Sungani ndondomeko yanu yothandizira kulipira ndi kupewa zolakwika ndi malangizo awa
Mankhwala a Medicare sayenera kutsutsa zambiri ndi kukana ngati muli ndi chidziwitso cha malangizo a Medicare. Zomwe zili pansipa ndi zina zomwe sizikuchitika ndi zomwe sizikudziwika kuti zimateteza zolakwika.
Musaiwale kuyendera webusaiti ya CMS kuti mupeze mauthenga othandizira ntchito, ndondomeko, ndi zolemba zomwe zingakhale zopindulitsa kupira kwa Medicare yoyenera.
Zimene Muyenera Kuchita pa Kulipilira Kwachipatala
Code ikhoza molondola kuchokera pa mautumiki, mayesero, ndi njira zomwe zimachitidwa.
Lembani zolemba zachipatala molongosola molondola za mautumiki onse, mayesero, ndi ndondomeko zomwe mwachita ndendende momwe zimakhalira ndi kumvetsetsa mokwanira zizindikiro za wodwalayo, madandaulo, zikhalidwe, matenda, ndi kuvulala.
Lembani ndondomeko ya njira ya CPT / HCPCS kwa Medicare yomwe imatsutsana kwambiri ndi zolembazo muzolembedwa zamankhwala.
Sankhani ndi kulongosola malemba oyenera a CPT / HCPCS pamakalatawa malinga ndi malangizo a Medicare.
Muphatikize kutalika kwa nthawi, kuchuluka kwa mankhwala, kapena chiwerengero cha mayunitsi mu rekodi ya zachipatala kuti lipoti lolondola pazinenezi.
Lembani zizindikiro za matenda a ICD-9 zomwe zimagwirizana ndi zizindikiro za wodwala, madandaulo, zikhalidwe, matenda ndi kuvulala zomwe zafotokozedwa muzolemba zachipatala.
Lembani zodandaula mkati mwa chaka chimodzi cha tsiku la utumiki wa madandaulo a Medicare ndi MSP.
Lembani lipoti la ntchito zochokera ku National Correct Coding Initiative (NCCI) ndi Kusintha Kwambiri kwaMulungu (MUEs) kuti muteteze mauthenga ambiri kapena njira zomwe siziyenera kulipiritsidwa palimodzi chifukwa ntchito imodzi kapena ndondomeko yowonjezera ikuphatikizapo inayo kapena chifukwa chakuti mankhwala sangathe Muzichitidwa pa wodwala yemweyo tsiku lomwelo.
Muli ndi liwu lovomerezeka la Advantage Beneficiary (ABN) pa fayilo kuti mulembere bwino mauthenga osadziwika bwino ndi kusintha koyenera, mwachitsanzo GA kapena GZ, yomwe idzazindikiritsa misonkhano yomwe ikhoza kulipiritsa kapena osatipereke kwa wodwalayo.
Mungapeze siginecha kuchokera kwa wodwalayo akulola ntchito ya madalitso, kulola wothandizira kupeza chilolezo, ndi kupereka chisamaliro.
Chitani zovomerezeka za odwala pa Common Files File (CWF) musanapereke chigamulo chotsimikizira kuti wodwalayo sadasinthe.
Zimene Simuyenera Kuchita pa Katundu Wothandizira
Osatipiritsa ntchito iliyonse, mayesero, kapena ndondomeko yomwe imachitika ngati mulibe zolembedwa za zizindikiro, zodandaula, zikhalidwe, matenda, ndi kuvulala komwe kumapereka umboni pokhapokha ngati ndondomeko yoyesera ikugwiritsidwa ntchito.
Musayambe ndondomeko yoyenera ya CPT / HCPCS pamene njira za CPT / HCPCS zilipo.
Musangowonjezera kusintha kwa CPT / HCPCS pokhapokha ngati mbiri yachipatala sichigwirizira ntchito yake.
Musamangogwiritsa ntchito ntchito, mayesero kapena njira zosiyana zomwe ziyenera kuchitidwa palimodzi chifukwa zimayesedwa ngati zigawo zikuluzikulu za utumiki womwewo, mayesero kapena ndondomeko.
Musamangogwiritsa ntchito mankhwala osokoneza bongo komanso kutaya palimodzi. Ndalama zowonongeka ziyenera kuwerengedwa pa mzere wosiyana ndi zosonyeza ndi JW modifier.
Musamapereke mankhwala kwa Medicare kuti amwalipire ngati wodwala akuphimbidwa ndi Medicare Managed Care.
Musamapereke zigamulo za malo opangira katundu (36415) pa madandaulo a Medicare Part B. Izi zikhoza kungotengedwa ngati mbali ya chipatala.
Musamangokhalira kufufuza nthawi zonse pokhapokha ngati mukulipira kuti mulandire kukana. Ngati kulipira kwa kukana, onetsetsani kuti yonjezerani GY kusintha pa njira yoyenera ya CPT / HCPCS.
Musamapereke thandizo la mankhwala a Medicare Part B pamene wodwala wasankha chipatala kuti adziritse ndikudwala matenda othawa.
Musamapereke zifukwa zapapepala pazinthu zina koma zofiira, zofiira ndi zoyera za CMS-1500 kapena maB-04.