Medicare Inowedzera Kushandiswa kweBill Type 14X
Medicare yakawedzera kushandiswa kwechipatara mari yechikwata che 14X pakutanga kwegore ra2014. Isati yashandurwa, bhiriji yechipiri 14X yakashandiswa kuchipatara chekurapa chipatara chirwere chisina murwere. Izvozvo zvaireva kungofanirwa kuendesa kurabhu, murwere haana kuenda kuchipatara mumunhu. Kutevera kuchinja, murwere anogona kana kuti haazoonekwi kuchipatara.
Nguva Yokushandisa Chipatara Bill Type 14X
- Kana murwere achipa kuchipatara uye anogamuchira mabasa e laboratori chete, mazano anogona kubhadharwa pamutemo wechirwere 14X.
- Kana murwere achitaura kuchipatara uye anogamuchira zvose laboratori uye nemapoka ekurapa ane chiremba akasiyana pane imwe neimwe, ma laboratory mabhizimusi anogona kukweretwa pamutemo wechirwere 14X uye kunze kwebasa rinogona kubhadharwa pamutemo wechikwereti 13X.
Nei Kuchinja Kwacho?
Maererano neCMS.gov, zvipatara zvinokonzerwa nezvipatara zvinokonzerwa nezvipatara zvakabhadharwa kuongororwa kwema laboratory zvakaitwa muchipatara chechipatara kuCliniki Laboratory Fee Schedule (CLFS). Sezvo kuongororwa kwebhroreta kuri kubhadharwa paCFFS, kuitira kuti zvibvumire kubhadhara zvakasiyana uye kubhadhara paCFFS mutengo, CMS iri kuwedzera Bill ye 14X.
Izvi zvinorevei kune Vanopa?
Kuwedzerwa kwemutemo wechirwere chechipiri 14X zvinoreva kuti zvipatara zvinowanikwa kune mabhizimusi mabasa anogona:
- Shandisa mari yepaini 14X kubhadharo yevashandi vakawanda
- Ramba uchishandisa shanduro yechikwata 13X yema molecular pathology test. Miviri yezvirwere zvechiremera inosanganisira code CPT 81200 kusvika 81383, 81400 kusvika 81408, uye 81479.
- Ramba uchishandisa mushumo wekubhadhara 13X yebasa re laboratori nemamwe mabasa ekurapa anorayirwa nechiremba mumwe chete pazuva rimwechete
- Shandisa bhiri runyoro 14X kubhadharo yebazi laboratory uye mari yechikwata che 13X kusvika musangano kune dzimwe hutano huripo kana hurumende inorayirwa navanachiremba vakasiyana pazuva rimwechete.
Medicare Zviyeuchidzo Zvokubhadhara
- Bhuku rinotaura zvakarurama rakabva pamasangano, miedzo uye nzira dzakagadzirwa
- Dzokorora maitiro eCCT / HCPCS emitemo yeMedare iyo inonyanya kufanana nemagwaro ekurepa kwechiremba
- Sarudza uye utaurire magadziri akakodzera kumakiti eCPT / HCPCS pamusoro pemhosva maererano nemirayiridzo yeMedare
- Faira zvikati mukati memakore rimwechete ezuva rebasa reMurengeti weMedare uye zvinonzi MSP
- Nyora zvikwata zvebasa rinotungamirirwa neNational Correct Coding Initiative (NCCI) uye Mishonga Inenge Isingaoneki Kuchinja (MUEs) kudzivirira kuudza mabasa akawanda kana nzira dzisingatauri pamwe chete nekuti imwe nheyo kana nzira inogona kusanganisira imwe kana kuti inenge isingave yakaitwa pamurwere mumwe chete pazuva rimwe chete
- Iva neChinozivikanwa cheBhuku reMubatsiro (ABN) rinozivikanwa pane faira kuitira kuti unyatsoronga maitiro asina kubvunzwa nehuwandu hwezvakakodzera, kureva GA kana GZ, iyo ichacherechedza micheche inogona kubhadharwa kana kuti isina kukweretwa kumurwere.
Chii chinonzi OPPS?
Chipatara Chirwere Chinotarisirwa Chekubhadhara, kana kuti OPPS, inobhadhara:
- zvimwe zvipatara zvisingabatsiri
- zvimwe zvipatara zvirwere zvinoputirwa neMedare Chikamu B kune varwere vasina Medicare Part A kugoverwa
- zvipatara zvakasununguka
- hutungamiri uye kupora kweHepatitis B, zvipfeko, zvikwereti, uye maantijeni nehurumende yehutano yeimba kune varwere vasiri pasi pehutano hwehutano hwehurumende yehutano kana varwere vasina kugadzirisa varwere
Chipatara Chirwere Chinotarisirwa Kubhadhara Mutemo, kana OPPS, haibhadhara:
- kuchipatara kuongororwa kwema laboratory services
- outpatient therapy services
- kuongorora uye kuongorora mammography
Chii chiri CLFS?
Clinical Laboratory Fee Schedule, kana CLFS, inobhadharwa kuchipatara kunze kwechipatara laboratory services maererano nemari yemari. Nheyo dzinobhadharwa pasi peCFF hadzisi pasi pekubhadharwa uye kubhadhara.
Zvimwe Zvakachinja Zvakatangwa muna 2014
Utano uye mishonga yezvechiremba inoramba ichichinja. Icho chiremera chehofisi yezvokurapa kuongorora, kuongorora nekuita shanduko dzakanaka kuti dzidzivirire kufarira kwese sangano.