, ECM02) thiab CS (CS01 - CS08).
Yog lawm.
Kev xa mus rau PCP lossis tus kws tshaj lij rau cov kev xaiv xa mus tshwj xeeb tsuas yog rau kev thov rau kev xa mus (Office Visits), tsis yog rau OP Services. Yog tias koj tau xaiv qhov laj thawj rau Kev Thov "OP Services" thiab Kev Pabcuam Hom "Kev xa mus" thaum nkag mus rau qhov kev pabcuam tshwj xeeb, ces koj yuav tau txais qhov yuam kev vim qhov kev xaiv tsis sib xws.
Koj yuav tsum sau koj tus lej xov tooj thiab fax, tab sis koj tuaj yeem siv koj tus kheej cov ntaub ntawv yog tias 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 cov ntawv thov tshiab rau DME los ntawm Add Request dropdown, xaiv Outpatient. Tom qab ntawd, nyob rau hauv Qhov Kev Thov Teev Tseg, xaiv OP Services. Hauv Kev Pabcuam Hom dropdown, xaiv qhov kev xaiv DME uas tsim nyog (DME-Equipment, DME-Medical Supplies, 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 Cov Kev Pabcuam Hom kev poob qis, xaiv Kev Tswj Xyuas Kev Kho Kom Zoo (ECM) lossis Kev Txhawb Zej Zog. Hom code yog CUS (rau Kev Cai) thiab cov lej pabcuam tseem nyob ECM01 thiab ECM02 rau ECM thiab CS01 - CS08 rau CS.
Qhov no yog qhov kev txiav txim siab los ntawm Alliance los pab kev tshaj tawm.
Hauv Kev Pabcuam / Tshwj Xeeb / Kev Thov Tshuaj.
J codes yog HCPC codes. Koj nkag mus rau hauv tib qhov chaw tab sis hloov hom Code rau "HCPC."
Thaum ua tiav qhov kev thov, muaj ib qho lus 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 Rov Hom (IP lossis OP) rov qab mus rau qhov screen rov. Nyob rau sab xis, nyem rau ntawm xiav Ntxiv Document thiab koj tuaj yeem ntxiv cov ntaub ntawv ntxiv. Tsis muaj qhov txwv loj thaum txuas cov ntaub ntawv.
Yog lawm, koj tuaj yeem ua tau yog tias qhov kev thov raug txuas nrog koj cov neeg muab kev pabcuam thaum qhov kev thov nkag mus. Los ntawm Kev Tshawb Nrhiav Kev Tshawb Fawb, xaiv Tus lej Auth thiab sau tus lej tso cai. Qhib qhov rov siv lub iav (ua haujlwm) icon thiab Xaiv Ntxiv Cov Ntaub Ntawv los ntawm cov ntaub ntawv seem ntawm sab xis ntawm qhov screen.
Nkag mus rau thawj qhov kev hloov pauv hauv qhov kev thov kev pabcuam hauv qhov "Modifier" teb thiab ntxiv lwm cov kev hloov pauv hauv ntu sau ntawv.
Lub Alliance tsis tas yuav paub qhov no. Siv CUS kev cai MRI cov lis dej num los xaiv ntau cov lej kom qhov sib piv tuaj yeem siv lossis tsis siv raws li qhov xav tau ntawm tus kws kho mob.
Siv Cov Kev Pabcuam Sab Nraud, Vim Li Cas = OP Kev Pabcuam, Kev Pabcuam = Kev kuaj mob, Kev Pabcuam Code Hom = CUS, Code = hom hauv MRI thiab xaiv los ntawm cov npe poob. Tsuas yog siv PCP Kev xa mus rau kev thov mus ntsib chaw ua haujlwm (sib tham thiab ua raws) los ntawm PCP.
Yog hais tias kev sab laj / ua raws li / chaw mus ntsib yog rau pathology nkaus xwb, ces nws yog Kev xa mus. Yog tias nws yog cov txheej txheem tiag tiag nrog CPT / HCPC cov lej, tom qab ntawd nws yog Kev Thov Auth thiab yuav tsum siv Vim Li Cas Thov "OP Services".
Koj tuaj yeem xa ib daim ntawv thaum ua qhov kev thov. Tom qab koj xa, koj tuaj yeem qhib ntu thiab ntxiv cov ntaub ntawv ntxiv (hauv Cov Ntaub Ntawv widget, nyem rau ntawm Ntxiv Cov Ntaub Ntawv).
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. Txawm li cas los xij, muaj qee qhov teeb meem nrog kev pom zoo pib tam sim no raug tshawb xyuas.
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 (xws li CPT code). Tag nrho lwm cov kauj ruam yuav tsum zoo ib yam rau lwm qhov kev thov.
Thaum xa 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.
Kev xa mus
Tsis yog. Thaum nkag mus rau kev xa mus, hom code yog CUS (rau kev cai). Tom qab ntaus ntawv CON, koj yuav muaj kev xaiv xaiv Kev Sib Tham Kev Sib Tham lossis Kev Sib Tham nrog Kev Sib Tham Tom Qab. Ntaus ntawv hauv FOL yuav tso cai rau koj xaiv cov kev mus ntsib tom qab nkaus xwb.
Lub Alliance nyiam kom txhua tus neeg muab kev pabcuam siv Portal yog tias lawv nkag mus rau nws. Thaum peb lees txais faxes, muaj kev ncua ntev dua hauv kev ua lawv thiab nws txwv tsis pub peb tsis tuaj yeem ua haujlwm txhua yam txheej txheem. Koj yuav tsum hu rau tus kws kho mob kom pom leej twg tuaj yeem pom lawv ua ntej xa daim ntawv thov xa mus.
Koj xaiv hom Code (qhov no yog qhov tshiab) thiab nws yuav yog CPT, HCPC lossis CUS (rau kev cai) nyob ntawm hom kev thov. Yog tias qhov kev xaiv tsuas yog "ua raws" ua ntej, ces siv CUS code "FOLLOWUP."
Txoj cai cai rau kev mus ntsib chaw ua haujlwm tsis suav nrog lwm yam kev pabcuam ntxiv ib sab ntawm kev mus ntsib chaw ua haujlwm. Cov kws kho mob yuav tsum xa ib daim ntawv tso cai cais tawm los ntawm kev xa mus siv Qhov Kev Thov "OP Services" thiab Hom Kev Pabcuam "Diagnostic", ces qhov twg yog qhov tshwj xeeb code cuam tshuam rau cov chaw sim raug thov.
Koj technically tuaj yeem ua tau, tab sis muaj qhov ua tau zoo uas peb yuav tsis lees paub ib qho ntawm lawv lossis ncua kev tshuaj xyuas vim peb yuav tsum nug vim li cas muaj ob.
Yog lawm. Xaiv Tus Neeg Mob Sab Nraud Thov. Raws li Kev Thov, xaiv "PCP xa mus" (rau kev thov los ntawm PCP), "Tshwj xeeb-rau-Specialist Referral" (rau kev thov los ntawm tus kws tshaj lij) lossis "OON xa mus" (rau kev xa mus rau tus kws tshaj lij hauv network). Hauv Hom Kev Pabcuam, xaiv "Kev xa mus." Rau Kev Pab Cuam Hom, xaiv "CUS." Hauv Kev Pabcuam Code, ntaus hauv "CON" thiab xaiv "Consultative Visit" lossis "Consultative Visits."
Nov yog Daim Ntawv Thov Kev Pab Kho Mob. Nyob rau hauv Qhov Kev Thov, xaiv "Tshwj xeeb-rau-Specialist xa mus." Hom Kev Pabcuam yog "Kev xa mus" thiab hom Code yog "CUS." Hauv daim teb Code, ntaus "FOL" thiab xaiv "kev mus ntsib tom qab." Hauv Notes, xaiv hom ntawv "Web Note" thiab sau ib daim ntawv thov kev saib xyuas txuas ntxiv.
Kev mus ntsib kws kho mob hauv chaw kho mob yog them raws li kev xa mus, tab sis cov txheej txheem hluav taws xob tsis yog. Cov txheej txheem thiab kev kuaj mob tau nkag mus rau hauv OP Services, tsis yog xa mus.
PCP yuav tsum xa daim ntawv thov thawj zaug. Tus kws kho mob tshwj xeeb yuav tsum xa daim ntawv thov kev mus ntsib tsis tu ncua uas siv Cov Kev Xaiv Tshwj Xeeb-rau-Specialist nyob rau hauv Qhov Kev Thov.
Txhawm rau thov kev xa mus, siv PCP Kev xa mus (kev sab laj / ua raws li kev mus ntsib). Lwm yam kev pabcuam yog OP Services. Yog tias koj tab tom thov kev lees paub rau qhov kev pabcuam OP, xaiv OP Services.
Tsis yog. Xaiv hom Code "CUS." Nyob rau hauv Code, ntaus hauv "CON" thiab xaiv tus Consult code tsim nyog.
Cov ntaub ntawv xav tau tsis tau hloov. Cov ntawv txuas tsis tas yuav tsum muaj rau kev pom zoo pib. Cov ntaub ntawv xav tau rau cov kev pabcuam xav tau kev tshuaj xyuas zoo ib yam li lawv tau ua.
Thawj qhov kev thov yuav tsum yog los ntawm PCP. Lub chaw ua haujlwm tshwj xeeb tuaj yeem thov RAF retro los ntawm RAF thib ob mus ntxiv.
Koj tuaj yeem xa daim ntawv xa mus xaiv "Specialist-to-Specialist" los ntawm Qhov Kev Thov Teev Tseg.
Koj tuaj yeem xa daim ntawv xa mus. Yog tias koj tab tom xa ib daim ntawv thov, ib txwm muab koj tus kws kho mob ua tus thov. Tus kws kho mob tuaj yeem yog koj lossis lwm tus kws kho mob.
Tsev muag tshuaj
Yog tias qhov no yog PAD, peb muaj Txoj Haujlwm Pabcuam.
Tsim Daim Ntawv Thov Kev Pab Kho Mob. Nyob rau hauv Vim Li Cas Thov, xaiv "OP Services." Hauv Kev Pabcuam Hom, xaiv "Cov txheej txheem." Rau hom Code, xaiv "HCPC" thiab nkag mus rau HCPC code.
Nyob rau hauv ntu Kev Pabcuam / Tshwj Xeeb Kev Thov Tshuaj, xaiv Kev Pabcuam Code Hom "HCPC" thiab nkag mus rau J code hauv Code teb. Tom qab nkag mus rau hnub tim thiab thov cov lej, nyem rau ntawm lub pob xiav ADD. Koj tuaj yeem rov ua cov txheej txheem nrog J Codes ntxiv.
ECM/CS
Rau ECM, tus lej thov yog 12. Hnub pib thiab hnub kawg yog hnub no. Yog tias koj xaiv ECM02, hnub kawg yuav kho tus kheej mus rau 12 lub hlis ntawm kev lees paub.
Tag nrho cov no tau nkag mus rau tib yam. Cov txheej txheem tsis txawv vim tsis muaj dab tsi hauv qhov kev lees paub txawv lawv.
ECM tau txais kev pom zoo pib, thiab koj luam tawm Cov Lus Qhia Ntxiv.
ECM01 tsis xav tau kev tso cai thiab ECM02 yog nws pib pom zoo.
Hu rau Chaw Pabcuam
| General | 831-430-5504 |
| Kev thov Cov lus nug txog kev them nqi, cov xwm txheej thov, cov ntaub ntawv thov kev thov dav dav |
831-430-5503 |
| Kev tso cai Cov ntaub ntawv tso cai dav dav lossis cov lus nug |
831-430-5506 |
| Tso cai xwm txheej Tshawb xyuas cov xwm txheej ntawm cov ntawv tso cai xa tuaj |
831-430-5511 |
| Tsev muag tshuaj Cov ntawv tso cai, cov ntaub ntawv hauv khw muag tshuaj lossis cov lus nug |
831-430-5507 |
Muab Kev Pabcuam
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