Inishuwarenzi yekubhadharwa inobva mukururama kwekodhi yekunyora
Kunyora coding inonyanya kukosha pakuwana inshuwarheni yekubhadhara pamwe nekuchengetedza zvinyorwa zvevarwere. Kunyora kwekodhi kunonyatsobvumira mubhadharo wehushuga kuziva chirwere kana kukuvadzwa kwemurwere uye nzira yekurapa.
Kurapa kwekurapa kwechiremba ndiyo nzira inoshandiswa nevatsigiri vekutsvaga kuongorora coding uye kusarudza kana nzira ichadzorerwa, yakarambwa, kana kuderedzwa.
Kana paine kukanganisa mune coding, zvinogona kuita kuti chirevo chiregere. Kuongorora kana nzira yakabhadharwa inenge isingabvumirwi nepurogiramu yeInishuwarenzi, kana inogona kungoputirwa zvishoma, kunyange yakave yakatenderwa
Somugumisiro, mupiro angasabhadhara zvakakwana nokuda kwebasa rakapiwa, kana murwere angave asina kutarisirwa kubhadhara kubhadhara mabasa kunze kwehomwe.
Njodzi dzeKubata kweCcoding uye Incoding
Ikoko kunogonawo kuva nemitemo yepamutemo uye yezvemari nokuda kwekodhi yekodhi isina kukodzera. Kuvhara kwepamusoro kunekupa nheyo dzimboti nenzira iyo inoguma mubhadharo yakakwirira ne insurer. Izvi zvinogona kutaridzirwa kuva unyengeri uye kutungamirira kumhosva, nemitemo yepamutemo uye yezvemari.
Dambudziko rakapesana riri pasi pekuvhara pasi, kwete kusanganisira nheyo dzemitemo yose inoshandiswa kana kuinyora maitiro ekubhadharwa kuripo muzinga rakaderera. Izvi zvinoguma mune mari yakarasika kune mupi.
Nyaya inonyanya kukosha inotarisirwa kumutsoropodhi yeCoding ndiyo ICD
Kuongororwa uye Nzira dzeMitemo
Kuziva zviratidzo zvinoshandiswa kutsanangura kuongororwa, chiratidzo, chimiro, dambudziko kana kukonzera kunosangana nekurapwa kwemurwere.
Kuongororwa kunofanira kunyoreswa kusvika kune imwe nzvimbo yepamusoro yehutano hwekushanya.
Kazhinji, maIndaneti anoshandiswa pamwe chete neHCPCS (Healthcare Common Procedure Coding System). HCPCS nheyo dzinotsanangurwa mumatatu matatu.
- Nhamba I CPT (Current Procedural Terminology) nhamba dzakagadzirwa nhamba nhamba dzishanu uye dzinotungamirirwa neAmerican Medical Association (AMA). Nhamba dzePCT dzinoshandiswa kuzivisa zvirongwa zvezvechiremba uye maitiro anorayirwa navanachiremba kana vamwe vadzidzisi vane mvumo.
- Nhamba II HCPCS inonzi alpha-numeric nhamba dzinosanganisira imwe yerefabheti inoteverwa nenhamba ina uye inotungamirirwa neThe Centers for Medicare neMedicaid Services (CMS). Aya mazita anoratidza kusingabatsiri kwemashoko akadai semakambani mazano, zvipatara zvinogara kwenguva refu, uye pharmacy.
- Nhamba III nheyo ndeye alphanumeric nheyo W, X, Y, kana Z inoteverwa neine mana digit code code. Zvimwe zvisingazivikanwe sehutano hwemunharaunda, idzi nheyo dzinoshandiswa sekhodi imwechete apo pasina ruyero I kana kuti yechipiri chechipiri kuti ione iyo.
Inonyanya kukoshesa mazano ndeye DRG's (Kuziva Maonero Akabatana). DGG inobatanidza:
- Kuziva
- Maitiro
- Matambudziko
- Zviratidzo
- Mamiriro ezvinhu akafanovapo
- Zera uye Gender
DGG inongoshandiswa kuparidzira muchengeti wemhosva. Vatsigiri vakawanda vanobhadhara maererano neDGG, naizvozvo, kunyatsoratidzwa kwezvinhu zvose kunokosha pakureva kubhadhara mari.
Mhinduro yakarurama inobva pane dzakawanda zvikamu. Kuramba uchienda kune rimwe zuva pamagetsi ekunyorwa kwekodhi, kutevera maitiro akachengetedzwa kwekodhi nekuchengetedza zvinyorwa zvevarwere zvakajeka nzira dzinoshandisika dzekuti zvirongwa zvehutano zvehutano zvive zvakarurama.