Kusintha ICD-9 Kwa Zomwe Zophimbidwa ndi HIPAA
Pakhala pali zambiri zokamba za ICD-10 posachedwapa. Sizatsopano. Inayendetsedwa ndi World Health Organisation (WHO) mu 1993 kuti idzalowe m'malo mwa ICD-9 ndipo ili pafupifupi dziko lonse lapansi, kupatula United States. Tiyeni tiphunzire zambiri za ICD-10.
Ku United States, kaŵirikaŵiri imatanthawuza ku kusintha kwa mankhwala a US ku ICD-10: ICD-10-CM. Makhalidwewa adakonzedweratu kuti athandize ICD-9-CM, momwe timayendera pakali pano ya US, pa Oct.
1, 2013. Komabe, boma, monga mwalembali, lachedwa kwa nthawi yosadziŵika kuti tsiku lokhazikitsa tsiku la ICD-10 lofufuza ndi njira zowonongeka.
Chifukwa Chake Amafunikira
Ndondomekoyi imayendetsedwa ndi sayansi ndipo gawo lililonse la magawo atatu lingakhale ndi magulu 10 okha. Manambala ambiri m'magulu ambiri apatsidwa mankhwala. Sayansi ya zamankhwala imapanga zinthu zatsopano, ndipo palibe nambala yomwe ingapereke izi.
ICD-10-CM idzawunikira bwino kuunika kwa matenda ndi zotsatira za mankhwala zomwe zingapite patsogolo kuchipatala. Zomwezi zidzatanthauzira zowonjezera zomwe akupempha.
Kodi Ndi Zosiyana Ziti?
Malamulo, misonkhano, ndi malamulo ndi ofanana kwambiri. Gulu la zizindikiro ndilofanana. Zosintha zambiri zapangidwa kuti zilembedwe. Kusiyanasiyana kwakukulu pakati pa machitidwe awiriwa ndi kusiyana komwe kudzakhudza makina a zamakono ndi mapulogalamu.
Mwachitsanzo, chiwerengero cha zizindikiro panopa chiri pafupi 13,600. Izi zidzawonjezeka kufika pa 69,000.
ICD-10-CM ndi yogwiritsidwa ntchito m'madera onse a US. Kusanthula kwa coding pansi pa ICD-10-CM kumagwiritsa ntchito chiwerengero cha 3 mpaka 7 mmalo mwa chiwerengero cha 3 mpaka 5 chomwe chimagwiritsidwa ntchito ndi ICD-9-CM, koma mawonekedwe a ma code ali ofanana.
Kulankhulana kwa Njira Yopanda Patient
ICD-10-PCS ndi ndondomeko yokonzedwa kuti idzalowe m'malo mwa Volume 3 ya ICD-9-CM chifukwa chodziwitsa odwala matenda opatsirana.
Idzagwiritsidwa ntchito ndi zipatala ndi malipiro. Icho chidzafuna maphunziro ofunika kwa ogwiritsa ntchito. Madokotala ayenera kudziwa kuti zolemba zomwe zili pansi pa ICD-CM-PCS n'zosiyana kwambiri, kotero zolemba zawo zachipatala zosayembekezera zidzakhudzidwa ndi kusintha kumeneku.
ICD-10-PCS imagwiritsa ntchito ziwerengero zisanu ndi ziwiri zowerengera mmalo mwa ma 3 kapena 4 manambala amodzi ogwiritsidwa ntchito pansi pa ICD-9-CM njira yokopera. Kulemba pansi pa ICD-10-PCS kumakhala kovuta kwambiri komanso kosiyana kwambiri ndi njira ya ICD-9-CM yokopera.
Kukonzekera
Ngakhale pakufunika kukhala maphunziro apamwamba ndi maphunziro olemba makalata, mabanki, otsogolera machitidwe, madokotala, ndi ogwira ntchito zina zaumoyo kuti akwaniritse bwinobwino kusintha kwakukulu kwa chikhalidwechi, zikhoza kuchitika mu ndondomeko. Mabungwe monga AAPC angathandize.
Aliyense amene ali ndi udindo wodalirika wa chizoloŵezi, kasamalidwe ka zaumoyo, ndi machitidwe ena a ICD-10 ayenera kukonzekera bwino pasadakhale ndondomeko yophunzitsidwa. Chigawo cha Medicare ndi Medicaid Services (CMS) chikulangiza kuti:
- Owapatsa
Pangani njira yowonjezera yomwe ikuphatikizapo kuwonetsa zotsatira za bungwe lanu, ndondomeko yeniyeni, ndi bajeti. Fufuzani ndi bizinesi yanu yothandizira, nyumba yosungiramo zinthu zowonongeka, kapena ogulitsa mapulogalamu a pulogalamu yamakono potsata malingaliro awo. Othandizira omwe amatha kulipira ngongole ndi mapulogalamu a mkati mkati ayenera kukonzekera zolemba zachipatala / zolembera, zachipatala, IT, ndi ogwira ntchito zachuma kuti azigwirizana pa ICD-10 ndi HIPAA Version 5010 kusintha kwa ntchito.
- Amalipira
Bwezerani ndondomeko zowonongeka kuyambira kusintha kwa ICD-10 kudzaphatikiza malamulo atsopano okopera. Funsani ogulitsa mapulogalamu anu pulogalamu yawo yokonzekera komanso nthawi yokonzekera mankhwala, kuyesa, kupezeka, ndi maphunziro a Version 5010 ndi ICD-10. Muyenera kukhala ndi ndondomeko ya kukhazikitsidwa ndikukhazikitsanso ndondomeko. - Ogulitsa malonda, mapulogalamu osungirako zinthu, ndi mautumiki apadera a ngongole
Muyenera kukhala ndi malonda ndi mautumiki mu chitukuko chomwe chidzalola olipidwa ndi ogwira ntchito kuti agwiritse ntchito ICD-10 pa October 1, 2013. Yambani kulankhula ndi makasitomala anu tsopano.
CMS yakhazikitsa Mabuku Otsogolera anayi monga zowonjezera zothandizira malonda a zaumoyo ndi kusintha kuchokera ku ICD-9 mpaka ku ICD-10.
Buku lililonse limapereka ndondomeko yambiri yolinganiza ndi kuyendetsa ndondomeko ya kusintha kwa ICD-10. Gwiritsani ntchito zitsogozo ngati kuti muwone ngati muli pakati pa kusintha kapena mutangoyamba kumene.
Zowonjezera za bukhu lililonse likutchula maofesi omwe alipo omwe angapezekidwe m'maofesi onse a Excel ndi PDF pansipa. Zithunzizi ndi zokhazikika ndipo zakhazikitsidwa kuti zithandize magulu kufotokozera maudindo a antchito, kukhazikitsa nthawi yeniyeni / maudindo ndikuyesa wokonzekera.
Maphwando Okhudzidwa
ICD-10 idzakhudzidwa ndi matenda opatsirana komanso odwala matenda odwala matenda opatsirana pogonana kwa aliyense amene ali ndi Health Insurance Portability Act (HIPAA), osati okhawo omwe amapereka Medicare kapena Medicaid. Dipatimenti ya Zaumoyo ndi Zaumoyo zaumunthu inalamula kuti miyezo ya mgwirizano pazinthu zonse zamagetsi zogwiritsira ntchito zaumoyo ayenera kugwiritsira ntchito HIPAA Version 5010 kuchokera mu Version 4010 / 4010A pokonzekera kukhazikitsidwa kwa ICD-10.
Ngakhale padzakhala kupweteka koyamba pakugwiritsira ntchito zida zatsopanozi, pamapeto pake ziyenera kuthandizira kulipira molondola komanso zomwe ziyenera kuthandiza ndi kukhutira ndi odwala ndi banja ndi makampani.