Cov lus nug nquag
Hauv qab no yog cov lus nug nquag nug uas cov neeg siv tau xa mus rau Lub Hom Phiaj Kev Tswj Xyuas Cov Cai (TCM) cuam tshuam txog kev ntsib, cov ntawv xa nyiaj, nkag mus, thiab rub tawm hauv TCM System. Thov siv cov kev txuas hauv qab no los xaiv lub ntsiab lus uas koj xaiv, lossis nqes mus saib xyuas txhua yam khoom.
ENCOUNTERS INVOICES Nkag mus TCM SYSTEM DOWNLOAD
ENCOUNTERS
Nqe Lus Nug 1: Kuv tau nkag mus rau kuv qhov kev sib ntsib rau xyoo tam sim no, tab sis kuv tau txais cov lus hais tias kuv xav tau Daim Ntawv Pom Zoo Muab Kev Koom Tes.
Teb 1: Cov lus tau txais vim tias Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis muaj daim ntawv theej ntawm Daim Ntawv Pom Zoo Pabcuam Kev Koom Tes.
Nqe Lus Nug 2: Kuv nkag mus rau kuv qhov kev sib ntsib thiab qee qhov kev sib ntsib muaj qhov xwm txheej ntawm "EXPD".
Teb 2: Ib qho "EXPD" (Tsev Sijhawm) tau txais vim tias qhov kev sib ntsib tau nkag mus rau hauv TCM System tom qab 12 lub hlis kawg rau kev them nqi cov kev pabcuam.
INVOICES
Nqe Lus Nug 1: Peb tau them nyiaj rau peb daim ntawv xa nyiaj thib 1 thiab thib 2. Kuv yuav qhia li cas hauv TCM System tias cov ntawv xa nyiaj no tau them?
Teb 1:
Txhawm rau nkag mus rau qhov tau txais kev them nyiaj rau hauv TCM System rau daim ntawv xa nyiaj:
- Ntawm cov ntawv qhia zaub mov nyob rau sab laug tes ntawm qhov screen:
- Nyem rau "Invoice."
- Nyem rau ntawm "Tshawb nrhiav" txhawm rau nrhiav tus lej them nqi.
- Txawm hais tias koj nkag mus rau tus lej xa nyiaj lossis yog tias koj tsis muaj tus lej xa nyiaj koj tuaj yeem rub tag nrho cov npe ntawm cov lej xa nyiaj hauv ib lub xyoo nyiaj txiag thiab nyem rau ntawm tus lej them nyiaj tshwj xeeb uas tau them los ntawm Lub Xeev daim ntawv lees paub tau txais.
- Nkag mus rau cov lej nyiaj them nqi uas tau them los ntawm daim tshev uas tau txais los ntawm DHCS.
- Daim ntawv xa nyiaj yuav tsum muaj "APPR" (pom zoo) raws li txoj cai, vim tias daim ntawv them nqi tsis raug them nyiaj hauv System.
- Thaum lub invoice qhib, nrhiav lub Paid date box blank. Tom qab ntawd nyob rau sab laug ntawm cov ntaub ntawv invoice.
- Sau hnub tim ntawm daim ntawv lees paub raws li hnub them nyiaj hauv TCM System.
- Tom qab ntawd nyem lub pob "PAID" nyob hauv qab ntawm nplooj ntawv.
- Cov xwm txheej ntawm daim nqi yuav hloov ntawm "APPR" mus rau "PAID".
- Qhov no yuav pab taug qab cov nyiaj tau txais thiab cov ntawv xa nyiaj them.
Question 2: I created an invoice and discovered more encounters that need to be included (on the same invoice). How do I invoice for these encounters?
Teb 2:
- Daim ntawv them nqi tam sim no yuav raug muab tshem tawm los ntawm kev tshem tawm thiab tsim ib daim ntawv them nqi tshiab kom suav nrog cov kev sib ntsib ntxiv. (Qhov kev xaiv no tsuas yog muaj yog tias daim ntawv them nqi tsis muaj "Submit" xwm txheej hauv TCM System.)
- Yog tias koj tau xa daim ntawv xa tuaj, thov tsim daim ntawv them nqi tshiab nrog cov kev sib ntsib ntxiv thiab "Xa" ob daim ntawv xa mus rau DHCS.
Lo lus nug 3: Thaum kuv tsim daim ntawv them nqi rau cov neeg raug xaiv 14, kuv pom tias muaj kev sib ntsib rau cov neeg raug xaiv 17 nyob rau ntawd. Kuv yuav kho qhov no li cas?
Teb 3: Tsuav yog daim ntawv them nqi tseem nyob rau hauv "Tsim" hom, koj tuaj yeem "tso tseg" daim ntawv them nqi, kho qhov kev sib ntsib, thiab tsim daim ntawv them nqi tshiab. Txawm li cas los xij, yog tias daim ntawv xa nyiaj tau xa mus lawm, daim ntawv them nqi yuav tsum tau muab pov tseg, uas tuaj yeem ua tiav los ntawm koj tus TCM Analyst. Thaum daim ntawv them nqi tsis raug tso tseg, cov kev sib ntsib yuav raug xa rov qab nrog cov neeg lub hom phiaj raug rau ntawm daim ntawv them nqi raug.
Question 4: How do I indicate that the Newborn visits are valid in the TCM System?
Lus Teb 4: Raws li Tsab Ntawv Txoj Cai thiab Cov Txheej Txheem (PPL) 98-017 thiab PPL 10-003, txhua lub koom haum tsoomfwv hauv zos (LGAs) raug coj los raws li California Code of Regulations (CCR), Tshooj 50733 (c), tias daim npav Medi-Cal ntawm leej niam yuav yog kev tso cai rau cov kev pabcuam rau nws tus menyuam mos thaum lub hlis yug thiab lub hlis tom qab lub hlis yug. Txawm li cas los xij, tom qab lub sijhawm pub dawb, cov kev pabcuam TCM uas muab rau tus menyuam mos yuav tsum tau thov siv tus menyuam mos tus lej Medi-Cal Benefits Identification Card (BIC) thiab tus menyuam mos hnub yug.
Tus me nyuam mos raug suav hais tias yog tus menyuam yug tshiab tsuas yog txij thaum yug los txog rau thaum xaus ntawm lub hli tom qab lub hli yug, uas yog hu ua Newborn Date-Range. Kev sib ntsib nrog Hnub Yug Me Nyuam thiab nrog hnub ua haujlwm tshaj li Hnub Nyoog Hnub Nyoog yuav muaj qhov xwm txheej ntawm "EXPD" (Tsev Kawm Ntawv) hauv TCM System.
Txhawm rau hloov kho tus menyuam mos qhov kev sib ntsib los ntawm "EXPD" mus rau "CLAM" (Claimable), kev sib ntsib yuav tsum raug kho. Txhawm rau kho tus menyuam mos qhov kev sib ntsib siv tus menyuam mos lub Medi-Cal BIC. Sau cov ntaub ntawv hauv qab no hauv TCM System:
- Tus me nyuam hnub yug
- Tus me nyuam mos tus lej Medi-Cal BIC
- Daim teb hnub yug ntawm tus menyuam mos (Hnub Yug Menyuam Mos) yuav tsum tsis txhob sau dab tsi. (Yog tsis ua li ntawd yuav ua rau Lub Txheej Txheem hloov qhov xwm txheej ntawm kev ntsib mus rau "EXPD" (Tas Lawm) thaum hnub ua haujlwm yog tom qab Hnub Tshiab)
Note: In the event of a delay in the issuance of the infant’s Medi-Cal BIC Number, LGAs are advised to withhold claims until the Medi-Cal BIC Number is issued. In instances where TCM case file documentation and subsequent payment records indicate duplicate claims have occurred, the LGA may be subject to an audit and/or recoupment of payments made to the LGA.
Lo lus nug 5: Tom qab tshuaj xyuas tag nrho cov ntawv them nqi hauv TCM System, kuv nrhiav tsis tau cov ntaub ntawv ntawm ib qho kev ntsib tsis raug cai txuas nrog rau txhua daim ntawv them nqi. Puas yog Lub Txheej Txheem khaws cia qhov kev tsis lees paub ntawm daim ntawv them nqi nrog rau qhov laj thawj tsis lees paub?
Lus Teb 5: Tus ID ntsib raug pib dua rau cov kev ntsib tsis raug lees paub thiab tsis xa mus rau daim ntawv them nqi uas nws raug tsis lees paub los ntawm. Yog xav nrhiav kev ntsib tsis raug cai hauv lub system, mus rau Kev Tshawb Nrhiav Kev Sib Ntsib, xaiv "Qhov xwm txheej ntsib" los ntawm lub thawv xaiv thiab xaiv "Tsis raug cai". Yuav kom tshawb nrhiav tau yooj yim dua, xaiv cov neeg uas koj xav tshawb nrhiav yog tias koj paub lossis sau lwm cov ntaub ntawv uas koj paub uas yuav pab tau koj tshawb nrhiav. Lwm txoj kev xaiv yog rub tawm cov kev ntsib rau hauv daim ntawv ua haujlwm kom koj tuaj yeem txheeb xyuas qhov xwm txheej.
Question 6: Why does an encounter show a status of “NELG”?
Lus Teb 6: Qhov xwm txheej "NELG" (Tsis Tsim Nyog) Kev Sib Tham tshwm sim vim tias:
- T Hnub Yug (DOB) tsis phim tus ID ntawm Tus Neeg Siv Khoom: Qhov kev ntsib no yuav kho tau los ntawm kev kho hnub yug kom raug ntawm nplooj ntawv qhia txog kev ntsib. Nyem rau ntawm lub pob "Hloov Kho", thiab sau cov ntaub ntawv tsim nyog. Nyem rau ntawm lub pob "Txuag & Ua Haujlwm" thiab qhov xwm txheej yuav hloov pauv raws li ntawd.
- T tus neeg mob tsis tsim nyog rau ntawm Lub Tshuab Sau Cov Ntaub Ntawv Txog Kev Tsim Nyog Kho Mob (MEDS) rau Hnub Tim Ua Haujlwm: Lub Tshuab yuav ua qhov kev ntsib no thaum MEDS txiav txim siab txog kev tsim nyog. Ua ib qho "Tsim Daim Ntawv Them Nqi" tsis tu ncua los them rau cov teeb meem uas thov tau. Qhov no yuav tsum tau tsim nyob rau hauv lub sijhawm 12 lub hlis, txwv tsis pub qhov kev sib ntsib no yuav tas sij hawm. Lub System tsis tsim daim ntawv them nqi cia li.
- Tus neeg siv khoom muaj Unmet Share of Cost: Qhia rau qhov tsim nyog cov kev pab cuam hais txog cov neeg siv khoom nrog cov nqi sib faib, yog li lawv tuaj yeem sau nqi rau tog kom them.
Nkag mus
Nqe Lus Nug 1: Kuv tsis tuaj yeem nkag mus rau hauv TCM system, thiab tau txais cov lus yuam kev 500. Kuv yuav ua li cas?
Teb 1: Xa email rau TCM email ntawm DHCS-TCM@DHCS.ca.gov, hais txog qhov teeb meem no. Cov kws tshuaj ntsuam xyuas TCM yuav ua haujlwm nrog koj kom tau txais kev nkag mus rau TCM system.
Nqe Lus Nug 2: Kuv yuav ua li cas thiaj tau txais tus ID nkag mus thiab lo lus zais rau kuv cov neeg ua haujlwm tshiab?
Lus Teb 2: Ua kom tiav thiab xa daim ntawv TCM System User ID uas tau kos npe (xiav cwj mem) mus rau koj tus TCM Analyst. Tus Kws Tshuaj Xyuas TCM yuav xa email rau tus neeg ua haujlwm tshiab thiab muab lawv lub npe siv thiab tus password rau lawv.
TCM SYSTEM DOWNLOAD
Nqe Lus Nug 1: Vim li cas kuv thiaj li rub tawm tau raws li hom ntaub ntawv HTML tsis yog cov ntaub ntawv ntsib kuv thov?
Teb 1:
Qhov no yog qhov teeb meem paub uas tuaj yeem tshwm sim hauv Microsoft Internet Explorer browsers hauv qab no:
- Microsoft Internet Explorer version 5.5 Service Pack 1, rau Windows 2000
- Microsoft Internet Explorer version 5.5 Service Pack 1, rau Windows 98 Second Edition
- Microsoft Internet Explorer version 5.5 Service Pack 1, rau Windows NT 4.0
Txhawm rau daws qhov teeb meem no thov kom tau txais cov kev pabcuam tshiab kawg rau Internet Explorer version 5.5.
Cov kev daws teeb meem ntxiv:
1. When you receive the File Download dialog box, choose the option “Open this file from its current location”.
2. Nyem "OK" (qhov no yuav tsum tau ua ntau zaus) kom txog thaum "download.zip" cov ntaub ntawv qhib.
3. Nyem "Txuag Li" ntawm cov ntawv qhia zaub mov File tom qab daim ntawv qhib los txuag daim ntawv rau hauv koj lub computer.