ស្វែងរកជំនួយវិក្កយបត្រ
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51 លទ្ធផល
ទំព័រស្នូល
មគ្គុទ្ទេសក៍វិក្កយបត្រ
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ AlabamaAlabama directs a hospital or nursing home to furnish the patient an itemized statement, in language an ordinary layman can understand, detailing the charges and expenses incurred, broken down by department into their constituent components with unit-price rate data; a more detailed statement must be provided on written request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ ArizonaArizona directs a health care facility that receives a direct payment to give the payer a receipt stating the amount paid, the applicable procedure and diagnosis codes for the services rendered, and a clear notation that the services were subject to direct payment.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ ArkansasArkansas directs every hospital in the state, except those the State operates, to furnish the patient and the patient's insurer, on request, an itemized listing of all services, drugs, and supplies billed, no later than thirty days after discharge, and to advise each patient in writing at discharge of the right to receive it.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ CaliforniaA California hospital must, upon a patient's request, provide an itemized statement, written in plain language, describing each item of service and the charge for it.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ ColoradoColorado directs hospitals and providers, beginning July 1, 2024, to follow industry-standard billing practices on every patient bill. Each bill must state, at a minimum, the date of service, the patient's name, the provider's name, a description of the services provided, and the charge for each service.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ ConnecticutConnecticut directs hospitals to include a conspicuous notice on admission forms that a self-pay patient may request a copy of the hospital's charges, and, on request, to provide the self-pay patient an itemized bill within thirty days that identifies, in plain language, each individual service, supply, or medication and its specific charge.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ FloridaLicensed Florida facilities must, on request, furnish the patient a plain-language, itemized statement of charges detailing each specific service and its charge, enabling the patient to identify billing errors.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ GeorgiaUnder Georgia's Fair Business Practices Act, a hospital or long-term care facility must deliver to a discharged inpatient (or their legal representative) an itemized statement of all charges for which the patient or a third-party payor is being billed, no later than six business days after discharge; failing to do so is designated an unlawful practice enforceable by the Georgia Attorney General's Consumer Protection Division.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ IdahoUnder the Idaho Patient Act, before a provider or facility may take extraordinary collection action it must first send the patient a final notice, and that notice must state that a full itemized list of the goods and services provided to the patient is available on the patient's request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ IllinoisUnder the Illinois Fair Patient Billing Act, a hospital that bills a patient must provide an itemized statement of charges for the inpatient and outpatient services it rendered upon receiving a request from the patient, and each hospital bill must carry notice that the patient may obtain that itemized statement.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ IndianaIndiana directs a provider facility, when an individual for whom a nonemergency health care service has been ordered, scheduled, or referred requests it, to provide a good-faith estimate of the price the facility will charge. The facility must provide the estimate within five business days and may not charge for it; the estimate is non-binding and valid for thirty days.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ IowaIowa directs any health care provider to provide requested records within thirty days of a patient's written request, and separately to furnish the patient, the patient's legal representative, or the patient's attorney one free copy of the patient's complete billing statement, charging only the actual cost of postage or delivery.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ KansasKansas hospital licensing regulation directs every licensed hospital to maintain policies and procedures ensuring patient rights, including that each patient has the right to examine and receive a detailed explanation of the patient's bill, for both inpatients and outpatients.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ KentuckyKentucky directs each health facility, when a paying patient requests a copy of an itemized statement, to furnish one free copy within thirty days of discharge or fifteen days of the request, whichever is later. Each invoice must note that an itemized statement may be obtained on request, and the facility must make staff available to explain the listed charges.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ LouisianaLouisiana directs each hospital licensed by the Louisiana Department of Health to have an itemized statement of billed services available no later than ten business days after a patient's discharge, to make patients aware of its availability before discharge, and to provide an interim statement when the patient or an authorized agent requests one.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MaineMaine directs each licensed hospital to notify patients in writing at discharge that an itemized bill is available on request, and to provide the itemized bill within 30 days of a request; the request may be made at discharge or any time within seven years afterward.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MarylandMaryland directs hospitals to give each patient a summary financial statement within 30 days after discharge and, on the patient's request made within one year of receiving that summary, to provide an itemized financial statement within 30 days that briefly but clearly describes each item and the amount charged. A hospital that fails to provide a required itemized statement is subject to a $300 fine.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MassachusettsMassachusetts directs every licensed facility where billing applies to furnish a patient, upon reasonable request, an itemized bill reflecting laboratory charges, pharmaceutical charges, and third-party credits, and to allow the patient to examine an explanation of that bill regardless of the source of payment.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MichiganMichigan's Public Health Code requires each licensed health facility to adopt and follow a patient rights policy that entitles a patient to receive and examine an explanation of the bill regardless of the source of payment, and to receive, on request, information about the facility's financial assistance.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MinnesotaMinnesota directs a hospital to screen a patient for eligibility for charity care and other health coverage or assistance in connection with the patient's bill, and to attempt to complete the charity-care screening in person or by telephone within 30 days after the patient receives services; related sections limit collection actions where the screening duty is unmet.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MissouriMissouri's Health Care Cost Reduction and Transparency Act directs health care providers to furnish a written estimate of the cost of a particular service, imaging procedure, or surgery when a patient submits a written request that includes a treatment plan from the patient's provider, within three business days of the request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ MontanaMontana directs a hospital, clinic, surgical center, or other health care provider, on a patient's or agent's request, to disclose its good-faith estimated charge for a health care service or course of treatment expected to exceed $500, either when the service is scheduled or within 10 business days of the request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ NebraskaNebraska directs a health care facility or health care practitioner facility to provide an itemized billing statement, including diagnostic codes, when a patient or the patient's representative submits a written request, at no charge and within fourteen days of the request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ NevadaNevada directs a health care entity, before taking any action to collect a medical debt, to give the patient an easy-to-understand itemized statement of the debt that includes the applicable billing codes and modifiers for each item or service, to identify a contact who can correct it, and to provide an itemized receipt within 30 days after any payment.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ New HampshireNew Hampshire directs medical-service providers who receive payment from a third party, including licensed hospitals, to provide the patient an itemized statement of services, dates, and costs within thirty days, or to send a non-itemized bill only if it states in large, easily readable print that an itemized bill will be submitted free of charge on request.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ New JerseyNew Jersey directs a licensed hospital, on a patient's written request, to furnish a legible paper or electronic copy of the patient's medical or billing records, or both, within 30 days, and caps the fees a hospital may charge for them.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ New MexicoNew Mexico directs health care facilities, third-party providers, and medical creditors to ensure every bill sent to a patient contains a complete, plain-language description of the date, amount, and nature of all charges, along with the patient's insurance-verification and financial-assistance screening status.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ New YorkNew York's Patients' Bill of Rights regulation directs every general hospital to afford patients the enumerated rights, which include receiving an itemized bill and an explanation of all charges, and to adopt and honor those rights for inpatients, outpatients, and emergency-service patients.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ North CarolinaNorth Carolina directs all licensed hospitals and ambulatory surgical facilities to present, upon the patient's request, an itemized list of charges in language comprehensible to an ordinary layperson. A bill that is not itemized must notify the patient of the right to request an itemized bill free of charge.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ North DakotaNorth Dakota directs a health care provider, upon a patient's signed written request for medical records or medical bills, to provide the medical records and any associated medical bills in paper, facsimile, or electronic form, subject to a capped per-page copying fee.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ OhioUnder Ohio's Hospital Care Assurance Program, a participating hospital must provide, without charge, basic medically necessary hospital-level services to Ohio residents who are not Medicaid recipients and whose income is at or below the federal poverty line, and its bills must carry a written statement about that assistance.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ OklahomaOklahoma's statutory patients' rights list directs hospitals to afford each patient treated in the state the right to examine and receive an explanation of his or her bill regardless of the source of payment, as one enumerated right within a broader statutory bill of rights.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ OregonOregon directs a licensed hospital to screen a patient for presumptive eligibility for financial assistance, including charity care, when the patient is uninsured, is enrolled in the state medical assistance program, or owes the hospital more than $500, and to apply any qualifying assistance to the bill before sending it. A patient may also apply for financial assistance up to twelve months after paying for the services.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ PennsylvaniaPennsylvania's hospital patient bill of rights regulation directs each licensed hospital to implement written patient rights that include the patient's right to examine and receive a detailed explanation of the bill, and to provide information and counseling on financial resources for care.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ Rhode IslandRhode Island's patient-rights statute directs licensed health-care facilities to provide each patient a summarized medical bill within thirty days of discharge and, on request, to furnish the patient an itemized copy of the bill.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ South DakotaSouth Dakota directs a health care provider or facility to disclose all fees and charges for health care procedures when a patient asks; the duty is triggered by the patient's request and is not limited to any particular format.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ TexasA Texas hospital must provide, on request, an itemized statement of the billed services and, if requested, information on whether the hospital has a financial-assistance policy.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ UtahUtah directs hospitals, including ambulatory surgical facilities and general acute and specialty hospitals, to provide a statement of itemized charges to any patient who receives care, itemizing each charge actually provided, at the hospital's expense after it receives the insurer's explanation of benefits.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ VirginiaVirginia directs any health care provider licensed or certified by a board within the Department of Health Professions to provide, upon a patient's request, an itemized statement of the charges for services rendered, regardless of whether a bill has been or will be submitted to any third-party payor.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ WashingtonWashington requires health care providers and facilities to furnish a patient, on request, an estimate of the fees and charges for a specific service, visit, or stay, along with information about other fees the patient may incur; a hospital may satisfy this with a statement and contact information.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ West VirginiaWest Virginia directs licensed hospitals and similar institutions to supply, on a patient's request, one itemized statement describing with specificity each service or medication for which a charge is assessed, at no additional cost, for both inpatient and outpatient services.
- មគ្គុទ្ទេសក៍វិក្កយបត្រពេទ្យរបស់ WisconsinWisconsin directs health care providers, including hospitals, to provide a patient or an authorized person copies of the patient's health care records on request, upon informed consent and payment of statutorily capped fees. The statutory definition of patient health care records expressly includes billing statements and invoices for treatment or services.
វចនានុក្រម
- តើ upcoding នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?Upcoding គឺជាករណីដែលវិក្កយបត្រប្រើកូដសម្រាប់សេវាកម្មមួយដែលថ្លៃជាង ឬធ្ងន់ធ្ងរជាងការថែទាំដែលអ្នកបានទទួលជាក់ស្តែង។ ដោយសារកូដជាអ្នកកំណត់តម្លៃ កូដដែលត្រូវបានបំផ្លើសនាំឱ្យតម្លៃត្រូវបានបំផ្លើសដែរ។ ការប្រៀបធៀបកូដនៅលើវិក្កយបត្រលម្អិតរបស់អ្នកជាមួយអ្វីដែលបានកើតឡើងក្នុងការទៅជួបគ្រូពេទ្យរបស់អ្នក អាចបង្ហាញពីភាពមិនត្រូវគ្នា។
- តើការគិតថ្លៃដែលត្រូវបានបដិសេធដោយ EOB (EOB-rejected charges) នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?ការគិតថ្លៃដែលត្រូវបានបដិសេធដោយ EOB គឺជាជួរមួយដែល Explanation of Benefits របស់ក្រុមហ៊ុនធានារ៉ាប់រងអ្នកមិនបានគ្របដណ្តប់ — ត្រូវបានបដិសេធ មិនត្រូវបានអនុញ្ញាត ឬត្រូវបានអនុវត្តជាការកែតម្រូវតាមកិច្ចសន្យា — ប៉ុន្តែអ្នកផ្តល់សេវានៅតែគិតថ្លៃអ្នកចំពោះវា។ EOB របស់អ្នកមិនមែនជាវិក្កយបត្រទេ ការប្រៀបធៀបវាជាមួយវិក្កយបត្ររបស់អ្នកផ្តល់សេវាបង្ហាញថាតើការគិតថ្លៃមួយណាដែលអ្នកប្រហែលជាមិនពិតជាជំពាក់។
- តើការគិតថ្លៃលើសសម្រាប់អ្នកបង់ប្រាក់ខ្លួនឯង (self-pay overcharges) នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?ការគិតថ្លៃលើសសម្រាប់អ្នកបង់ប្រាក់ខ្លួនឯង គឺជាករណីដែលអ្នកជំងឺគ្មានធានារ៉ាប់រង ឬបង់ប្រាក់សុទ្ធត្រូវបានគិតថ្លៃច្រើនជាងតម្លៃស្តង់ដារ ឬតម្លៃបញ្ចុះតម្លៃសម្រាប់ការបង់ប្រាក់សុទ្ធដែលមន្ទីរពេទ្យបានប្រកាសសម្រាប់សេវាកម្មដូចគ្នា។ ច្បាប់តម្លាភាពតម្លៃរបស់សហព័ន្ធតម្រូវឱ្យមន្ទីរពេទ្យបោះពុម្ពផ្សាយតម្លៃទាំងនេះ ដូច្នេះអ្នកអាចប្រៀបធៀបអ្វីដែលអ្នកត្រូវបានគិតថ្លៃជាមួយអ្វីដែលមន្ទីរពេទ្យចែងថាសេវាកម្មគួរមានតម្លៃប៉ុន្មាន។
- តើការគិតថ្លៃស្ទួន (duplicate charges) នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?ការគិតថ្លៃស្ទួន គឺជាករណីដែលសេវាកម្ម ទំនិញ ឬកូដវិក្កយបត្រដូចគ្នាបង្ហាញច្រើនជាងម្តងនៅលើវិក្កយបត្ររបស់អ្នកសម្រាប់កាលបរិច្ឆេទដូចគ្នា — ដូច្នេះអ្នកត្រូវបានគិតថ្លៃពីរដងសម្រាប់វត្ថុតែមួយ។ វាច្រើនកើតឡើងដោយចៃដន្យនៅពេលប្រព័ន្ធបញ្ចូលជួរដដែលម្តងទៀត ហើយវាជាកំហុសវិក្កយបត្រពេទ្យមួយក្នុងចំណោមកំហុសទូទៅបំផុតដែលគួរពិនិត្យរក។
- តើការបញ្ចូលគ្នានៃគូកូដ (code-pair bundling) នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?ការបញ្ចូលគ្នានៃគូកូដ គឺជាករណីដែលកូដនីតិវិធីពីរដែលក្បួនកូដសហព័ន្ធចែងថាគួរគិតថ្លៃរួមគ្នាជាកូដតែមួយត្រូវបានគិតថ្លៃដាច់ដោយឡែកពីគ្នាវិញ ដែលអាចបង្កើនចំនួនសរុបរបស់អ្នក។ បញ្ជីការកែតម្រូវកូដរបស់ Medicare រាយបញ្ជីគូកូដជាក់លាក់ដែលជាធម្មតាមិនគួររាយការណ៍នៅថ្ងៃដូចគ្នាសម្រាប់អ្នកជំងឺដូចគ្នា។
- តើការបញ្ចុះតម្លៃជំនួយហិរញ្ញវត្ថុដែលបាត់ (missing financial-assistance discounts) នៅលើវិក្កយបត្រពេទ្យគឺជាអ្វី?ការបញ្ចុះតម្លៃជំនួយហិរញ្ញវត្ថុដែលបាត់ គឺជាករណីដែលអ្នកមានលក្ខណៈសម្បត្តិគ្រប់គ្រាន់សម្រាប់កម្មវិធីថែទាំសប្បុរសធម៌ ឬជំនួយហិរញ្ញវត្ថុរបស់មន្ទីរពេទ្យ ប៉ុន្តែការបញ្ចុះតម្លៃមិនដែលត្រូវបានអនុវត្តទៅលើវិក្កយបត្ររបស់អ្នកទេ។ មន្ទីរពេទ្យមិនរកប្រាក់ចំណេញត្រូវតែរក្សានូវគោលនយោបាយជំនួយហិរញ្ញវត្ថុជាលាយលក្ខណ៍អក្សរ ហើយអ្នកជំងឺជារឿយៗត្រូវបានគិតថ្លៃពេញលេញដោយគ្មានការត្រួតពិនិត្យរកជំនួយដែលពួកគេមានសិទ្ធិទទួលបាន។