Makhalidwe a ICD-10 Amakhudza Katundu Wanu ndi Ngongole Yanu
Zimatengera zaka za maphunziro ndi maphunziro kuti aphunzitse madokotala maluso ofunikira kuunika wodwala, kupenda matenda, ndi kumuchitira munthuyo malinga ndi muyezo wa chisamaliro. Mu 2015, chigawo chatsopano cha zovuta zinawonjezeka chomwe chimakhudza kapena ayi mapulani anu a inshuwalansi adzakubwezeretsa chisamaliro chanu.
Momwe Kulipira Kwadongosolo Kumagwirira Ntchito
Mukhoza kutenga njira kuti mumvetsetse zovuta za kulipira kwachipatala , koma zomwe mukufunikira kudziwa ndizochitika za bili zomwe zimakukhudzani payekha.
Mwachidule, dokotala wanu akukuyesani inu, akusankha khodi yogonana kuti agwirizane ndi chikhalidwe chanu, ndipo amasankha code yolipira pogwiritsa ntchito zovuta za ulendo wanu. Mayesero alionse omwe adalamulidwa ayenera kugwirizanitsidwa ndi code. Mfundo imeneyi imayikidwa kwa kampani yanu ya inshuwalansi, Medicare ikuphatikizidwa, kotero dokotala wanu amalipiridwa chifukwa cha utumiki wake.
Ngati dokotala wanu sanasankhe kachilombo koyambitsa matenda, ndizotheka kuti inshuwalansi yanu idzaperekera chisamaliro chomwe mwalandira. Izi zimakulepheretsani kulipira osati copay kapena ndalama zokhazokha kapena kuyendera koma ndalama zonse.
Kusintha kwa ICD-9 mpaka ma Code IC-10
Undandanda wa mayiko wa Matenda ndi bokosi la chidziwitso. M'ndondomeko yake ya 10 (ICD-10) kuyambira 1990, mndandanda wa zofufuzirazi ukugwiritsidwa ntchito padziko lonse kuti muzitsatira chiwerengero cha matenda ndi imfa. Kuika zizindikiro zogonana kumathandizanso kuti muwone njira zathanzi, kuyang'anitsitsa zochitika zaumoyo, ndi kuchitapo kanthu kuopseza thanzi.
Komabe, United States inali yocheperapo kutsatira malamulo atsopano ndipo sinasinthe kuchokera ku ICD-9 mpaka ICD-10 mpaka October 2015.
Pali zizindikiro zambiri zogonana kuposa momwe mungaganizire. Chiwerengero cha zovuta zowonjezera wothandizira zaumoyo wanu ayenera kusankha kuchokera mwachangu kuwonjezeka mu Oktoba 2015. Pali zizindikiro 155,000 zomwe zilipo mu ICD-10 ya 2015 poyerekeza ndi chiwerengero cha 17,000 ku ICD-9.
Kwa 2018, padzakhala zizindikiro zatsopano 363, zizindikiro 142 zosasinthika, ndi zizindikiro 226 zosinthidwa.
Izi zinawonjezereka kwambiri zimapangitsa kuti madokotala azivutika kupeza zizindikiro zomwe akufunikira kupeza inshuwalansi kuti azilipira. Phunziro la woyendetsa ndege la Healthcare Information Management Systems Society limasonyeza kuti 63 peresenti ya coding ya ICD-10 ikhoza kukhala yolondola. Zolakwitsa zina zowonjezera zingakuchititseni kupereka zambiri kuposa gawo lanu labwino.
Kusankha Code Lokwanira
Kuti mudziwe zambiri za ICD-10, yang'anirani zodandaula zapumulo zakuda. Mphuno yotchedwa rhinitis (mphuno yochokera ku chifuwa) ili ndi zizindikiro zisanu ndi chimodzi zosiyana siyana zomwe mungasankhe, zizindikiro za chibayo 20, zizindikiro 15 za mphumu , zizindikiro 5 za nthenda , sinusitis 21 zizindikiro, ndi zizindikiro 7 zapakhosi . Izi ndizo zophweka.
Zinthu zovuta monga matenda oopsa kwambiri zimakhala ndi matenda ambiri a matenda a mtima, matenda a impso, mimba, ndi zina zambiri. Matenda a shuga ali ndi zizindikiro zambiri. Palinso zizindikiro zitatu zogwidwa ndi chinthu chogwera pa bwato! Mukhoza kudzipusitsa nokha ndikufufuza ma code pa Centers for website ya Medicare ndi Medicaid (CMS).
Chitsanzo: Medicare imangopereka ndalama zowonongeka kwa mafupa a osteoporosis ngati zizindikiro zina za ICD-10 zimagwiritsidwa ntchito. Medicare idzakana kulumikizidwa kwa chikhombo cha ICD-10 M85.80, "zovuta zina zowona mafupa ndi mapangidwe, malo osadziwika", koma adzalandira kubwezera kwa M85.81x-M85.89x, zizindikiro zomwe zimatchula malo (ngolo, phazi, chingwe, chifuwa, mkono wam'mwamba, mapewa, mapewa, mkono wapamwamba, kapena malo ambiri) komanso pambuyo pake (kumanzere kapena kumanja) matenda a mafupa, mwachitsanzo, M85.822, "matenda ena osokoneza mafupa ndi mapangidwe, .
Izi ndizowonjezereka monga momwe zilili ndi zizindikiro zambiri zomwe zidzakhudze kupenya kwapafupa. Komabe, n'zosavuta kuona momwe chiwerengero chimodzi chingasankhe amene akulipira, iwe kapena inshuwalansi.
Kuwonekera Mlandu Wanu
Pambuyo pa kusintha kwa ICD-10 mu 2015, Centers for Medicare ndi Medicaid Services (CMS) inalola chaka chimodzi chisomo cha zolinga zowola. Mwachidule, CMS inapereka madokotala ulemu kwa miyezi 12. Malingana ngati madokotala adzilemba muyezo woyenera wa matenda, ngakhale kuti siwotchulidwa, iwo sakanamangidwa ndi CMS ndipo chisamaliro chanu chiyenera kubisika. Izi siziri choncho.
Ngati nthawi iliyonse mumalandira ngongole yomwe simukuganiza kuti mukuyenera kulipira, funsani dokotala wanu. N'zotheka kuti agwiritsa ntchito code yolakwika ya ICD-10. Dokotala wanu akhoza kusintha chiwerengero cha matendawa kwa amene akukupatsani inshuwalansi yomwe mukufunikira.
Mawu ochokera
Madokotala akudziwa bwino chithandizo chamankhwala kuposa kulipira kwachipatala. Ndili ndi ma 155,000 ICD-10 omwe alipo, ndizotheka dokotala wanu angasankhe cholakwika. Ngati Medicare amakana kulipira kwa ntchito chifukwa cha zolakwika zokopera, mumasiyidwa kuti muthe kulipira. Dziwani ufulu wanu. Yesetsani kupita ku ofesi yothandizira owona zaumoyo wanu ngati mumapeza zosiyana pa bizinesi yanu.
> Zotsatira:
> 2018 ICD-10 CM ndi GEMs. Maofesi a webusaiti ya Medicare ndi Medicaid Services. https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html. Kusinthidwa 8/11/2017.
> Misa ya misala ya ICD-10 Zophimbidwa Ntchito Zosinthidwa. American College of Radiology webusaiti. https://www.acr.org/Advocacy/Economics-Paulendo-Polisi/Billing-Coding/Coding-Source-List/2016/March-April-2016/Bone-Mass-Measurement-ICD-10-Covered-Services- Kusinthidwa.
> Herman, B. Ndi 63 peresenti ya ICD-10 Zolemba Zowonongeka Moyenera. Becker's Hospital CFO Report webusaitiyi. http://www.beckershospitalreview.com/finance/report-only-63-of- > icd > -10-zolemba-molondola-coded.html. Lofalitsidwa pa October 24, 2013.
> Code ICD-10 Yang'anani Pamwamba. Maofesi a webusaiti ya Medicare ndi Medicaid Services. https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx.
Mitundu Yonse ya Madokotala (ICD). Webusaiti ya World Health Organization. http://www.who.int/classifications/icd/en/.