Lub Cim Qhia Txog Kev Ua Koob Tsheej 30 Xyoo ntawm Central California Alliance for Health

Tsev > Rau Cov Kws Kho Mob > Muab Kev Pabcuam > Jiva FAQs: Nkag mus thiab tswj cov lus thov hauv Chaw Pabcuam Portal

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

Lub Koom Haum siv lub platform hu ua Jiva rau kev sau thiab tswj kev tso cai thiab kev xa mus rau online. Qhov no suav nrog cov kev thov rau kev pw hauv tsev kho mob, cov kev pabcuam rau cov neeg mob sab nraud, kev xa mus, cov tshuaj uas kws kho mob muab, Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv 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:

Cov lus teb rau cov lus nug nquag nug tau teev tseg hauv qab no. Yog xav tau kev pab ntxiv, thov saib cov ntaub ntawv tiv tauj rau lub chaw haujlwm cuam tshuam. Yog tias koj xav teem sijhawm cob qhia tus kheej rau koj lub chaw, tiv tauj koj tus Neeg Sawv Cev Kev Pabcuam.

Department	Cov ntaub ntawv tiv tauj
Kev Tswj Xyuas Kev Siv (UM)	Xov Tooj: 831-430-5506 Xa Email: [email protected].
Kev Pab Thauj Mus Los Rau Kev Kho Mob Uas Tsis Yog Xwmtxheej Ceev (Non-emergency Medical Transportation; NEMT)	Xovtooj: 831-430-5640 Xa Email: [email protected].
Txhim Kho Kev Tswj Xyuas/Kev Txhawb Zej Zog	Rau kev hloov pauv lossis cov lus nug txog kev tso cai tshwj xeeb, email: [email protected]. Rau qhov kev pab cuam, thov lossis cov lus nug hloov tshiab, email: [email protected].
Kws Kho Mob Lub Chaw Tswj Xyuas Tswvcuab Cov Ntaub Ntawv	Xa Email: [email protected].

Cov Lus Nug Dav Dav

Kev Saib Xyuas Tagnrho

Kuv puas xav tau tus ID nkag mus rau Alliance Provider Portal tshiab kom nkag mus rau Jiva platform?

Tsis yog. Nws yog ib qho kev kos npe ib zaug xwb (SSO) los ntawm Provider Portal. Thaum koj nyob hauv Provider Portal, xaiv qhov txuas Jiva hauv qab Kev Tso Cai thiab Kev Xa Mus kom nkag mus rau lub platform tshiab.

Kuv thov kom nkag mus rau hauv Jiva li cas?

Yuav siv tau qhov kev pabcuam no, xyuas kom tseeb tias koj tus account portal uas twb muaj lawm muaj Kev Tshawb Nrhiav Kev Pom Zoo/Kev Xa Mus nkag mus. Rau cov neeg siv tshiab, thov mus saib Nplooj ntawv thov nyiaj ntawm tus neeg muab kev pabcuam Portal, saib daim ntawv cog lus thiab ua kom tiav daim ntawv uas txuas nrog rau hauv daim ntawv cog lus. Koj yuav tsum ua kom tiav daim ntawv nrog qee cov ntaub ntawv sau npe yooj yim. Koj tus account 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.

Puas yog Jiva platform rau Alliance nkaus xwb, lossis yog State Medi-Cal thov xa rau Jiva thiab?

Qhov kev hloov pauv no tsuas yog siv rau Alliance thov.

Yog tias kuv muaj lus nug txog kev xa daim ntawv tso cai, kuv tuaj yeem hu rau tus xov tooj twg?

Koj yuav tsum hu rau Provider Services lossis koj tus Neeg Sawv Cev Provider Services (PSR) ntawm 831-430-5504. Koj tuaj yeem tiv tauj Portal Support ntawm 831-430-5518.

Puas muaj Kev Tshawb Nrhiav Cov Cai Txheej Txheem los txiav txim siab seb CPT/HCPC puas xav tau kev xa mus lossis kev tso cai?

Yog, qhov Procedure Code Lookup muaj nyob rau hauv Provider Portal. Xaiv qhov Kev Tshawb Nrhiav Cov Cai Txheej Txheem cov cuab yeej nyob rau hauv lub Kev Tso Cai thiab Kev Xa Mus ntu.

Kuv yuav mus rau ib tug tswv cuab daim ntawv qhia/cov ntaub ntawv li cas?

Koj yuav tsum muaj tus lej ID ntawm tus tswv cuab thiaj li nrhiav tau lawv. Lwm cov teb xws li lub npe ntawm tus tswv cuab thiab hnub yug yog xaiv tau. Koj kuj tseem xaiv tau Kuv Cov Kev Thov ntawm lub dashboard (nplooj ntawv tsaws). Txhawm rau nkag mus rau Kev Txheeb Xyuas Txog Cov Tswv Cuab (daim ntawv qhia lossis nplooj ntawv ntawm tus tswv cuab), nyem rau ntawm lub npe ntawm tus tswv cuab (hyperlink).

Puas muaj ib txoj hauv kev los tso cai rau qhov kev xaiv auto populate rau cov ntaub ntawv tiv tauj ntawm tus neeg muab kev pabcuam uas tsis tas yuav hloov pauv?

Tsis yog lub sijhawm no. Nws yog ib qho kev txhim kho uas peb vam tias yuav ua rau yav tom ntej, tab sis tam sim no koj yuav tsum sau nws manually.

Puas muaj daim ntawv qhia rau ib lub tsev kho mob kom pom tias tus neeg siv twg tau xa daim ntawv tso cai lossis xa mus?

Peb tsis muaj daim ntawv qhia hauv Jiva. Txawm li cas los xij, cov neeg muab kev pabcuam tuaj yeem tshawb nrhiav cov kev thov los ntawm PCP lossis cov neeg mob uas tsis yog PCP los tsim cov npe ntawm cov kev thov cuam tshuam nrog lawv qhov chaw.

Kuv puas yuav raug ntiab tawm vim tsis muaj kev ua ub ua no?

Yog koj tsis ua dab tsi (tsis tau nkag mus rau qhov kev tso cai lossis kev xa mus), koj yuav raug tawm hauv lub system tom qab 20 feeb.

Peb puas tuaj yeem tshawb xyuas seb puas tsim nyog los ntawm Jiva?

Tsis yog. Thov siv cov txheej txheem ib txwm muaj hauv Portal los xyuas seb puas tsim nyog.

Vim li cas kuv cov kev thov uas tau ua tiav thiab tau pom zoo lawm thiaj tsis hloov kho tshiab rau ntawm kuv lub dashboard?

Nco ntsoov refresh koj lub dashboard kom pom cov kev hloov tshiab.

Yog tias muaj lub sijhawm sib nrug hauv kev them nqi yuav ua li cas?

Yog tias muaj qhov sib txawv ntawm kev them nqi lossis kev tsim nyog, Lub Koom Haum yuav tsis them cov kev pabcuam. Qhov no txhais tau tias tus neeg muab kev pabcuam yuav tsum tau them tus nqi rau lub koom haum kom raug - tej zaum yog Tus Nqi Rau Kev Pabcuam. Txhua qhov kev thov rau cov kev pabcuam thaum tus tswv cuab tsis tsim nyog yuav raug tsis lees paub.

Puas yuav muaj kev ceeb toom los ntawm fax txog kev pom zoo, kev tso cai, kev tsis lees paub, thiab lwm yam txog kev tso cai?

Yog. Txawm hais tias koj tuaj yeem saib cov no ntawm Jiva platform, koj tseem yuav tau txais faxes.

Peb puas tuaj yeem thov kom CM (Case Management) txuas ntxiv mus los ntawm Jiva?

Cov kws kho mob tuaj yeem thov kom txuas ntxiv rau txhua qhov kev tso cai los ntawm Jiva. Txawm li cas los xij, thov nco ntsoov tias cov kev pabcuam sab nraud xav tau kev thov kev tso cai tshiab rau kev txuas ntxiv.

Kev tshawb nrhiav

Raws li tus thawj coj / cov neeg ua haujlwm, kuv puas tuaj yeem pom txhua tus neeg ua haujlwm hauv chaw ua haujlwm nkag rau peb lub koomhaum / chaw ua haujlwm / chaw ua haujlwm?

Koj tuaj yeem tshawb nrhiav txhua qhov kev thov uas cuam tshuam nrog koj lub chaw thiab tus tswv cuab txuas nrog. Kev tshawb nrhiav cov kev thov los ntawm lub npe ntawm tus tswv cuab yuav tso saib txhua qhov kev thov uas tus neeg siv thiab lub chaw cuam tshuam xa rau tus tswv cuab. Koj tuaj yeem tshawb nrhiav cov npe ntawm cov kev thov uas cuam tshuam nrog koj lub chaw yam tsis tas sau cov qauv tshawb nrhiav los ntawm kev nyem rau ntawm Kev tshawb khawm kom pom cov txiaj ntsig hauv qab no. Koj tuaj yeem lim koj cov txiaj ntsig los ntawm kev xaiv Saib Auths los ntawm lub Kev Thov Tshawb Nrhiav screen. Koj tuaj yeem lim koj qhov kev tshawb nrhiav los ntawm Tsis yog PCP, Lub Npe Tus Muab Kev Pabcuam thiab Xa los ntawm.

Kuv puas tuaj yeem tshawb nrhiav txhua tus tswv cuab ntawm Alliance lossis tsuas yog cov tswv cuab uas tau txais kev pom zoo rau cov kev pabcuam los ntawm kuv lub koom haum/chaw ua haujlwm/chaw zov me nyuam xwb?

Yog tias koj lub chaw kho mob yog ib tug PCP, koj tuaj yeem tshawb nrhiav thiab sau cov npe ntawm cov tswv cuab uas txuas nrog koj lub chaw kho mob los ntawm kev mus rau Ntawv qhia zaub mov > Kuv cov tswv cuab thiab Tshawb nrhiav raws li PCP Cases. Yog tias koj lub chaw kho mob yog ib tus kws tshwj xeeb, koj yuav tsum xaiv Kev Thov Tshiab los ntawm cov ntawv qhia zaub mov thiab nkag mus rau hauv Tus lej ID ntawm tus neeg sau npe kom pom tus tswv cuab ntawd puv npo. Koj tuaj yeem nyem rau ntawm Lub Npe Tswv Cuab (xiav hyperlink) mus rau lawv cov ntaub ntawv (Txheej txheem cej luam ntawm cov tswv cuab lossis Tus Kws Saib Xyuas Neeg Mob Lub Zeem Muag). Nyob rau sab laug ntawm lub vijtsam ntawd, koj yuav pom cov ntu ntawm tus tswv cuab (kev tso cai, kev xa mus, kev thov). Muaj kev txwv rau kev qhib txhua qhov kev thov uas tseem tab tom tos, tab sis koj tuaj yeem saib tau Tshooj Abstract ua kom tiav tag nrho.

Kuv puas tuaj yeem tshawb nrhiav cov ntawv thov kev tso cai uas peb tau xa fax tuaj?

Hauv Jiva, koj tuaj yeem tshawb nrhiav thiab pom cov kev thov (ntu) uas tau nkag mus rau hauv Jiva txij li Lub Xya Hli 15, 2024.

Koj yuav pom tau cov kev thov faxed hauv keeb kwm ntawm cov tswv cuab tom qab lub lag luam ua tiav lawv, tab sis nws yuav tsis tshwm sim ntawm koj lub dashboard. Lub dashboard tsuas yog qhia qhov koj xa los ntawm Jiva.

Kuv nrhiav ib tug tswv cuab thiab lawv tshwm sim ntau zaus. Tus twg yog tus zoo tshaj plaws los ntxiv ib qho kev thov tshiab?

Koj tuaj yeem ntxiv los ntawm ib qho ntawm cov kev sib txuas ntawm cov tswv cuab. Koj tuaj yeem ntxiv ib qho kev thov los ntawm Saib Xyuas Neeg Mob (Txheej Txheem Cej Luam ntawm Cov Tswv Cuab). Koj mus txog rau Kev Txheeb Xyuas Txog Cov Tswv Cuab los ntawm kev nias rau ntawm lub npe ntawm tus tswv cuab los ntawm ib kab lus uas tau xa rov qab los hauv koj qhov kev tshawb nrhiav.

Kuv puas siv tau cov lej tso cai los nrhiav kev tso cai?

Yog. Koj tuaj yeem tshawb nrhiav los ntawm tus lej tso cai rau txhua qhov kev tso cai txuas nrog koj tus neeg muab kev pabcuam thaum xa daim ntawv thov. Ntawv qhia zaub mov, mus rau Kev Thov Tshawb Nrhiav thiab sau tus lej tso cai kom xa rov qab rau ib tug tswv cuab los ntawm tus lej tso cai.

Kho, Hloov Kho thiab Tshem Tawm Cov Kev Thov

Peb yuav hloov kho lossis hloov kho daim ntawv thov li cas tom qab peb xa nws tiav lawm?

Koj tuaj yeem ntxiv cov ntawv sau, cov ntaub ntawv, kev kuaj mob thiab cov neeg muab kev pab rau hauv daim ntawv thov uas tseem tab tom tos. Koj tuaj yeem ntxiv ib daim ntawv sau kom txog thaum qhov ntu ntawd raug kaw (los ntawm Alliance thiab tau saib xyuas thiab pom zoo, tsis lees paub, tshem tawm, thiab lwm yam). Yog tias koj xav tau tshem tawm lossis hloov daim ntawv thov tom qab xa nws, siv hom ntawv sau. Tso tseg lossis Hloov nrog cov ntsiab lus ntawm kev hloov/tshem tawm. Tus kws tu mob yuav tau txais kev ceeb toom tias koj tau ntxiv qhov kev thov hloov lossis tshem tawm rau qhov kev thov uas tseem tab tom tos.

Tom qab koj txiav txim siab lawm, koj yuav tsum tsim ib daim ntawv thov tshiab los ntawm lub portal lossis xa daim ntawv thov hloov tus kws kho mob los ntawm fax (831-430-5850). Koj tuaj yeem tiv tauj kom paub txog 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 thauj mus los: fax 831-430-5850, hu rau 831-430-5640 lossis email [email protected].
Tsev Muag Tshuaj: hu rau 831-430-5507.
Kev Tso Cai Tswj Xyuas Kev Kho Mob Zoo Dua/Kev Txhawb Nqa Hauv Zej Zog: email [email protected].

Yog tias tus neeg mob txiav txim siab hloov tus neeg muab kev pabcuam, kuv puas siv tau qhov kev xaiv thov hloov lossis kuv puas yuav tsum xa daim ntawv thov xa mus rau lwm tus?

Koj tsuas yog hloov tau cov kev tso cai uas tseem tab tom tos xwb. Yog tias qhov kev tso cai raug ua tiav/kaw lawm, thov xa daim ntawv thov tshiab.

Kuv yuav ua li cas thiaj li tshem tawm lossis rho tawm cov kev tso cai?

Ua ntej xa (thaum nyob rau hauv qhov xwm txheej draft), koj tuaj yeem nyem rau ntawm lub cim iav nyob ib sab ntawm ntu xa ntawv uas tseem tab tom tos thiab xaiv Kho kom raug ntu. Nyob rau hauv qab ntawm lub vijtsam, koj tuaj yeem xaiv Tshem tawm. Tom qab ib ntu (kev thov) tau xa mus thiab ua ntej kev txiav txim siab tau nkag mus, koj tuaj yeem qhib ntu thiab ntxiv ib daim ntawv sau nrog hom ntawv sau. Tso tseg thiab sau ib daim ntawv thov kom tshem tawm qhov ntu no. Tom qab txiav txim siab tiav lawm, koj yuav tsum hu rau Alliance UM kab ntawm 831-430-5506 lossis email [email protected].

Puas yuav tsum muaj ib ntu uas tas sij hawm ua ntej thiaj li thov tau ncua sij hawm? Kuv tuaj yeem thov kom ncua sij hawm thaum twg?

Feem ntau cov "kev txuas ntxiv" yog cov lus thov kom pom zoo rau lub sijhawm ntev dua. Qhov no yuav tsum yog ib daim ntawv thov tshiab. Daim ntawv thov tshiab tuaj yeem xa tuaj 2-4 lub lis piam ua ntej daim ntawv thov ua ntej tas sij hawm. Nco ntsoov sau tseg kom meej meej tias koj tab tom thov kom nws pib tom qab daim ntawv tso cai tam sim no tas sij hawm.

Yog tias kuv xa ib qho kev hloov kho rau ib daim ntawv thov, kuv yuav tau txais kev lees paub li cas txog qhov kev kho uas kuv tau ua?

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 pom cov kev hloov pauv uas koj tau thov ntawm qhov screen ntu. Rau txhua PCR los ntawm fax, koj yuav tau txais kev lees paub fax. Yog tias koj qhov kev thov tau xa email, koj yuav tau txais email lees paub.

Feem ntau kuv yuav tsum hloov daim ntawv tso cai rau Housing Transitions and Navigation Services thaum cov tswv cuab tawm hauv peb qhov kev pab cuam. Yog tias kuv hloov tsis tau daim ntawv tso cai tom qab nws tau pom zoo, ces kuv yuav ua li cas yog tias nws yog kev pabcuam capitated?

Cov chaw muab kev pab tuaj yeem xa fax tuaj rau peb yog tias muaj kev thov hloov pauv rau cov ntu kaw (pom zoo). Cov chaw muab kev pab ECM/CS (HTNS) kuj tuaj yeem xa email rau peb.

Cov Ntawv Xa Tuaj Tos (Cov Qauv)

Kuv yuav nrhiav tau kuv cov qauv ntawv qhov twg?

Koj tuaj yeem nrhiav koj cov qauv ntawv ntawm koj lub dashboard. Nyem rau ntawm qhov bar ib sab ntawm Cov Ntawv Xa Tuaj Tos nyob rau sab xis saum toj ntawm lub widget.

Hais txog "Pending Decision" tab ntawm Jiva, cov ntawv ceeb toom no puas yuav pom rau tag nrho peb pab neeg, lossis lawv puas tuaj yeem muaj rau cov tib neeg uas tau thov kev tso cai?

Lub Kev Txiav Txim Siab Tos Txais tab yog tus kheej rau txhua tus neeg siv. Yog li ntawd, tsuas yog tus neeg siv uas tau xa daim ntawv thov thiaj li yuav pom tau cov kev txiav txim siab tseem tab tom tos txog cov kev thov uas lawv tau xa los ntawm Kev Txiav Txim Siab Tos Txais lub cim.

Kev tso cai

Kuv puas yuav taug qab tau cov kev tso cai los ntawm cov hnub ua haujlwm dhau los?

Yog. Mus rau Saib Xyuas Neeg Mob (MCV, Txheej Txheem Cej Luam Tswv Cuab) los ntawm kev nias rau ntawm lub npe ntawm tus tswv cuab (qhov txuas xiav). Ntawm sab laug, muaj daim ntawv teev tag nrho cov ntu uas cuam tshuam nrog tus tswv cuab (ob qho tib si qhib thiab kaw) uas tau nkag mus txij li Lub Xya Hli 15, 2024.

Kuv yuav nrhiav tau tus lej tso cai TAR qhov twg? Piv txwv li, kuv twb xa daim ntawv TAR thawj zaug lawm, tab sis kuv tsis pom nws ntawm kuv daim ntawv luam tawm ua ntej.

Nws tau teev nyob rau ntawm qhov screen ntawm zaj thiab Tshooj Abstract (muaj rau luam tawm ua PDF). Nco ntsoov tias tus lej tso cai hauv Jiva tsis yog cov ntawv thiab tsuas yog muaj cov lej xwb.

Thaum kuv pom qhov ntu uas kuv xav tau lawm, kuv yuav ua li cas luam daim ntawv tso cai tiag tiag nrog tag nrho cov ntaub ntawv?

Nyem rau ntawm lub cim iav nyob ib sab ntawm ntu thiab xaiv Tshooj Abstract. Koj tuaj yeem luam tawm los ntawm qhov kev pom no.

Kuv puas tuaj yeem luam daim ntawv tsis kam lees nrog cov laj thawj rau kev tsis kam lees thiab cov ntaub ntawv thov rov hais dua?

Yog. Yog tias tsab ntawv tsis kam lees tau xa mus rau koj lub chaw fax, koj tuaj yeem luam tawm (tab sis koj yuav tsis tuaj yeem luam tawm cov ntawv uas tsis tau xa tuaj rau koj).

Yog tias kuv tab tom nrhiav cov ntawv tso cai, kuv tuaj yeem nrhiav cov ntawd qhov twg hauv Jiva? Qee zaum peb tsis tau txais cov ntawv fax.

Los ntawm lub Kev Txheeb Xyuas Txog Cov Tswv Cuab, nyem rau ntawm nthuav dav (X) lub cim nyob ib sab ntawm Kev sib txuas lus lub widget kom qhib daim ntawv teev cov ntawv. Thaum koj pom tsab ntawv koj xav saib, nyem rau ntawm lub cim iav thiab xaiv Saib Tsab Ntawv PDF.

Koj tuaj yeem saib tsab ntawv los ntawm kev tso cai nws tus kheej. Nyem rau ntawm qhov lub cim iav nyob ib sab ntawm ntu uas koj xav saib thiab xaiv Qhiben. Tom qab ntawd, siv xiav Kev Ua Haujlwm khawm nyob rau sab laug saum toj ntawm qhov screen mus rau Kev sib txuas lus. Yuav muaj ib daim ntawv teev tag nrho cov ntawv tshwj xeeb rau qhov kev tso cai ntawd. Siv qhov lub cim iav kom luam daim PDF.

Puas yog cov kev thov kev tso cai raug tshem tawm tam sim ntawd es tsis yog ceeb toom ua ntej tsawg kawg 48 teev?

Nws nyob ntawm seb yog vim li cas nws thiaj raug tshem tawm. Cov ntawv xa tsis raug yog qhov tsis muaj txiaj ntsig yam tsis muaj kev ncua. Cov kev thov uas tsis muaj cov ntaub ntawv yuav tau txais Daim Ntawv Ceeb Toom Tsis tiav thiab yuav raug tshem tawm yog tias peb tsis tau txais cov ntaub ntawv hauv 24 teev ntawm kev thov.

Kuv yuav ua li cas thiaj tau txais kev tso cai rau cov me nyuam yug tshiab?

Cov menyuam mos uas yug tshiab yuav tsim nyog tau txais kev pab los ntawm lawv tus kheej daim ID thaum tau txais kev pab los ntawm Medi-Cal los ntawm qhov kev pab cuam Newborn Gateway. Cov menyuam mos uas tau txais kev pab los ntawm Newborn Gateway tau txais kev pab los ntawm State FFS Medi-Cal rau lawv lub hlis yug. Kev tsim nyog tau txais kev pab cuam no yuav tsum tau txheeb xyuas siv DHCS Provider Portal. Yog xav paub ntxiv, thov mus saib DHCS. Nplooj ntawv yug tshiab Gateway.

Cov menyuam mos uas tsis tau txais kev pab los ntawm lawv daim npav ID los ntawm qhov kev pab cuam Newborn Gateway yuav ua raws li qhov kev pab cuam rau cov menyuam mos tam sim no, qhov twg cov menyuam mos tau txais kev pab los ntawm niam daim npav ID rau lub hlis yug thiab txog rau lub hlis thib ob ntawm kev yug. Cov kev pab cuam ua ntej rau cov neeg mob sab nraud thiab cov neeg mob hauv tsev kho mob yuav xav tau daim ntawv TAR raws li niam daim npav ID, uas yuav tsum qhia tias “"tus me nyuam siv niam daim npav ID; lub npe me nyuam, hnub yug."” Rau Daim Ntawv Pov Thawj IP (lees paub), daim ntawv qhia ntsej muag, hauv qab daim ID ntawm niam, yuav tsum qhia “"tus me nyuam siv niam daim npav ID; lub npe me nyuam, hnub yug."”

Lub Sijhawm Tig Rov Qab thiab Kev Pom Zoo Tsis Siv Neeg

Lub sijhawm xav tau rau kev pom zoo yog dab tsi?

Rau cov kev thov ib txwm muaj, lub sijhawm ua tiav yog 5 hnub lossis tsawg dua. Cov kev thov ceev muaj lub sijhawm ua tiav 72 teev. Cov kev thov tom qab kev pabcuam/kev thov rov qab muaj txog li 30 hnub. Qee cov kev thov raug pom zoo tam sim ntawd raws li kev pom zoo ntawm cov qauv. Qee cov kev thov yuav raug ncua yog tias muaj ntaub ntawv ntxiv.

Cov kev pabcuam twg tau txais kev pom zoo los ntawm tus kheej?

Qhov no yog daim ntawv teev ntev thiab tuaj yeem hloov pauv. Cov feem ntau yog Cov Lus Qhia Hauv Zos (kev sab laj/kev ua raws li) thiab cov lus thov ECM.

Txuas Cov Neeg Muab Kev Pabcuam

Yog tias kuv xaiv PCP Referral nyob rau hauv qab "Reason for Request", qhov ntawd puas yuav ntxiv kuv lub koom haum ua tus neeg thov kev pab?

Tsis yog. Koj yuav tsum xaiv koj tus neeg muab kev pab ua tus neeg thov kev pab thaum koj xa cov neeg muab kev pab mus rau lwm tus. Kev Xa Mus Rau PCP tsuas yog siv qhov kev xaiv thaum lub chaw ua haujlwm ntawm PCP xa daim ntawv thov Kev Xa Mus Rau Hauv Zos (kev sab laj / kev ua raws li).

Yog tias kuv nrhiav tsis tau ib tus kws kho mob lossis lub npe ntawm chaw kho mob, kuv puas nrhiav tau cov kws kho mob los ntawm kev tshwj xeeb?

Koj tsis tuaj yeem tshawb nrhiav los ntawm kev tshwj xeeb. Koj yuav tsum tshawb nrhiav los ntawm lub chaw lossis lub npe chaw kho mob. Hauv Cov Ntaub Ntawv Tiv Tauj Tus Muab Kev Pabcuam ntu, koj yuav raug hais kom sau lub npe ntawm tus neeg muab kev pabcuam.

Kuv yuav sau cov ntaub ntawv hauv tsev kho mob qhov twg?

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.

Qhov txawv ntawm ib qho thiab ntau qhov thaum txuas tus neeg muab kev pabcuam yog dab tsi?

Ib qho txuas tsuas yog txuas tus neeg muab kev pabcuam ntawd xwb. Koj yuav tsum qhib qhov screen tshawb nrhiav kom ntxiv tus neeg muab kev pabcuam thib ob. Kev coj ua zoo tshaj plaws yog siv ntau yam txuas.

Puas muaj txoj hauv kev uas kuv tuaj yeem txuas cov lej NPI?

Yog koj xa ib tus neeg muab kev pab cuam nrog koj, koj siv tau NPI #, tus neeg muab kev pab cuam # lossis lub npe chaw kho mob. Txawm li cas los xij, koj tsuas yog tuaj yeem tshawb nrhiav los ntawm qib chaw kho mob lossis qib chaw kho mob (kev them nqi) NPI xwb.

Yog tias kuv xa ib tug neeg mob mus rau ib lub chaw kho mob uas muaj ntau tus kws kho mob thiab kuv tsis paub tias lawv yuav teem sijhawm nrog leej twg, kuv yuav tsum qhia dab tsi rau hauv thaj chaw lub npe ntawm tus kws kho mob?

Tus "kws kho mob" txhais tau tias yog tus kws kho mob xa mus lossis tus kws kho mob uas pab kho. Yog tias koj tsis paub tus kws kho mob, koj tuaj yeem sau lub npe tshwj xeeb ntawm tus kws kho mob xa mus, lossis koj tuaj yeem sau "tsis tau paub" lossis "n/a" rau lub npe ntawm tus kws kho mob hauv ntu tiv tauj tus kws kho mob yog tias qhov kev thov tsis yog los ntawm tus kws kho mob.

Yog tias kuv qhov chaw nyob/tus neeg muab kev pab tsis teev rau kev txuas nrog, yuav ua li cas?

Koj yuav tsum sau lub npe ntawm lub chaw kho mob lossis lub chaw kho mob. Koj tsis tuaj yeem tshawb nrhiav los ntawm tus neeg muab kev pab ib leeg. Koj tuaj yeem ntxiv tus neeg muab kev pab thiab qhov chaw tshwj xeeb rau hauv daim teb uas yuav tsum tau ua. Qhov tshwj xeeb yog tias cov neeg muab kev pab muaj/muaj lawv tus kheej lub chaw kho mob, koj tuaj yeem tshawb nrhiav lawv thaum txuas cov neeg muab kev pab.

Yog tias peb lub chaw kho mob tsis tau teev npe, kuv yuav tiv tauj leej twg?

Tiv tauj koj tus Neeg Sawv Cev rau Kev Pabcuam Muab Kev Pabcuam (PSR).

Zoo li kuv xaiv tau ntau tus neeg muab kev pabcuam. Qhov no puas txhais tau tias kuv siv tau tib tus lej tso cai rau ntau yam kev tshwj xeeb?

Koj tsuas yog yuav tsum xaiv ib tus neeg thov kev pab thiab ib tus neeg muab kev pabcuam xwb. Txuas ntau yam kev xaiv yog kom koj tuaj yeem xaiv tus neeg thov thiab tus neeg muab kev pabcuam.

Tus neeg muab kev pabcuam thiab tus neeg thov kev pabcuam puas tuaj yeem zoo ib yam?

Yog, tab sis koj yuav tsum nias "ntau qhov txuas" ob zaug thiab nco ntsoov sau ib qho tias thov thiab ib qho yog kev pabcuam.

Xa Cov Lus Thov

Qhov txawv ntawm tus neeg mob pw hauv tsev kho mob thiab tus neeg mob sab nraud yog dab tsi?

Kev pw hauv tsev kho mob txhais tau tias tus tswv cuab nyob hauv ib qho chaw xws li kev pw hauv tsev kho mob, kev nyob hauv chaw saib xyuas neeg mob uas muaj kev txawj ntse, kev saib xyuas mus sij hawm ntev, thiab lwm yam. Txhua yam yog kev sab laj/kev saib xyuas tom qab, cov txheej txheem, kev thaij duab x-ray, ECM/CS, PAD, thiab lwm yam.

Vim li cas kuv thiaj li yuav tsum nkag mus rau hom code thaum thov?

Lub Hom Code yog qhov yuav tsum tau ua vim yog Jiva cov kev teeb tsa uas tsis tuaj yeem hloov pauv. Cov hom code feem ntau suav nrog HCPC, CPT lossis CUS (rau Kev Cai). HCPC Cov lej yog cov tsiaj ntawv thiab cov lej, pib nrog tsab ntawv ua raws li cov lej, xws li G0181 rau Kev Noj Qab Haus Huv Hauv Tsev. CPT cov lej yog cov lej tag nrho, xws li 33016 rau kev phais plawv. Yog tias nws yog ib qho CUS hom code, koj yuav tsum sau ob peb tsab ntawv thawj zaug ntawm cov code kom tau txais cov kev xaiv dropdown. Cov code tshwj xeeb suav nrog Kev siv koob txhaj (ACUVISITS); Kev Siv Tshuaj loog Hniav (DENTALANESTHI); MRI; Kev xa mus (CON los qhia txog kev xaiv Tus Kws Pab Tswv Yim Sab Laj nrog Kev Mus Xyuas Tom Qab; FOL coj los Tsuas yog mus ntsib tom qab xwb); Kev Kho Mob Rau Cov Neeg Mob Uas Muaj Teeb Meem Ntev (PLTVCR); ECM (ECM01, ECM02) thiab CS (CS01 – CS08).

Peb puas tuaj yeem upload cov ntawv ntsej muag rau Jiva?

Yog.

Thaum thov cov kev pabcuam OP, vim li cas lub interface thiaj ua rau kuv hloov qhov laj thawj mus rau Specialist lossis PCP?

Kev Xa Mus Rau PCP lossis Tus Kws Tshwj Xeeb Mus Rau Tus Kws Tshwj Xeeb Kev Xa Mus Cov kev xaiv tsuas yog rau cov kev thov kom xa mus (Kev Mus Xyuas Hauv Chaw Ua Haujlwm), tsis yog rau OP Cov Kev Pabcuam. Yog tias koj tau xaiv Qhov laj thawj rau 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.

Yog tias kuv xa daim ntawv thov, kuv puas raug tso cai siv kuv tus xov tooj thiab tus lej fax? Cov ntaub ntawv tiv tauj ntawm tus neeg muab kev pabcuam puas tsis txuas, lossis nws puas yuav muaj nyob hauv?

Koj yuav tsum sau koj tus xov tooj thiab tus lej fax rau hauv koj tus kheej. Koj siv tau koj cov ntaub ntawv yog tias qhov ntawd yog cov ntaub ntawv tseeb rau peb hu rau.

Peb puas tuaj yeem sau cov ntaub ntawv thov tshuaj uas kws kho mob muab rau hauv online?

Yog. Los ntawm qhov dropdown Add Request, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv qhov dropdown Reason for Request, xaiv OP Pharmacy. Xaiv RX-Tus kws kho mob muab tshuaj nyob rau hauv qhov dropdown ntawm Service Type thiab sau tus lej kev pabcuam li niaj zaus. Txuas ntxiv sau lwm yam tshuaj los ntawm Medi-Cal Rx.

Peb xa DME thov li cas?

Thaum sau cov kev thov tshiab rau DME los ntawm qhov dropdown Add Request, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv qhov dropdown Reason for Request, xaiv OP Services. Hauv qhov dropdown ntawm Service Type, xaiv qhov kev xaiv DME uas tsim nyog (DME-Cov Khoom Siv, DME-Cov Khoom Siv Kho Mob, DME-Cov Khoom Siv Kho Mob Orthotics, DME-Cov Khoom Siv Kho Mob Prosthetics). Hom lej thiab cov lej kev pabcuam tseem zoo ib yam. Cov lej DME yuav luag ib txwm yog cov lej HCPC.

Peb puas yuav siv cov txheej txheem no rau kev xa cov kev pabcuam CalAIM xws li ECM/CS?

Yog. Thaum sau cov 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 dropdown Reason for Request, xaiv Qhov kev pab cuam ECM lossis ECM CS. Hauv qhov dropdown ntawm Service Type, xaiv Kev Txhim Kho Kev Pab Tswj Kev Tu Xyuas (Enhanced Care Managment; ECM raws li sau hauv lus Askiv) lossis Cov Zej Zog Kev Pab Txhawb. Hom code yog CUS (rau Kev Cai) thiab cov lej pabcuam tseem nyob ECM01 thiab ECM02 rau ECM thiab CS01 – CS08 rau CS. Rau kev txhawb nqa hauv zej zog Medically Tailored Meals, siv hom code HCPC thiab cov code S5170 lossis S9977 thiab S9740.

Peb muab cov lej CPT tso rau qhov twg?

Hauv daim teb Kev Pabcuam/Kev Tshwj Xeeb/Kev Thov Tshuaj.

Peb puas sau lub npe tshuaj lossis tus lej J?

Cov lej J yog cov lej HCPC. Koj sau lawv rau tib qho chaw tab sis hloov Hom lej rau HCPC.

Kuv yuav tsum ntxiv qhov laj thawj rau qhov kev tso cai rau qhov twg?

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 rau hauv cov ntawv sau tseg rau hauv qab ntawm nplooj ntawv.

Yog tias xav tau ntau yam kev kuaj mob, peb puas yuav teev tag nrho lossis tsuas yog thawj qhov xwb?

Yuav tsum muaj tsawg kawg ib qho kev kuaj mob. Koj sau tau ntau npaum li koj xav tau.

Kuv puas tuaj yeem muab ntau tshaj ib daim ntawv ntxiv rau thaum xa daim ntawv thov thiab puas muaj cov kev cai/kev txwv qhov loj ntawm cov ntawv ntxiv?

Koj tsuas yog muab tau ib daim ntawv ntxiv thaum koj xa daim ntawv thov tshiab xwb. Txawm li cas los xij, koj tuaj yeem ntxiv cov ntaub ntawv ntxiv tam sim ntawd tom qab koj xa daim ntawv thov. Nyem rau ntawm Hom Ntawv Qhia (IP los yog OP) kom 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 kev txwv qhov loj thaum muab cov ntaub ntawv txuas.

Kuv puas tuaj yeem xa cov ntaub ntawv, yog tias xav tau, rau kev tso cai xa los ntawm lwm tus kws pab kho mob / tus neeg ua haujlwm hauv chaw ua haujlwm?

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

Peb yuav ntxiv ntau tshaj ib qho modifier li cas?

Sau thawj qhov kev hloov kho rau hauv qhov screen thov kev pabcuam hauv Hloov kho teb thiab ntxiv lwm cov kev hloov kho hauv ntu sau ntawv.

Kuv yuav ua li cas thiaj paub tseeb tias MRI muaj lossis tsis muaj qhov sib piv?

Lub Koom Haum tsis tas yuav paub qhov no. Siv qhov CUS cov lej MRI tshwj xeeb xaiv ntau yam lej kom qhov sib piv siv tau lossis tsis siv raws li qhov xav tau ntawm tus neeg muab kev pabcuam.

Ua ib tug PCP uas tab tom nrhiav kev tso cai rau MRI, kuv puas siv "OP Services" lossis kuv puas siv tau "PCP Referral?""

Siv Kev Thov Kho Mob Sab Nraud, Vim li cas = OP Services, Hom Kev Pabcuam = Kev kuaj mob, Hom Kev Pabcuam Code = CUS, Code = ntaus ntawv rau hauv MRI thiab xaiv los ntawm daim ntawv teev cia. Tsuas yog siv Kev Xa Mus Rau PCP rau cov lus thov mus ntsib chaw ua haujlwm (kev sab laj thiab kev ua raws li) los ntawm PCP.

Puas yog cov lej HCPCs/CPT ntawm tus kws kho mob puas xav tau kev xa mus lossis kev thov kev tso cai?

Yog tias kev sab laj/kev saib xyuas/kev mus ntsib kws kho mob tsuas yog rau kev kuaj 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 kev thov kev tso cai thiab yuav tsum siv Qhov laj thawj rau Kev Thov. OP Services.

Kuv yuav ua li cas thiaj thov tau ib daim ntawv thov retro RAF (Post Service)?

Thaum koj sau ib daim ntawv thov, lo lus nug thawj zaug yog ib qho dropdown uas suav nrog post-service ua ib qho kev xaiv.

Cov kev thov tso cai rov qab puas tau txais kev pom zoo los ntawm tus kheej (yog tias lawv nyob hauv network)? Kuv tau pom qee qhov uas hais tias lawv tuaj yeem siv sijhawm txog 30 hnub los tshuaj xyuas.

Yog tias nws yog hom kev thov uas tau txais kev pom zoo los ntawm tus kheej, ces nws yuav tsum tau txais kev pom zoo los ntawm tus kheej txawm tias yog kev thov qub.

Puas muaj kev txwv rau qhov ntev npaum li cas uas tuaj yeem thov kev tso cai rov qab?

Tsis yog, tab sis ib xyoos yog tus qauv. Yog tias laus dua ib xyoos, nws yuav tsum muaj laj thawj vim li cas nws thiaj lig ua luaj. Txwv tsis pub, nws yuav raug tsis lees paub vim tias nws tau ua haujlwm ntau dua ib xyoos txij li thaum tau muab kev pabcuam.

Vim li cas cov kev tso cai retro thiaj li yuav tsum tau tshuaj xyuas kev siv?

Txhua qhov kev thov rov qab xav tau cov ntaub ntawv pov thawj tsim nyog, uas yog tib tus qauv li cov kev thov ua ntej kev pabcuam. Peb xav tau cov ntaub ntawv los txiav txim siab seb lawv puas ua tau raws li qhov xav tau kev kho mob.

Kuv yuav thov kev mus ntsib kws kho mob chiropractic li cas ib kauj ruam zuj zus?

Vim li cas = OP Services, Hom Kev Pabcuam = Rehab Therapies, Hom Code = CPT, Tus lej (sau tus lej CPT). Tag nrho lwm cov kauj ruam yuav tsum zoo ib yam li lwm qhov kev thov.

Kuv nyuam qhuav xa daim ntawv thov thiab nws hais tias "Kaw lawm" nyob rau sab saum toj. Puas yog qhov ntawd yuav tsum hais tom qab koj xa?

Thaum twg daim ntawv thov raug xa mus thiab muaj kev txiav txim siab (pom zoo lossis tsis pom zoo), qhov xwm txheej yuav hloov mus ua kaw lawm. Hauv qhov no, koj daim ntawv thov tau ua raws li cov cai "kev pom zoo tsis siv neeg" thiab tau txais kev pom zoo tam sim ntawd thiab yog li ntawd kaw lawm.

Kev xa mus

Thaum sau daim ntawv xa mus rau kev sab laj thiab kev saib xyuas tom qab, kuv puas yuav tsum sau cov ntawd cais?

Tsis yog. Thaum sau ib qho kev xa mus, hom code yog CUS (rau kev cai). Tom qab ntaus ntawv CON, koj yuav muaj kev xaiv los xaiv Kev Mus Sib Tham lossis Kev Sib Tham Nrog Kev Mus Xyuas Tom Qab. Ntaus ntawv FOL yuav tso cai rau koj xaiv cov kev mus ntsib tom qab nkaus xwb.

Peb puas tuaj yeem xa fax mus rau cov neeg xa mus?

Lub Koom Haum xav kom txhua tus neeg muab kev pabcuam siv lub Portal yog tias lawv muaj cai nkag mus rau nws. Txawm hais tias peb lees txais cov ntawv xa fax, muaj kev ncua sijhawm ntev dua hauv kev ua tiav lawv thiab nws ua rau peb tsis tuaj yeem ua tiav cov txheej txheem. Koj yuav tsum tiv tauj tus neeg muab kev pabcuam kom paub seb leej twg tuaj yeem pom lawv ua ntej xa daim ntawv thov xa mus.

Yav tas los, kev thov xa mus rau lwm tus tsuas yog kev ua raws li qhov tau hais xwb. Tam sim no, kuv puas yuav tsum ntaus txhua tus lej CPT?

Koj xaiv ib qho Hom Code (qhov no yog qhov tshiab) thiab nws yuav yog CPT, HCPC lossis CUS (rau kev cai) nyob ntawm hom kev thov kev pabcuam. Yog tias qhov kev xaiv tsuas yog "ua raws li" ua ntej, ces siv tus lej CUS UA RAWS LI NTAWD.

Puas yog ntxiv "CUS" rau kev xa mus rau chaw ua haujlwm suav nrog cov kev pabcuam hauv chaw kuaj mob? Feem ntau, cov no yog ntxiv rau kev mus rau chaw ua haujlwm. Yuav xa cov no li cas rau kev xa mus?

Nws nyob ntawm cov kev pabcuam hauv chaw kuaj mob tshwj xeeb uas xav tau. Yog tias daim ntawv thov hauv chaw kuaj mob tsis xav tau kev tso cai thiab tsuas yog xav tau kev xa mus xwb, ces tus lej CUS rau kev xa mus yuav suav nrog cov kev pabcuam ntawd. Yog tias cov kev pabcuam hauv chaw kuaj mob tshwj xeeb xav tau kev tso cai, ces daim ntawv xa mus CUS yuav tsis suav nrog lub chaw kuaj mob ntawd. Hauv qhov no, cov kws kho mob yuav tsum xa daim ntawv tso cai sib cais los ntawm kev xa mus siv Lub laj thawj rau kev thov. OP Services thiab Hom Kev Pabcuam Kev kuaj mob, ces seb tus lej twg cuam tshuam rau cov chaw kuaj mob uas tau thov.

Peb puas tuaj yeem xa ob daim ntawv thov rau ntau lub chaw sib txawv tib lub sijhawm rau tib qho kev tshwj xeeb?

Qhov no tsis yog qhov zoo tshaj plaws, vim nws tuaj yeem ua rau muaj kev pabcuam zoo sib xws lossis ncua kev saib xyuas. Koj tuaj yeem ua tau yog tias tsim nyog, tab sis muaj feem ntau uas peb yuav tsis lees txais ib qho ntawm lawv lossis ncua kev tshuaj xyuas vim peb yuav tsum nug tias vim li cas muaj ob qho.

Yog tias tus PCP tau tso cai ua ntej rau kev xa mus, qhov ntawd puas yuav yog nyob rau hauv kev kho mob sab nraud?

Yog. Xaiv Kev Thov Kho Mob Sab Nraud. Hauv qab Yog Vim Li Cas Thov, xaiv Kev Xa Mus Rau PCP (rau kev thov los ntawm PCP), Kev Xa Mus Rau Kws Tshwj Xeeb Los Ntawm Tus Kws Tshwj Xeeb (rau kev thov los ntawm tus kws tshwj xeeb) lossis Kev Xa Mus Rau OON (yog xav xa mus rau ib tus kws tshwj xeeb sab nraud ntawm lub network). Hauv Hom Kev Pabcuam, xaiv Kev Xa Mus. Rau Hom Kev Pabcuam, xaiv CUS. Hauv daim teb Service Code, ntaus ntawv rau hauv CON thiab xaiv ib qho twg los tau Kev Mus Saib Xyuas Sab Laj lossis Kev mus ntsib kws kho mob thiab kev sab laj tom qab.

Yog tias kuv yog ib tug kws tshwj xeeb uas xa daim ntawv tso cai rau kev saib xyuas txuas ntxiv mus, kuv yuav tsum sau daim ntawv thov hom twg?

Qhov no yog Daim Ntawv Thov Kho Mob Sab Nraud. Hauv qab Yog Vim Li Cas Thov, xaiv Kev Xa Mus Rau Kws Tshwj Xeeb Los Ntawm Tus Kws Tshwj Xeeb. 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 Cov Ntawv Sau, xaiv hom ntawv sau Cov Lus Cim Hauv Is Taws Nem thiab sau ib daim ntawv thov kom txuas ntxiv saib xyuas.

Kev kho mob hluav taws xob puas them rau hauv daim ntawv xa mus?

Kev mus ntsib chaw ua haujlwm Radiology thiab cov txheej txheem radiology uas tsis tas yuav tsum tau kev tso cai raug them rau hauv qab kev xa mus, tab sis cov txheej txheem radiology uas xav tau kev tso cai tsis yog. Cov txheej txheem thiab kev kuaj mob raug nkag mus rau hauv qab OP Services, tsis yog kev xa mus.

Cov kws tshwj xeeb lossis PCP puas tsim RAF rau kev saib xyuas txuas ntxiv?

Tus PCP yuav tsum xa daim ntawv thov thawj zaug. Tus kws tshwj xeeb yuav tsum xa daim ntawv thov kom mus ntsib kws kho mob tas mus li siv daim ntawv thov Tus Kws Tshwj Xeeb Mus Rau Tus Kws Tshwj Xeeb kev xaiv nyob rau hauv Qhov laj thawj rau qhov kev thov.

Kuv lub chaw ua haujlwm yog ib lub chaw muab kev pabcuam saib xyuas neeg mob. Kuv puas yuav tsum siv "OP Services" lossis kuv puas siv tau "PCP Referral?""

Yog xav tau kev xa mus, siv Kev Xa Mus Rau PCP (kev sab laj/kev mus ntsib tom qab). Lwm hom kev pabcuam yog OP Services. Yog tias koj thov kev tso cai rau kev pabcuam OP, xaiv OP Services.

Kuv yog ib tug kws tshwj xeeb uas thov kom tau ib daim RAF los ntawm ib tug PCP. Kuv puas yuav tsum muaj cov lej CPT?

Tsis yog. Xaiv Hom Code CUS. Hauv qab Code, ntaus ntawv rau hauv CON thiab xaiv tus lej Consult uas tsim nyog.

Puas yog lub chaw ua haujlwm tshwj xeeb tuaj yeem thov kom muaj retro RAF los ntawm lub portal es tsis txhob xa fax mus rau PCP?

Yog lawm, ib lub chaw ua haujlwm tshwj xeeb tuaj yeem thov kom muaj retro RAF los ntawm Jiva.

Yog tias tus kws kho mob tshwj xeeb xav tau xa tus neeg mob mus rau UCSF lossis Stanford, peb puas tuaj yeem tsim RAF peb tus kheej lossis tiv tauj tus neeg mob tus PCP?

Koj tuaj yeem xa daim ntawv xa mus xaiv Tus Kws Tshwj Xeeb Mus Rau Tus Kws Tshwj Xeeb los ntawm qhov dropdown Reason for Request.

Ua ib lub chaw kho mob pob txha, peb xa ntau tus neeg mob mus rau PT thiab mus rau lwm tus kws kho mob tshwj xeeb yam tsis tau xa cov neeg mob mus rau lawv tus PCP. Peb puas muab peb lub tsev kho mob lossis PCP ua tus neeg thov kev pab?

Koj tuaj yeem xa daim ntawv xa mus. Yog tias koj xa daim ntawv thov, ib txwm muab koj tus neeg muab kev pabcuam ua tus neeg thov kev pabcuam. Koj yuav tsum tsis txhob xaiv lwm tus neeg muab kev pabcuam ua tus neeg thov kev pabcuam. Tus neeg muab kev pabcuam tuaj yeem yog koj lossis lwm tus neeg muab kev pabcuam.

Lub Tsev Muag Tshuaj

Kuv yuav sau daim ntawv thov tshuaj rau cov neeg mob sab nraud (Infusions) DH li cas?

Los ntawm qhov dropdown Add Request, xaivTus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv qhov dropdown Reason for Request, xaivOP Pharmacy.XaivRX-Tus kws kho mob muab tshuajnyob rau hauv qhov dropdown ntawm Service Type thiab sau tus lej kev pabcuam li niaj zaus. Txuas ntxiv sau lwm yam tshuaj los ntawm Medi-Cal Rx.

Kuv yuav sau daim ntawv thov txhaj tshuaj ua xua li cas?

Tsim ib qho Kev Thov Kho Mob Sab Nraud. Hauv qab Yog Vim Li Cas Thov, xaiv OP Services. Hauv qab Hom Kev Pabcuam, xaiv Txheej Txheem. Rau Hom Code, xaiv HCPC thiab sau tus lej HCPC.

Yog tias kuv tau txais kev thov kev pabcuam rau ntau yam tshuaj chemo, kuv yuav tsum sau cov lej J qhov twg?

Hauv qab ntu Kev Pabcuam/Kev Thov Tshuaj Tshwj Xeeb, xaiv Hom Kev Pabcuam HCPC thiab nkag mus rau hauv J code nyob rau hauv lub Daim teb code. Tom qab sau hnub tim thiab tus lej thov, nyem rau ntawm xiav NTXIV khawm. Koj tuaj yeem rov ua cov txheej txheem nrog cov lej J ntxiv.

ECM/CS

Tus lej thov rau ECM yog dab tsi? Peb puas yuav hloov hnub kawg? Thaum peb cov kev tso cai tau txais kev pom zoo tsis siv neeg, lawv siv tau ib xyoos.

Rau ECM, tus lej thov yog 12. Hnub pib thiab hnub xaus yog hnub no. Yog tias koj xaiv ECM02, hnub kawg yuav kho nws tus kheej mus rau 12 lub hlis ntawm kev tso cai.

Kuv yuav tsim ib daim ntawv thov rau ECM post service li cas: cov neeg laus siv ntau, cov hluas siv ntau, cov neeg laus/menyuam yaus SMI/SUD thiab cov neeg tsis muaj tsev nyob?

Xaiv Kev Pabcuam Tom Qab nyob rau hauv thawj qhov kev xaiv dropdown thiab xaiv cov Population of Focus uas tsim nyog hauv Cov pejxeem ntawm Focus lo lus nug. Nco ntsoov tias qhov kev thov tsuas yog Kev Pabcuam Tom Qab yog tias tag nrho cov kev pabcuam tau ua tiav thaum lub sijhawm thov kev tso cai. Yog tias koj tab tom thov hnub pib ua haujlwm dhau los tab sis tseem muaj kev pabcuam yav tom ntej los muab, qhov no tseem raug suav hais tias yog Kev Pabcuam Ua Ntej.

Puas tau txais kev tso cai los ntawm ECM rau kev xa ntawv tom qab xa khoom? Peb puas tuaj yeem txuag daim ntawv tso cai ua PDF lossis luam tawm?

Kev tso cai ECM raug pom zoo tsis siv neeg, thiab koj tuaj yeem luam tawm Cov Lus Qhia Txog Ntu.

Puas yog ECM xav tau kev tso cai ua ntej?

ECM01 tsis tas yuav tsum tau kev tso cai thiab ECM02 yog auto-approved.

Hu rau Chaw Pabcuam

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Cov 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
Lub Tsev Muag Tshuaj Cov ntawv tso cai, cov ntaub ntawv hauv khw muag tshuaj lossis cov lus nug	831-430-5507