Malamulo Oyambirira Othandizira Kulembera Zamankhwala

Malangizo Othandizira Zopangira Zamankhwala Zofunikira Kudziwa

Makalata ochizira mankhwala amathandizira njira yobweretsera mwa kubweretsa kufanana ndi njira zomwe zimapezeka kudzera mwa zizindikiro zomveka. Pogwiritsira ntchito ndondomeko zomwe zimagwiritsidwa ntchito ndi ma inshuwalansi omwe amadziwika ndi makampani a inshuwalansi , njira zonse zachipatala, ndi mabungwe okhudzana ndi chisamaliro, olemba zachipatala adzaonetsetsa kuti makampani a inshuwalansi, malipiro a zamalonda, kapena Centers for Medicare ndi Medicaid (CMS) adziwa katundu wogula ndi momwe matendawa amavomerezera njira, kuyesa, kapena mankhwala.

Ngakhale kuti pali njira zambiri zokopera zolembera pogwiritsa ntchito zapadera zachipatala, pali malamulo ena oyendetsera ma kope omwe adzakhalapo nthawi zonse.

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Chikho Chokha Chimene Chidalembedwa

Ntchito ya dokotala ndiyo kulembera mbiri yachipatala ndi kufotokozera molondola za mautumiki onse, mayesero ndi ndondomeko zomwe zakhala zikuchitika komanso zofotokozedwa mokwanira ndi zizindikiro za wodwala, madandaulo, zikhalidwe, matenda, ndi kuvulala. Monga zolembera zachipatala, nkofunika kuti zizindikiro zolembedwa pamalonda a zachipatala zikugwirizana ndi zolembedwera m'makalata a zachipatala.

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Lembani Madiresi mu Chilolezo Cholondola

Sikofunika kuti kuwerengera ndi njira zogwiritsiridwa ntchito molondola ndikofunika, kuzilemba ndizolembedwera ndizofunikira. Chizindikiro choyamba nthawi zonse ndicho chifukwa chomwe wodwalayo akuchezera ngakhale pamene pali matenda ena kapena ngakhale pali njira zambiri.

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Tsatirani malangizo a NCCI ndi MUE

Medicare ndi Medicaid ali ndi kusiyana kwakukulu pa zolembera malamulo kuposa olemba inshuwalansi. Olemba mapepala ayenera kufotokoza zigawo za ntchito zochokera ku National Correct Coding Initiative (NCCI) ndi Kusintha Kwambiri kwaMulungu (MUEs). Izi zatsimikiziridwa kuti zisawononge mauthenga osiyanasiyana kapena njira zomwe siziyenera kuwerengedwera pamodzi chifukwa ntchito imodzi kapena ndondomekoyi imakhala ikuphatikizapo ina kapena chifukwa chakuti mankhwala sangathe kuchitidwa pamtenda womwewo tsiku lomwelo.

Cholinga cha National Coding Initiative (NCCI) chinakhazikitsidwa ndi Centers of Medicare ndi Medicaid Services (CMS) pofuna kupeŵa malipiro osayenera a Medicare ndi Medicaid chifukwa cha zolakwika zokopera. Pali mitundu itatu ya kusintha kwa NCCI:

1. Kukonzekera kwa ndondomeko : Kukonzekera uku kumatanthauzira ma code HCPCS ndi CPT omwe sayenera kuphatikizidwa palimodzi. Ngati malemba awa akuphatikizidwa limodzi kapena onse awiri akhoza kukanidwa.
2. Zosintha zosavomerezeka m'maganizo : Zosintha izi zimatanthauzira ma code HCPCS ndi CPT ndi chiwerengero cha mayunitsi omwe sangathe kuwerengedwa ngati malingaliro ali olondola. Nthawi zina, zigawo za utumiki zidzatsutsidwa zomwe zimapitirira zomwe zikuwoneka kuti ndizofunika kuchipatala.
3. Zowonjezera ma code : Zosintha izi zimalepheretsa kulipira kwa zizindikiro zowonjezera zomwe zimaonedwa ngati mbali ya zigawo zoyamba za CPT ndi HCPCS.

Zambiri

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Khalani Mwamba-to-Date pa Zosintha Zosintha

Zolondola zimadalira pazigawo zambiri. Kukhazikitsa nthawi yatsopano kusintha kwa coding, kutsata ndondomeko yoyenera yolembera ndi kusunga ndondomeko yokhudzana ndi odwala ndi njira zosavuta kuti zitsimikizo zachipatala zikhale zolondola.

Kulankhulana kwakopera kumapangitsa wogulitsa inshuwalansi kudziwa zizindikiro, matenda, kapena kuvulala kwa wodwalayo komanso njira imene adokotala amachitira.

Kulemba zolakwika kumapezeka pamene pempho likuperekedwa kwa kampani ya inshuwalansi ndi vuto lodziŵa matenda kapena ndondomeko yovomerezeka pazomwe akunena. Kulemba zolakwika zolakwika kumabweretsa mavuto ambiri. Ndikofunika kuti ofesi ya zachipatala ikhale ndi dongosolo lotsatira malamulo lomwe lingalepheretse kuphwanya malamulo okhudzana ndi mankhwala.

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Gwiritsani ntchito kusintha kwabwino

Ma code ena a CPT ndi HCPCS amafuna kugwiritsa ntchito modifiers. Zili ndi nambala ziwiri, zilembo ziwiri kapena zilembo za alphanumeric. Ma code modifiers CPT ndi HCPCS amapereka zambiri zokhudzana ndi utumiki kapena ndondomeko anachita.

Nthawi zina amamasuliridwa amagwiritsidwa ntchito kuzindikira malo a thupi pamene njirazo zinkachitidwa, njira zingapo panthawi yomweyi, kapena zimasonyeza kuti ndondomeko inayambika koma yatha. Zosintha sizimasintha ndondomeko ya ndondomeko zomwe amatsatira.

Choyimira Chofunikira Mfundo:

• Sikuti zonse zosinthika zingagwiritsidwe ntchito ndi ma code onse a CPT ndi HCPCS
• Onaninso National Initiative Coding Initiative (NCCI) yodalirika yoyenera ya Medicare ndi Medicaid
• Dziwani bwino ndi kusintha komwe kumagwiritsidwa ntchito mopitirira muyeso kapena kugwiritsidwa ntchito molakwika
• Kulemba kwadongosolo kosayenera kwa code modifiers kungachititse kuchedwa kapena kuchepetsa kulipira

Zambiri