Zizindikiro za HCPCS ndi manambala Medicare amapereka ntchito iliyonse ndi ntchito dokotala angapereke kwa wodwalayo. Pali zizindikiro za ntchito iliyonse yachipatala, opaleshoni, ndi matenda. HCPCS imayimira Healthcare Common Procedure Coding System.
Popeza aliyense amagwiritsa ntchito zizindikiro zomwe zimatanthauza chinthu chomwecho, amaonetsetsa kuti ali ofanana. Mwachitsanzo, mosasamala kanthu kuti dokotala wa Medicare amachezera chiani (HCPCS code 95115) dokotalayo adzalandira ndi Medicare ndalama zomwezo dokotala wina pamalo omwewo adzakhala a msonkhano womwewo.
Zizindikiro za kulipira HCPCS zimayang'aniridwa ndi CMS, Centers for Medicare ndi Medicaid Services. Iwo amachokera pa Mapu a CPT (Current Procedural Technology codes) opangidwa ndi American Medical Association. Zizindikiro za HCPCS zimayang'aniridwa ndi HIPAA, zomwe zimafuna kuti mabungwe onse othandizira azaumoyo agwiritse ntchito zizindikiro zoyenera zogulitsa zomwe zimakhudzana ndi chidziwitso cha thanzi.
Makhalidwe a Ma HCPCS Ma Code ndi Kusintha
HCPCS ili ndi zigawo ziwiri za zizindikiro.
- Mzere ndili ndi zizindikiro za CPT. Pulogalamu ya CPT kapena Current Procedural Terminology ili ndi nambala zisanu ndi ziwiri ndipo imayang'aniridwa ndi American Medical Association (AMA). Zipangizo za CPT zimagwiritsidwa ntchito pofuna kupeza chithandizo cha zamankhwala ndi njira zomwe amalamulidwa ndi madokotala kapena akatswiri ena ovomerezeka.
- Gawo lachiwiri la HCPCS ndi zilembo za alphanumeric zomwe zili ndi chilembo chimodzi cha alfabata zomwe zikutsatidwa ndi nambala zinayi ndipo zimayang'aniridwa ndi The Centers for Medicare ndi Medicaid Services (CMS). Zizindikirozi zimasonyeza kuti sizinali zachipatala monga ma ambulansi, zipangizo zamankhwala zolimba, ndi mankhwala. Izi sizinali zodula zomwe zimadutsa kudzera mu ofesi ya udokotala kotero ayenera kuchitidwa ndi Medicare kapena Medicaid mosiyana ndi momwe kampani ya inshuwaransi ya thanzi ingayang'anire nayo.
Ma code ena a HCPCS amafuna kugwiritsa ntchito modifiers. Zili ndi nambala ziwiri, zilembo ziwiri kapena zilembo za alphanumeric. Zosintha za code HCPCS zimapereka zambiri zokhudzana ndi utumiki kapena ndondomeko yomwe yachitika. Zosinthazi zimagwiritsidwa ntchito pozindikira malo a thupi pomwe njirazo zinkachitidwa, njira zingapo panthawi yomweyo, kapena zimasonyeza kuti ndondomeko inayambika koma yatha.
Nthawi zina misonkhano nthawi zonse imagwirizanitsidwa pokhapokha zizindikiro zawo zikhonza kukhazikitsidwa. Izi zimatchedwa "zilembo" .
Kufunika kwa Ogwira Ntchito zachipatala ndi Owapatsa
Odzipereka ayenera kudziwa malangizo a HCPCS kwa aliyense wa inshuwalansi makamaka pamene kulipira Medicare ndi Medicaid. Medicare ndi Medicaid kawirikawiri amakhala ndi malangizo ovuta kwambiri kuposa ena a inshuwalansi.
Ogwira ntchito komanso ogwira ntchito ku ofesi ya zamankhwala ayenera kuonetsetsa kuti makalata awo azachipatala akukhalabe ndizinthu pa HCPCS. Zizindikiro za HCPCS zimasinthidwa nthawi zonse chifukwa cha zizindikiro zatsopano zomwe zapangidwira njira zatsopano komanso zizindikiro zamakono zowonongedwa kapena kutayidwa.
Kumene Odwala Angapeze Ma code HCPCS / CPT
Odwala amatha kupeza Ma HCPCS / CPT Codes m'madera angapo. Mukamachoka ku ofesi ya dokotala, mumaperekanso ndondomeko yanu yomwe mungakhale ndi mndandanda wautali wothandizira dokotala wanu wopereka, ndipo ena mwa iwo akuzungulira. Ziwerengero zofanana, kawirikawiri manambala asanu, ndizo zizindikiro.
Ngati kusankhidwa kwanu kumafuna kulipira ngongole ndi dokotala wanu kuti mupereke ngongole kapena inshuwalansi, ndiye kuti zizindikirozo zingakhale pazolipirazo.
Wogwiritsa ntchito mankhwala wodwala komanso wochenjera amagwiritsa ntchito zizindikirozi kuti awerenge madokotala kuchipatala , malo oyeza, zipatala kapena zipangizo zina.
Ndi njira yabwino yotsimikizirira inshuwalansi yanu (ndi ndalama zanu zothandizana nazo ndi inshuwalansi) zikulipirira ntchito zomwe munalandira.
Ngati mulandira mawu ochokera kwa dokotala kapena inshuwalansi ya moyo wanu ndipo ma code HCPCS / CPT sakuwoneka, funsani phwando limene mudatumiza ndikupempha mawu atsopano omwe akuphatikizapo zizindikiro.