HCPCS Ikhoza Kukuthandizani Kusankha Bills Za Zamankhwala ndi Maphunziro a Ubwino
(Phunzirani zomwe zizindikiro za HCPCS ndizo, zomwe zimawoneka komanso kumene mungazipeze musanayang'ane.)
Kuchokera ku buku la Medicare HCPCS, mungapeze zinthu zitatu: kufotokozera ndondomeko iliyonse ya HCPCS, Relative Value Amount (RVU) ndi Geographic Practice Cost (GPCI). Mukayika palimodzi, iwo amakhala Pulogalamu ya Tizilombo.
Kodi Phindu Lalikulu Nchiyani (RVU)?
Ndondomeko iliyonse ya HCPCS imapatsidwa mtengo - ndalama zambiri Medicare adzalipira chipatala kapena dokotala pa utumikiwo.
Kenaka, mizinda ndi malo ena amagawidwa ndi RVU - mtengo wapatali wokwanira - umenewo ndi ochepa, oposa kapena ochepa, omwe amalipira HCPCS.
Apa ndi momwe zimagwirira ntchito: Malinga ndi komwe mukukhala, RVU idzakhala yapamwamba kapena yocheperapo, poyerekeza ndi mtengo wochita bizinesi. Kotero, mwachitsanzo, mtengo wochita bizinesi ndi wapamwamba kusiyana ndi ku New York City. Avereji = 1. RVU ya New York City ikhoza kukhala 1.3. Ku Birmingham, Alabama, yomwe ili ndi mtengo wapatali wochita malonda, RVU ikhoza kukhala .75.
Kodi ndondomeko ya mtengo wa Geographic Practice Index ndi yotani?
GPCI ndi ndalama zomwe zimaperekedwa pa code iliyonse ya HCPCS kamodzi kawirikawiri yowonjezedwa ndi RVU. Sikopera - ndi ndalama zenizeni. Poyang'ana Code X kuchokera pamwamba, gombe lalikulu (RVU = 1.0) likhoza kukhala $ 100. Ku New York City, kumene RVU ndi 1.3, Code X ndi ofunika $ 130. Ku Birmingham, Alabama kumene RVU ili .75, Code X iyenera kukhala madola 75.
Pogwiritsidwa ntchito, kuchuluka kwa chikhombo, RVU, ndi GPCI chifukwa cha ndalama za dokotala pa utumiki uliwonse kapena njira zomwe angakupatseni, wodwala. Amatchedwa Ndandanda ya Tizilombo.
Kumbukirani, Mndandanda wa Malipiro a Tizilombo amangokuuzani zomwe Medicare amapereka kwa mautumiki awa. Ngati muli ndi inshuwaransi yaumwini , ndalama zomwe mumalandira kuchipatala kapena kuchipatala zingakhale zochepa.
Mukamafufuza HCPCS, mukhoza kuphunzira zinthu zinayi:
- Mukhoza kugwiritsa ntchito code ya HCPCS kuti mudziwe kuti ndi chithandizo chiti.
- Mungagwiritse ntchito ntchito kapena ndondomeko kuti muyang'ane zizindikiro za HCPCS zomwe zingagwiritsidwe ntchito.
- Mutha kudziwa momwe Medicare imalipira madokotala ndi malo omwe mukukhala nawo pa ntchito kapena njirayi (RVU).
- Mukhoza kupeza ndalama zambiri zomwe zimaperekedwa kudutsa US chifukwa cha chikhomocho.
Pano ndi momwe mungapangire mawonekedwe anu a Medicare HCPCS kwaulere:
- Khwerero 1: Muyamba pa tsamba lofotokozera lomwe likufotokoza zinthu zomwe mukufuna kuyang'ana. Werengani kudzera pazomwe mukuwerenga mwachidule, kenako dinani pa START SEARCH.
- Gawo 2: Pa tsamba lotsatila, mudzapeza mutu umene ukunena kuti mukuyang'ana ma code CPT. Zizindikirozi ndizofanana ndi ma HCPCS, ngakhale kuti HCPCS ili ndi zida zina zowonjezera, ma ambulansi, ndi zipangizo zamankhwala zotsalira.
Mudzapeza License Yogwiritsira Ntchito Mapeto. Mwachidziwikire, zimakuuzani kuti mukhoza kuyang'ana mmwambazi mauthengawa okha kuti mudziwe nokha komanso kuti simungathe kuzigulitsa kwa wina aliyense. Pali malamulo ena omwe muyenera kuwerenga.
Khwerero 3: Dinani PAMODZI kapena MUSALANDIRE. Ngati mutsegula MUSALANDIRE, simudzaloledwa kupeza mauthenga a kasitomala.
- Khwerero 4: Tsamba lotsatira ndi tsamba lanu lofufuzira. Choyamba, mudzasankha chaka kapena gawo la chaka kuti muyang'ane pa zizindikirozo. Kenaka, mudzasankha zotsatira zomwe mukufuna. Ngati simukudziwa, ndipo mukuyerekezera mapepala anu ogulira ndalama kuti mugulitse mitengo, ndiye sankhani GPCI kuti muyambe. Ngati izo sizikhala zomwe mukufuna, mukhoza kubwerera kuti muyang'ane mtengo wina.
Muyeneranso kusankha "wonyamula" kapena "malo". Izi ndizovuta kusankha kuchokera chifukwa zimakhala zachilendo. Mwina mungafunikire kuwerenga mwachindunji chifukwa chakuti sali ojambula. Mwachitsanzo, ndimakhala ku Central NY yomwe ilibe malo alionse pafupi ndi New York. Zinalembedwa kuti "Mpumulo wa New York."
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- Khwerero 5: Pangani kachidindo ka HCPCS yomwe mukuyesa kuiwona patsamba lotsatira. Kenaka sankhani OTHANDIZA ONSE kuyambira pamene adzakupatsani inu chidziwitso chonse cha chikhomocho.
Pitirizani kuyang'ana pazomwe mukufuna. Lembani zomwe mukufunikira malinga ndi zomwe mudzazigwiritsa ntchito.
Lumikizani ku malangizo awa:
- Kuwerenga EBO Yopereka Wanu - Kufotokozera Ubwino
- Ngati mukukhulupirira dokotala wanu akulipira ndalama zothandizira zomwe simunapereke kwa inu kapena kulipiritsa ntchito yamtundu wapamwamba kusiyana ndi momwe munalandira, mudzafuna kudziwa zomwe mungachite potsata njirayi, yotchedwa Upcoding .