Kulemba coding ndi zamalonda ndi mbali yaikulu ya kulipira kwachipatala ndi kuyankhulana pakati pa ogwira ntchito zachipatala ndi inshuwalansi. Phunzirani zofunikira za zomwe zikutanthawuza ndi momwe zizindikirozi zimagwiritsidwira ntchito.
Kodi Coding Medical N'chiyani?
Kulemba coding ndi zamakalata ndi zolemba zomwe zili zosiyana ndi matenda, chizindikiro kapena chizindikiro choikidwa, ndi chifukwa cha imfa mwa anthu.
Kuonjezerapo, zida zimagwiritsidwa ntchito pa kuyankhulana kwapadera kwa zopereka ndi njira zomwe zimagwiritsidwa ntchito pochiza anthu. Kulemba zolembera zovomerezeka ndizofunikira pa kulipira ndi kufufuza ziwerengero za matenda ndi mankhwala.
Kulemba coding ndi zamakono ndizofunikira kwambiri kupeza ndalama zobwezera inshuwalansi komanso kusunga mauthenga odwala. Zolemba zamakalata zimapangitsa wogulitsa inshuwalansi kudziwa matenda kapena kuvulala kwa wodwala komanso njira ya chithandizo.
Kulemba coding kwa zamankhwala kungaphatikizepo chimodzi kapena zingapo mwa ma code awa: ma ICD, ma CPT, ma code HCPCS, ma code DRG, ndi modifiers. Zonsezi zimakhala zofunikira pazolumikizana ndi zolinga zokhuza. Sikofunika kokha kolembera pazochitika zachipatala, nkofunikira chifukwa amalonda amalonda monga makampani a inshuwalansi, Medicare ndi Medicaid sangathe kulipira ngati sakuvomerezedwa bwino ndi zizindikiro zoyenera.
Makalata a ICD
Mndandanda wa mayiko a mayiko onse okhudzana ndi matenda kapena matenda a ICD ndi njira imodzi ya zizindikiro. Izi ndizomwe zimaphatikizapo zizindikiro za matenda, matenda, ndi zomwe zimayambitsa imfa mwa anthu. Bungwe la World Health Organization limapanga, zilolezo, ndikuyang'anira izi mndandanda ndipo ndizofunikira ndipo potero zimazindikiridwa ndi chipatala ndi dokotala padziko lonse lapansi.
Ku United States, National Center for Health Statistics, yomwe ili gawo la Centers for Medicare ndi Medicaid Services imasintha maiko a ICD pamodzi ndi WHO.
Ma HCPCS Codes
HCPCS (Healthcare Common Procedure Coding System) MaseĊµera I ndi II ndi njira ina yokopera. Mndandanda ndili ndi zizindikiro za CPT, ndipo Mzere WachiĊµiri umaphatikizapo zizindikiro zogwiritsira ntchito zomwe zimagwiritsidwa ntchito pozindikira zinthu, katundu, ndi ntchito zomwe sizikuphatikizidwa ndi zida za CPT zikagwiritsidwa ntchito kunja kwa ofesi ya udokotala.
Ma code HCPCS amafotokozedwa m'magulu atatu:
- Ndondomeko yoyamba ya CPT (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.
- HCPCS yachiwiri ikuluikulu ndi zilembo zotsatizana zomwe zili ndi chilembo chimodzi cholemberamo zilembo 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.
- Mndandanda wa chiwerengero chachitatu ndi zilembo zowonjezera W, X, Y, kapena Z zotsatiridwa ndi chiwerengero cha nambala zinayi. Mwinanso amadziwika ngati zida zapanyumba, zizindikirozi zimagwiritsidwa ntchito ngati code yosiyana pamene palibe mlingo Woyamba kapena ndondomeko yachiwiri yachiwiri kuti ndizindikire.
Zosintha: 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.
Makalata a CPT
Zizindikiro za CPT ndi Machitidwe Odziwika Amodzi ndipo zinapangidwa ndizolembedwa ndi American Medical Association mu 1966. Awa ndiwo dongosolo la zilembo zisanu za alphanumeric zomwe zimalongosola mu njira yovomerezeka yachipatala, opaleshoni, ndi matenda.
Ma CDG
Zizindikiro za DRG, zizindikiro zogwiritsira ntchito zizindikiro, zimagwiritsidwa ntchito pokhapokha ngati akudziwitsidwa kuti akudwala matendawa. Ambiri a inshuwalansi amalipira molingana ndi DRG, choncho, kulondola kwa zigawo zonse ndizofunika kuti munthu azibwezeredwa.
Momwe Kulembera Zamankhwala Akugwiritsidwira Ntchito
Zokonzera izi ndizofunikira pakuyankhulana ndi cholinga cholipira. Sikofunika kokha kukopera kofunikira pazochipatala, ndizofunikira kwambiri kwa odwala chifukwa amalipira malonda monga makampani a inshuwalansi, Medicare ndi Medicaid sangapereke chigamulo ngati sichivomerezedwa bwino ndi zizindikiro zoyenera.
Kuonjezera apo, zizindikiro za kugwiritsira ntchito zimagwiritsidwa ntchito pofufuza momwe matenda amachitira m'mabungwe komanso m'mayiko komanso m'madera am'deralo. Mayiko ena a World Health Organization angathe kupindula ndi zida zofunika kuti athetse vuto la umoyo, kuphunzitsa anthu za kupewa ndi kuchiza, komanso kuonetsetsa kuti ali ndi thanzi labwino m'tsogolo.
Maphunziro mu Coding Medical
Makoloni ambiri ndi masukulu a zamalonda amapereka makalasi, maumboni, ngakhale ogwirizanitsa ndi Applied Science madigiri mu kulipira kwachipatala ndi kukopera. Izi ndi maphunzilo ozama kapena za digiri zomwe zimaphunzitsa ophunzira pa mawu a zachipatala, zolembera zoyenera ndi njira zoyendetsera ndalama, ndondomeko yoyenera ya ofesi, ndi zochuluka zokhudzana ndi maphunziro. Zina mwa izi ndizovomerezeka ndipo zina siziri, kotero wophunzira aliyense angathe kuchita ntchito zawo zapanyumba asanayambe kuphunzira pulogalamu.
Kufunika kwa maphunziro oyambirira ndi kupitiliza maphunziro ku ofesi yachipatala kapena dokotala sizingatheke. Kusamvetsetsa kusintha kwa zokopa ndi zolipira, komanso malamulo oyendetsera ndi ofunikira mu dongosolo la digito lachangu limene tonse timagwira ntchito ndi kukhalamo.
Kulemba ndi Kulipirira
Kulemba ndi kulipira nthawi zambiri kumatchulidwira palimodzi chifukwa izi ndi mbali ziwiri za ofesi ya zachipatala yomwe ikugwirizana kwambiri. Wothandizira omwe amamaliza kulemba coding yanu ndi kulipira ayenera kugwirira ntchito pamodzi kuti awonetsere kulipira kwachindunji kwa madandaulo onse azachipatala ndikukonzekera ndi kumaliza zolemba zachipatala.
Zida monga ma bukhu amtundu wamakalata amalembetsa zizindikiro zosiyana kapena mapulogalamu amakono olembetsa kapena kulipira ndi ofunikira kwa olemba ngongole ndi olemba makalata kuti atsimikizidwe kufotokoza molondola kwa makampani a inshuwalansi kapena Medicare ndi Medicaid , ndi kubwezera kulipira kwazinthu izi, komanso monga zofufuza zenizeni ndi zolemba zachipatala. Kuphatikiza pa kufotokoza koyambirira kwazomwe akudwala, zolemba ndi zolemba zikhoza kukhala ndi udindo wozitsatira zotsutsa zomwe mwaletsedwa mwa kufufuza tchati cha wodwalayo, kubwezeretseranso zomwe akunenazo, kuyitanitsa zomwe akunena, kapena kutenga njira zina zowonetsetsa kuti Funsani.
Popeza kuti ogwira ntchito ndi olemba ndalama amapanga zolemba zachipatala molondola malinga ndi malamulo a boma komanso a boma, kufunika kwa mabanki ndi makalata oyenera omwe sangakwanitse. Malo ogwira ntchito azachipatala ayenera kukhala ndi mapepala ophunzitsidwa bwino, okonzedwa, ndi odziwa bwino azachipatala ndi makalata ochipatala.