Udindo wa Health Information Management

Kuonetsetsa kuti Zolondola, Zopindulitsa, ndi Zachinsinsi za Zaumoyo Zaumoyo

Uchidziwitso cha zaumoyo ndi njira yosungira, kusunga ndi kulandira chidziwitso cha thanzi la wodwalayo mogwirizana ndi zofunikira za Federal, State, ndi mabungwe ovomerezeka. Pali maudindo akuluakulu 10 muzokambirana za kayendedwe ka zaumoyo (HIM) omwe amafuna nzeru, luso, ndi luso lapadera. Pano pali chidule mwachidule cha maudindo khumi.

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Zomwe Zimayambitsa Kulemba Kachidwi

Kulemba coding ndi zamankhwala kumaphatikizapo ntchito yolondola ya zizindikiro zachipatala kuti ziyenera kubwezeredwa ndi a inshuwalansi ndi olipidwa monga Medicare ndi Medicaid. Kumatanthauzanso kuonetsetsa kuti zolemba zonse zaumoyo zimaphatikizapo matenda oyenera malinga ndi ndondomeko yoyenera. Pali zigawo zingapo za ma code omwe ma coder amagwiritsa ntchito, ndipo ayenera kukhala ndi zatsopano zomwe zilipo monga momwe zizindikiro zina zimasinthira pachaka.

• Makalata a ICD-9
• Makalata a CPT
• Ma HCPCS Codes
• DRG (Kudziwa Zogwirizana Zogwirizana)
• Zosintha

Zambiri

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Kusindikiza Kwachipatala

Kusindikiza kwachipatala kumatanthawuza kusinthika kolondola ndi kwakanthaŵi koyenera kwa chidziwitso cha thanzi la odwala kuti chikhale chofikira kwa maphwando ovomerezeka:

• Mbiri yachipatala yoleza mtima
• Nkhani zoleza mtima
• Malipoti owonetsera zachipatala
• Zokwanira zochotsera odwala
• Malipoti a Radiology
• Mauthenga ogwira ntchito

Zambiri

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Zofunika Zamankhwala

Chofunika chachipatala chimatanthawuza chithandizo choyenera ndi chofunikira, njira kapena ntchito za matenda. Ambiri ogulitsa inshuwalansi, kuphatikizapo Medicare ndi Medicaid, sangapereke chithandizo chomwe sichimatengedwa kuti chikhale chofunikira pa mankhwala malinga ndi miyezo ya chisamaliro.

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Othandiza Odwala

Gawo lalikulu la kasamalidwe ka mauthenga a umoyo limapereka chidziwitso kwa madokotala pa odwala omwe akuwachitira monga akufunsidwa. Kumaphatikizaponso kuwonanso zolemba zotsatila ndondomeko za inshuwalansi, za boma komanso zapadera. Pambuyo pofotokozera, zofooka zilizonse zoyenera kutsatila ziyenera kubwereranso kwa madokotala ndi madokotala ena kuti awathandize kukonza zolemba zawo.

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Msonkhano wa Zolemba Zamankhwala

Mbiri iliyonse yachipatala iyenera kusonkhanitsidwa kuti ikhale yogwiritsira ntchito kupitiriza chithandizo chamankhwala popereka:

• Zolemba, zolondola
• Kusindikiza kwa malipoti a zachipatala
• Kugonjera kwadzidzidzi kwa kubwezera
• Kufikira kwa mabungwe ovomerezeka omwe akufunsira chidziwitso

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Kusungirako Zolemba Zamankhwala

Kusungabe zolemba zachipatala kwa odwala kumaphatikizapo kutsimikizira kuti zolondola ndi zopezeka kwa zolembera za kupitiriza kusamalira nthawi yonse ya wodwalayo. Izi zikuphatikizapo mapepala onse komanso mapepala a zamankhwala.

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Kulemba

Zolemba zachipatala zikuphatikizapo kupanga ndi kukonza dongosolo la kayendedwe ka mauthenga azaumoyo

• mosavuta
• adakonzedwa
• kumateteza chinsinsi chamoyo
• zogwirizana ndi malamulo ndi malangizo a HIPAA

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Ubwino ndi Kutetezeka

Pogwiritsa ntchito makina opanga zamakono muzithandizo zaumoyo, ofesi yanu ya zachipatala iyenera kupitiriza kupeza njira zopezera chinsinsi ndi chitetezo cha odwala omwe akutumikira.

• Kusungirako uthenga wathanzi wotetezedwa mwa njira yotetezera chinsinsi cha odwala
• Gwiritsani ntchito zinthu zomwe zikuonetsetsa kuti ogwira ntchito ku ofesi ya zachipatala akuphunzitsidwa bwino ndikuloledwa kulandira PHI
• Gwiritsani ntchito mauthenga obwereza kuti muteteze deta yapadera pa intaneti

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Kutulutsidwa kwa Zambiri

Chidziwitso cha odwala chingapemphere chifukwa cha zifukwa zambiri monga inshuwalansi kapena kupitiriza chisamaliro. Ofesi ya zachipatala ili ndi udindo womasula zidziwitso panthaŵi yake pa chilolezo choyenera cha wodwalayo kapena woimira. Kutulutsidwa kwa mautumiki a zowonjezera ndi monga

• Kupeza chilolezo chovomerezeka cha kutulutsidwa kwachinsinsi cha umoyo wotetezedwa
• Kukwaniritsidwa kwa mbiri yachipatala yokopera
• Kutumizira mbiri ya zamagetsi
• Kufufuzira zopempha ndi kuyang'anira nthawi yothetsera yankho

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Kusunga Chinsinsi

Onse ogwira ntchito zaumoyo ali ndi udindo wosunga antchito awo ophunzitsidwa ndi odziwa za chinsinsi cha matenda. Kudziwitsa antchito kuteteza uthenga wodwala kuyenera kuphatikizapo

• Kutaya bwino
• Kusungirako bwino
• Kupeza bwino
• Kulongosola bwino