Nzira dzeIndaneti-10 dzinobatsira sei kuchengetedza kwako uye yako chechikwata
Zvinotora makore ekudzidziswa uye kudzidziswa kudzidzisa vanachiremba unyanzvi hunodiwa kuti uongorore murwere, kuongorora, uye kumubata iye zvino maererano nehutano hwekutarisira. Muna 2015, hutsva hutsva hwekuoma hwakawedzerwa hunoita kana kwete yako hurongwa hwe inshuwarisi huchabhadhara nekuda kwekutarisira kwako-kuchinja mukutsvaga mazano.
Kubhadhara Kwekurapa Kunoshanda Sei
Iwe unogona kutora kosi kuti unzwisise zvinetso zvekubhadhara mune zvekurapa , asi izvo iwe unoda chaizvo kuziva ndezvipi zvebhadhiro inokubata iwe pamunhu wega.
Muchirevo chisinganzwisisiki, chiremba wako anokuongorora iwe, anotora kero yekutsvaga kuti aenzane nemamiriro ako, uye anosarudza ikhodi yekubhadhara zvichienderana nekuoma kwekushanya kwako. Chero mimwe miedzo inorayirwa inofanira kunge yakabatanidzwa nekodhi yekuongorora. Idzi ruzivo runotungamirirwa kune kambani yako yveshuwarenzi, Medicare inosanganisira, saka chiremba wako anokweretwa nokuda kwebasa rake.
Kana chiremba wako asingatori kodhi yakakodzera yekuongorora, zvinogona kuitika kuti inshuwarisi yako chirongwa hachizobhadhara nekuda kwekutarisira kwawakagamuchira. Izvozvo zvinokusiya iwe uchibhadhara kwete chete copay kana coinsurance yemuedzo kana kushanyira asi yakazara madhora emari.
The Change from ICD-9 kusvika ICD-10 Codes
Rudzi Rwenyika Yose rwezvirwere ibhokisi rekushandisa rekuongororwa. Mukunyora kwayo yegumi (ICD-10) kubva muna 1990, urongwa huno hwekuongorora hunoshandiswa munyika yose kutarisa zvirwere uye kufa kwehuwandu. Kuita zvirongwa zvekuongorora zvirwere kunowedzerawo kukwanisa kutarisa zvirongwa zveutano, kutarisa utano hwehutano, uye kupindura utano hwehutano.
Asi United States, kunyange zvakadaro, yakanga ichinonoka kutora zvinyorwa zvangobva kuitika uye haina kuchinja kubva ICD-9 kusvika ICD-10 kusvika Gumiguru 2015.
Pane hutano huri hutano kupfuura iwe unogona kufungidzira. Nhamba yezvikwaniro zvinogona kuitika iwe wehutano wehutano unofanirwa kusarudza kubva pakujekesa kuwedzera muna Gumiguru 2015. Pane 155 000 mazano anowanikwa mu 2015 version ye ICD-10 kana achienzanisa ne 17,000 codes mu ICD-9.
Kwegore ra2018, kuchava nemakorodhi matsva 363, 142 maikodhi asingashandisi, uye 226 nhamba dzakadzokororwa.
Izvi zvakanyanya kuwedzera zvakaita kuti zvive zvakaoma kuvanachiremba kuwana mitsara yavanoda kuti vawane inshuwarheni kuti vabhadhara. Imwe nyanzvi yekudzidza inonzi Healthcare Information Management Systems Society inoratidza kuti 63 muzana yeCD-10 coding ingave yakarurama. Zvimwe zvikanganiso zvekubhadhara zvinogona kutungamirira kwauri kubhadhara kupfuura chikamu chako chakanaka.
Kusarudza Code Yakarurama
Kuti uwane pfungwa yehutano hwe ICD-10, tarisa pane zvinowanzopomerwa zvinopepereswa kuporesa. Allergic rhinitis (ane runny pua kubva pamagetsi) ane zvinyorwa zvitanhatu zvakasiyana kubva pane zvaungasarudza, pneumonia 20 nhamba, asthma 15 nhamba, chirwere 5 nhamba, sinusitis 21 nhamba, uye nehuro 7 nhamba. Izvozvo ndizvo zviri nyore.
Mamiriro ezvinhu akaoma sehutachiona ane huwandu hwakawanda kune hutachiona hunoratidza kuti chirwere chacho chinoratidze sei nehutano hwemwoyo, chirwere chepfungwa, pamuviri, nezvimwewo. Chirwere cheshuga chine mamwe mapepa. Kune dzimwe nhatu nheyo dzekurohwa nechinhu chinowira pachikepe! Iwe unogona kuzvichengeta iwe pachako uye kutsvaga mazano paCenters for Medicare uye Medicaid (CMS) webusaiti yewebhu.
Muenzaniso: Medicare chete inokweretesa kuwanda kwepfupa kuongororwa kwemaosteoporosis kana dzimwe nhamba dze ICD-10 dzichishandiswa. Medicare icharamba kuparidzirwa kweCI code-10 M85.80, "zvimwe zvinetso zvakanzwisisika zvepfupa refupa uye zvigadzirwa, nzvimbo isingazivikanwi", asi ichabvumidza kubhadharwa kweM85.81x-M85.89x, nhamba dzinotsanangura nzvimbo (makumbo, tsoka, shingaira, ruoko, gumbo riri pasi, fudzi, chidya, ruoko rukuru, kana nzvimbo dzakawanda) uye gareal (kuruboshwe kana kurudyi) yechipfupa chepfupa, kureva, M85.822, "mamwe matambudziko anotsanangurwa ekuwedzera kwepafupa uye sarudzo, yakasara ruoko rukuru" .
Izvi zvinodarika zvakanyanya sekunge kune dzimwe dzakawanda dzimwe nheyo dzichafukidza fufupa rekuona kuongorora. Zvisinei, zviri nyore kuona kuti imwe nhamba imwe chete inogona kusarudza ndiani anokuripira kutarisira kwako, iwe kana wako insurer.
Kukwezva Nyaya Yako
Mushure mokunge kuchinja kune ICD-10 muna 2015, Centers for Medicare neMedicaid Services (CMS) yakabvumirwa kwegore rimwe nyasha nguva yekubhadhara zvinangwa. Zvichitaura zvishoma, CMS yakapa madhizinesi kumira kwemwedzi 12. Chero bedzi vanachiremba vakanyora muchikamu chakanaka chechirwere, kunyange dai chakanga chisiri iyo kodeti yakasarudzwa, havangatongororwi neCMS uye kutarisira kwako kunofanira kuvharwa. Izvo hazvisisiri zvakadaro.
Kana chero panguva ipi yaunogamuchira mushumo wausingafungi kuti iwe unofanirwa kubhadhara, taura nehofisi yako chiremba. Zvinokwanisika kuti vakashandisa iyo yakaipa ICD-10 code. Chiremba wako angakwanisa kuchinja kero yekutsvaga kune uyo anokupa inshuwarisi inotarisirwa iwe.
Shoko kubva
Vanachiremba vanoziva zviri nani mukurapa kwekurapa kupfuura kubhadharwa kwechiremba. Uine nhamba dzinopfuura 155 000 ICD-10 dzinowanikwa, zvinoita kuti chiremba wako asarudze chakashata. Kana Medicare inoramba kubhadhara kwebasa nekuda kwekukanganisa kwekodhi, iwe wakasara kubhadhara muhomwe. Ziva kodzero dzako. Dzokera kuhofisi yako yekubhadhara wehutano wehutano kana iwe ukawana chero kusanzwisiswa mukubhadhara kwako.
> Sources:
> 2018 ICD-10 CM uye GEMs. Zvikamu zveMedhareid uye Medicaid Services website. https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html. Yakavandudzwa 8/11/2017.
> Bone Mass Measurement ICD-10 Covered Services Updated. American College of Radiology website. https://www.acr.org/Advocacy/Economics-Haiti-Policy/Billing-Coding/Coding-Source-List/2016/March-April-2016/Bone-Mass-Measurement-ICD-10-Kubvumira-Mabasa- Updated.
> Herman, B. 63% ye ICD-10 Nyaya Yakanyatsodhindwa. Becker's Hospital CFO Report website. http://www.beckershospitalreview.com/finance/report-only-63-of- > icd > -10-zvinyorwa-zvakarurama-coded.html. Yakabudiswa naOctober 24, 2013.
> ICD-10 Code Tarisa Up. Zvikamu zveMedhareid uye Medicaid Services website. https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx.
> Kushandiswa kweInyika Yose yezvirwere (ICD). World Health Organization website. http://www.who.int/classifications/icd/en/.