Medicare Inovhara Telehealth Services?

Zvemukati

• Medicare kufukidza uye telehealth
• Chii chinofukidza Medicare Chikamu B?
• Chii chinofukidza Medicare Chikamu C?
• Chinoshanda sei?
• Mutengo
• Sravana Sameeralu Serial 4th Technology
• Ndinoziva sei kuti ndinokodzera kufukidzwa?
• Zvivakwa zvinotenderwa
• Nzvimbo
• Medicare chisingaperi chengetedzo manejimendi (CCM) chirongwa chebasa
• Kuwedzera Medicare kufukidza kune telehealth
• ESRD
• Kurohwa
• Kuzvidavirira masangano ekuchengetedza (ACOs)
• Virtual yekutarisa-mukati uye E-kushanya
• Kubatsirwa kweterehealth
• Kutora

Medicare inovhara akasiyana siyana ezvekurapa uye nezvehutano zvine chekuita nemasevhisi, kusanganisira telehealth. Telehealth inoshandisa tekinoroji yekutaurirana yemagetsi kubvumira kushanya kwehurefu-kure kure uye dzidzo. Ramba uchiverenga kuti udzidze zvakawanda nezve telehealth, ndeapi mativi eMedhivha anoifukidza, uye nezvimwe.

Medicare kufukidza uye telehealth

Medicare inoumbwa nezvikamu zvakati wandei zvinopa imwe mhando yekuvhara. Izvo zvikamu zvikuru zvinosanganisira:

• Medicare Chikamu A (inishuwarenzi yechipatara)
• Medicare Chikamu B (inishuwarenzi yekurapa)
• Medicare Chikamu C (Zvirongwa zvekubatsira)
• Medicare Chikamu D (inonyorera mishonga yekuvhara)

Telehealth inovharwa neMedare zvikamu B uye C. Tichaputsa izvi pasi pasi.

Chii chinofukidza Medicare Chikamu B?

Medicare Chikamu B inovhara mamwe masevhisi ehealth. Pamwe chete, Medicare Chikamu A uye Chikamu B dzimwe nguva chinonzi chepakutanga Medicare.

Kushanya kweterehealth kunoitwa zvakafanana nekunge waenda kune-mu-munhu ari kunze kwekushanyira varwere. Mhando dze telehealth sevhisi dzakafukidzwa dzinosanganisira:

• kushanyira hofisi
• kubvunza
• psychotherapy

Mimwe mienzaniso yevashandi vehutano vanogona kupa telehealth services inosanganisira:

• vanachiremba
• vanobatsira chiremba
• vanamukoti varapi
• vanachiremba vezvepfungwa
• mukoti anozivikanwa anesthetists
• vakanyoreswa vezvekudya
• vane marezinesi ezvehutano
• vanachiremba vezvemagariro

Mune zvimwe zviitiko, unogona kuwana telehealth services kubva kumba kwako. Mune vamwe, iwe uchafanirwa kuenda kunzvimbo yekuchengetedza hutano.

Chii chinofukidza Medicare Chikamu C?

Medicare Chikamu C chinonziwo Medicare Advantage. Makambani einishuwarenzi akazvimirira anotengesa Chikamu Chikamu C zvirongwa. Chikamu C chinosanganisira kufukidzwa kumwechete sepakutanga Medicare asi kunogona zvakare kusanganisira mamwe mabhenefiti.

Muna 2020, shanduko dzakaitwa kuChikamu C icho chingachibvumidze kupa yakawanda telehealth mabhenefiti kupfuura epakutanga Medicare. Idzi shanduko dzinosanganisira kuwedzera mukana we telehealth mabhenefiti kubva kumba pane kuda kushanyira kunzvimbo yekuchengetedza hutano.

Mamwe mabhenefiti anogona kusiyana zvichienderana nechikamu cheChikamu C. Tarisa chirongwa chako chaicho kuti uone kuti ndeapi mhando yeterehealth mabhenefiti anopiwa.

Pazasi pane mimwe mienzaniso yekuti runhare runogona kushandiswa riini:

• kudzidziswa kana dzidzo, senge nzira dzekufunda dzekutarisa chirwere cheshuga
• kuchengetedza kuronga kwehutano husingaperi
• kuwana kutaurirana nenyanzvi isiri munharaunda yako
• psychotherapy
• screenings, senge iya yekuora mwoyo kana kunwa doro kusagadzikana
• kufambira mberi kuronga kuronga
• kurapa kwekudya
• kugamuchira rubatsiro kurega kusvuta
• kuwana kuongororwa kwehutano hwehutano

Chinoshanda sei?

Saka telehealth inoshanda sei chaizvo neMedare? Ngationgororei izvi mune zvishoma zvishoma.

Mutengo

Kana iwe uine Chikamu B, iwe unenge uine mutoro wekubhadharwa kwemari yemari makumi maviri kubva muzana emutengo wezve telehealth services iwe yaunogashira. Ramba uchifunga kuti iwe unofanirwa kutanga wasangana neChechi B inobviswa, inova $ 198 ye2020.

Chikamu cheC zvirongwa chinodiwa kuti chipe chakafanana chekutanga seMedicare yekutanga. Zvisinei, iwe unoda kuonana nemupi wako wezano usati washandisa telehealth services kuti uve nechokwadi chekuti sevhisi yakavharwa.

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Iwe unogona kazhinji kugashira telehealth services kunzvimbo yehutano. Nekudaro, ivo dzimwe nguva vanogona kushandiswa kubva kumba.

Kuti ushandise masevhisi epahehealth pamba, unofanirwa kuona kuti une tekinoroji inodikanwa, inosanganisira:

• kuwana internet kana data renhare
• komputa, laptop, smartphone, kana piritsi
• kero yeemail yako wega kuitira kuti mupi wako wezvehutano agone kutaura newe uye atumire chinongedzo kune webhusaiti yemusangano webhusaiti kana software inodikanwa

Zvishandiso izvi zvinobvumidza chaiyo-nguva, mbiri-nzira, odhiyo / vhidhiyo kutaurirana nemupi wako wehutano mupi.

Edza yako teleconferencing tekinoroji neshamwari kana nhengo yemhuri usati wagadzwa telehealth yako yekutanga. Izvi zvinokubatsira kugadzirisa chero matambudziko anogona usati waedza kushandisa masevhisi nehunyanzvi hwekuchengetedza hutano.

Ndinoziva sei kuti ndinokodzera kufukidzwa?

Paunenge iwe wakanyoreswa mune yekutanga Medicare, iwe unozokodzera kune telehealth services.

Iwe unogona kuve unokodzera Medicare kana iwe uine makore makumi matanhatu nemashanu zvichikwira, uine end stage renal chirwere (ESRD) kana ALS, kana kana iwe usingakwanise kushanda nekuda kwehurema hwakaonekwa.

Zvivakwa zvinotenderwa

Vanhu vane Chikamu B kufukidzwa kazhinji vanofanirwa kuenda kunzvimbo yekuchengetedza hutano kune telehealth services. Tarisa nehurongwa hwako kuti uone kana uchifanira kuenda kunzvimbo yakatenderwa yekushanya kwako. Aya marudzi ezvivakwa anosanganisira:

• mahofisi echiremba
• zvipatara
• hunyanzvi hwekuyamwisa zvivakwa
• nharaunda dzehutano hwepfungwa
• makiriniki ehutano ekumaruwa
• zvakakosha kuwana zvipatara
• zvipatara-based dialysis zvivakwa
• federally anokwanisa nzvimbo dzehutano, idzo dzakapihwa mari nehurumende isingabatsiri iyo inopa rubatsiro rwekurapa kune avo vasingakwanise kuwana

Nzvimbo

Mhando yeterehealth services iwe yaunogona kugamuchira neiyo yekutanga Medicare inogona kuvimba nenzvimbo yako. Izvi zvinoreva kuti iwe unofanirwa kuve uri mudunhu riri kunze kweMetropolitan Statistical Area kana yekumaruwa Health Professional Shortage Area.

Idzi nzvimbo dzinoonekwa nemasangano ehurumende. Unogona kutarisa kukodzera kwenzvimbo yako pawebsite yeHealth Resources uye Services Administration.

Rangarira kuti chete akanangana mhando dzevashandi vezvehutano uye nguva dzakatarwa dzinovharwa. Kana iwe usina chokwadi kana chimwe chinhu chakafukidzwa, bvunza kune wako inishuwarenzi mupi usati watanga telehealth services.

Medicare chisingaperi chengetedzo manejimendi (CCM) chirongwa chebasa

Chirongwa cheCCM chinowanikwa kune vanhu vane Medicare yekutanga avo vane maviri kana anopfuura mamiriro ehutano husingaperi ayo anotarisirwa kupedza mwedzi gumi nemaviri kana kudarika.

CCM masevhisi anotendera iwe kuti ugadzire yakasarudzika chirongwa chekuchengeta Urongwa urwu hunofunga:

• mamiriro ako ehutano
• mhando yekutarisirwa yaunoda
• vako vakasiyana-siyana vanopa hutano
• mishonga yauri kutora
• munharaunda mabasa aunoda
• zvinangwa zvako zvehutano
• chirongwa chekutarisira tarisiro yako

Mabasa eCCM anosanganisirawo rubatsiro nekutarisira mishonga uye kuwana 24/7 kune nyanzvi yehutano. Izvi zvinogona kusanganisira telehealth services. Kutaurirana kuburikidza nefoni, email, kana varwere masitendi zvakare chikamu chechirongwa ichi.

Kana iwe uchifarira kushandisa masevhisi eCCM, bvunza vako vanopa hutano kana vakavapa.

Ikoko zvakare kunogona kuve nemubhadharo wemwedzi wega weaya masevhisi mukuwedzera kune yako Chikamu B inobvisirwa uye coinurance, saka tarisa neako chaiwo hurongwa. Kana iwe uine yekuwedzera inishuwarenzi, zvinogona kubatsira kuvhara pamwedzi fizi.

Kuwedzera Medicare kufukidza kune telehealth

Iyo 2018 Bipartisan Budget Mutemo yakawedzera telehealth kufukidza kune avo vane Medicare. Ikozvino kune mamwe mamiriro ezvinhu apo iwe unogona kunge uchiregererwa kubva pane zvakajairwa Medicare mitemo ine chekuita neterehealth. Ngatitarisei zvakanyanya:

ESRD

Kana iwe uine ESRD uye urikugamuchira kumba-dialysis, unogona kuwana telehealth services kungave kumba kana kune yako dialysis nzvimbo. Kurambidzwa kwenzvimbo zvine chekuita neterehealth zvinobviswawo.

Zvisinei, iwe unofanirwa kunge uine dzimwe nguva mu-munhu anoshanyira nemupi wako wehutano wehutano mushure mekutanga kumba-dialysis. Uku kushanya kunofanirwa kuitika kamwe chete pamwedzi kwemwedzi mitatu yekutanga uyezve mwedzi yese mitatu kuenda kumberi.

Kurohwa

Telehealth services inogona kukubatsira kuti uwane kukurumidza kuongorora, kuongororwa, uye kurapwa kwesitiroko. Naizvozvo, telehealth services inogona kushandiswa kwechirwere chakakomba zvisinei nekwaunogara.

Kuzvidavirira masangano ekuchengetedza (ACOs)

ACOs mapoka evanopa hutano vanoshanda pamwechete kurongedza kuchengetedza vanhu vane Medicare. Rudzi rwekuchengetedzwa kwakarongeka unozoona kuti kana iwe uchirwara kana uine hutano husingaperi mamiriro, iwe unowana rubatsiro rwaunoda.

Kana iwe uine Medicare uye uchishandisa ACO, iwe wave kukodzera kugamuchira telehealth services kumba. Kurambidzwa kwenzvimbo hakushande.

Virtual yekutarisa-mukati uye E-kushanya

Medicare zvakare inovhara mamwe masevhisi akafanana akafanana ne telehealth kushanya. Aya masevhisi anowanikwa kune vese vanobatsirwa neMedare munyika yese, zvisinei nekwavanogara.

• Yekutarisa-ins. Aya mapfupi odhiyo kana vhidhiyo kutaurirana iwe yaunokumbira kubva kune wako wekuchengetedza hutano mupi kuti udzivise zvisina basa hofisi kushanya.
• E-kushanya. Izvi zvinokupa imwe nzira yekutaurirana nemupi wako wekuchengeta hutano kuburikidza nemurwere portal.

Sekushanya kweterehealth, iwe unenge uchingo pokana makumi maviri muzana emutengo wekutarisa-kupinda kana kushanya kweE. Kuti ugadzire chaiwo e-check-ins kana e-kushanyira, unofanira kutanga wataura nemupi wako wezvehutano.

Muna Kurume 2020, iyo World Health Organisation uye yakazivisa denda re COVID-19, chirwere chakakonzerwa ne2019 novel coronavirus.

Mukuona kweizvi, dzimwe shanduko dzakaitwa kune telehealth services yakavharwa neMedare. Shanduko idzi dzakaitwa kubatsira kudzivirira kupararira kwehutachiona, kunyanya kune avo vari panjodzi yekurwara zvakanyanya.

Kutanga munaKurume 6, 2020, shanduko dzinotevera dzinoitika kwechinguva:

• VeMedare vanobatsirwa vanogona kugamuchira telehealth services kubva kune chero mhando yenzvimbo yekutanga, kusanganisira mumba mavo.
• Kurambidzwa pane nzvimbo kwakasimudzwa, saka vanobatsirwa neMedare chero kupi nyika ino vanogona kushandisa telehealth services.
• Vatapi vezvehutano vanogona ikozvino kuregedza kana kudzikisa mutengo-kugovana kune telehealth masevhisi ayo anobhadharwa nehurongwa hwezvehutano hwakadai seMedicare.
• Iwe hauchade kuve nehukama hwakasimbiswa nemumwe mushandi wezvehutano kuti ushandise telehealth services.

Kubatsirwa kweterehealth

Telehealth ine akati wandei mabhenefiti. Kutanga, inogona kubatsira kuchengetedza vanobatsirwa veMedare panguva yematambudziko. Izvi zvave zvichinyanya kuitika panguva ye COVID-19 denda asi zvinogona zvakare kuve tsika yakanaka panguva yefuru mwaka.

Telehealth inobatsirawo kugadzirisa mabasa ehutano. Semuenzaniso, zvinhu senge zvenguva dzose yekutevera-kumusoro uye kuongorora kweyekusingaperi mamiriro kazhinji zvinogona kuitwa uchishandisa telehealth. Izvi zvinogona kuderedza vhoriyamu ye-mu-munhu kushanyira mune yatove yakanyanyisa kudzvanywa hutano system.

Telehealth inogona zvakare kubatsira kana iwe uri kumaruwa, zvakaoma-kusvika, kana nzvimbo dzakaderera-zviwanikwa. Inopa mukana wekugadzirira kune vakasiyana siyana vezvehutano kana nyanzvi dzinogona kunge dzisimo munzvimbo yako.

Kunyangwe iyo telehealth ichipa akati wandei mabhenefiti, havazi vese vanoziva kuti iri sarudzo. Imwe diki ye2020 yekudzidza pane dialysis nzvimbo yakawana kuti chete 37 muzana yevatori vechikamu vakanzwa nezve telehealth. Izvi zvinoratidza kuti kuedza kunodiwa kuwedzera ruzivo.

Kutora

Telehealth ndeye apo marefu ekurapa masevhisi anopihwa kuburikidza nekushandisa tekinoroji, senge videoconferencing. Medicare inovhara mamwe marudzi eterehealth, uye zvinoita sekunge kufukidzwa uku kuchawedzera kuenda kumberi.

Medicare Chikamu B inovhara telehealth painoshandiswa kushanyira hofisi, kurapwa kwepfungwa, kana kubvunzana. Chete vamwe vashandi vezvehutano nenzvimbo vanovharwa. Medicare Chikamu C inogona kupa yakawedzerwa kufukidzwa, asi izvi zvinogona kusiyana nehurongwa hwako chaihwo.

Kazhinji, pane zviripo nzvimbo kune Medicare-yakafukidzwa telehealth services. Nekudaro, izvi zvakawedzerwa neB 2018 Bipartisan Budget Act uye nedenda reCOVID-19.

Kana iwe uchifarira kugamuchira telehealth services, taura nemupi wako wezvehutano mupi. Ivo vanokuzivisa iwe kana ivo vachivapa ivo uye maitiro ekuronga musangano.

Ruzivo ruri pane ino webhusaiti runogona kukubatsira mukuita sarudzo pachako nezve inishuwarenzi, asi haina kuitirwa kupa zano maererano nekutenga kana kushandiswa kweinishuwarenzi kana zvigadzirwa zveinishuwarenzi. Healthline Media haifambise bhizinesi reinishuwarenzi munzira ipi neipi uye haina kupihwa rezenisi sekambani yeinishuwarenzi kana mugadziri mune chero hutongi hweU.S. Healthline Media haina kukurudzira kana kutsigira chero mapato echitatu anogona kuita bhizinesi reinishuwarenzi.