Bill Type 14X Yowonjezeredwa

Medicare Akuwonjezera Kugwiritsa Ntchito Bill Type 14X

Medicare yowonjezera kugwiritsiridwa ntchito kwa ndalama 14X kuchipatala kumayambiriro kwa 2014. Asanayambe kusintha, mtundu wa ndalama 14X unagwiritsidwa ntchito kuchipatala chochotsera matenda osagwira ntchito. Izi zikutanthauza kuti chitsanzo chokhacho chinapita ku labu, wodwalayo sanapite kuchipatala. Pambuyo pa kusintha, wodwala akhoza kapena sakuwoneka kuchipatala.

Nthawi yogwiritsira ntchito Bill Type 14X

1. Ngati wodwalayo apereka kuchipatala ndikulandira ma laboratory okha, mautumikiwa akhoza kuwerengedwa pa bili ya 14X.
2. Ngati wodwalayo apereka kuchipatala ndipo amalandira onse opaleshoni ndi odwala omwe ali ndi dokotala wosiyana pa dongosolo lililonse, ntchito za ma laboratory zikhoza kuwerengedwa pamtundu wa ndalama 14X ndipo odwala omwe amatha kuchipatala akhoza kuwerengedwa pa mtengo wa 13X.

Chifukwa Chiyani Kusintha?

Malinga ndi CMS.gov, zipatala zapadera zomwe zimapereka ndalama zowonongeka (OPPS) zinkaperekedwa ku ma laboratory omwe ankayesa kuchipatala kuchipatala cha Clinical Laboratory Fee Schedule (CLFS). Popeza mayesero a ma laboratory amalipidwa pa CLFS, kuti athandize kulipira ndi kulipira kwapadera pa CLFS mitengo, CMS ikuwonjezera ndalama 14X.

Kodi izi zikutanthauzanji kwa opereka?

Kuwonjezeka kwa bili mtundu 14X kumatanthauza kuti zipatala zomwe zimalipira ndalama zothandizira ma laboratory zitha:

• Gwiritsani ntchito mtundu wa ndalama 14X kuti musamalipire ntchito zambiri za ma laboratories
• Pitirizani kugwiritsira ntchito mtundu wa ndalama 13X kwa mayesero a ma makanema. Kuyeza kwa maselo kumaphatikizapo zida za CPT 81200 kupyolera 81383, 81400 kupyolera mu 81408, ndi 81479.
• Pitirizani kugwiritsira ntchito mtundu wa ndalama 13X kwa ma laboratory ndi mautumiki ena opita kunja omwe amalamulidwa ndi dokotala yemweyo tsiku lomwelo
• Gwiritsani ntchito ngongole 14X kuti mupereke ndalama zothandizira ma laboratory ndi mtundu wa ndalama 13X kuti musamalipire ndalama zina zothandizira odwala panthawi yomwe ntchitoyi imayikidwa ndi madokotala osiyanasiyana tsiku lomwelo.

Zikumbutso za Medicare Billing

• Code imanena bwino molingana ndi mautumiki, mayesero ndi njira zomwe zimachitika
• Lembani ndondomeko ya njira ya CPT / HCPCS kwa Medicare yomwe imatsutsana kwambiri ndi zolembazo muzolembedwa zamankhwala
• Sankhani ndikufotokozera zizindikiro za CPT / HCPCS zosintha zoyenera malinga ndi malingaliro a Medicare
• Zolankhulo za fayilo mkati mwa chaka chimodzi cha tsiku la utumiki kwa madokotala akuluakulu a Medicare ndi MSP
• Lembani zigawo za utumiki zochokera ku Initiative National Correct Initiative (NCCI) ndi Kusintha Kwambiri kwaMulungu (MUEs) kuti muteteze mauthenga ambiri kapena njira zomwe siziyenera kulipiritsidwa palimodzi chifukwa ntchito imodzi kapena ndondomekoyi ingakhale ikuphatikizapo ina kapena chifukwa chakuti mankhwala sangathe kukhalapo anachitidwa pa wodwala yemweyo tsiku lomwelo
• Lembani mndandanda wodalirika wothandizidwa (ABN) pa fayilo kuti mulembere mauthenga osadziwika bwino omwe ali ndi zosinthidwa, monga GA kapena GZ, zomwe zidzatanthawuze ntchito zomwe zingathe kubwereketsedwa kapena kuti zisaperekedwe kwa wodwalayo.

OPPS ndi chiyani?

Mchipatala Wopereka Mpata Wopereka Mphoto, kapena OPPS, akulipira:

• madokotala ena odwala matenda opatsirana kuchipatala
• zina zachipatala zomwe zimapangidwa ndi Medicare Part B kwa odwala omwe alibe Medicare Part A kufalitsa
• misonkhano yapadera
• chithandizo ndi katemera wa Hepatitis B, mabala, mabala, ndi maantijeni ndi bungwe la zaumoyo panyumba kwa odwala omwe sali pansi pa chithandizo chachipatala kapena odwala omwe sali odwala.

Mchipatala Wopereka Mpata Wopereka Mphoto, kapena OPPS, salipira:

• thandizo lachipatala la ma laboratory
• thandizo lachipatala
• kufufuza ndi kumvetsa mammography

Kodi CLFS ndi chiyani?

Pulogalamu ya Clinical Laboratory Fee, kapena CLFS, imalipira chipatala kuchipatala chachipatala chomwe chimaperekedwa pafupipafupi. Mapulogalamu operekedwa pansi pa CLFS sagonjetsedwa ndi ndalama zokhazokha.

Zosintha Zambiri Zakhazikitsidwa mu 2014

Makampani azaumoyo ndi azachipatala amasintha nthawi zonse. Ndi udindo wa ofesi ya zachipatala kukafufuza, kusanthula ndi kukhazikitsa kusintha kwakukulu kutetezera chidwi cha bungwe lonse.