Medicare kubhadhara hazvifaniri kukonzera kuwanda kwekuramba uye kuramba kana iwe une ruzivo rwakakodzera rweMedarere mitemo yekubhadhara. Mashoko aya anowanikwa pasi apa ndeaanoita uye asingaiti izvo zvinowanzozivikanwa kudzivirira kukanganisa kubhadhara.
Usakanganwa kushanyira webhusaiti yeCMS kuti uwane matanho ekuwana mazano emabasa, mirayiridzo, uye mabhuku anogona kunobatsira kuMedarerebhadha yakakodzera.
Zvaunofanira Kuita Nokubhadhara Kwemishonga
Ko code inotaura zvakarurama yakabva pamabasa, kuongororwa, uye nzira dzakagadzirwa.
Ita zvinyorwa zvinyorwa zvechiremba zvine tsanangudzo yakajeka yezvinhu zvose, miedzo, uye nzira dzakanyatsoita uye dzakanyatsotsanangurwa nezvirwere zvevarwere, zvikumbiro, mamiriro, zvirwere, nekukuvara.
Iwe unorondedzera maitiro eCCT / HCPCS maitiro emutauro weMedare inonyanya kufanana nezvinyorwa zviri murapi yezvechiremba.
Sarudza uye utaurire magadziri akakodzera kumakiti eCPT / HCPCS pamusoro pemhosva maererano nemitemo yeMedare.
Iko kunosanganisira nguva yakareba yenguva, maitiro ekurapa, kana nhamba yezvikamu murapi yezvechiremba yehutano hwakarurama pamusoro pemhosva.
Iwe unorondedzera hutachiona hweCI-9 hunotarisana nehutano hwakanyanya hunoenderana nemararamiro emurwere, zvikumbiro, mamiriro, zvirwere uye kukuvadzwa kunotsanangurwa mumagwaro ekurapa kwechiremba.
Ita zvichemo mukati memakore rimwechete ezuva rebasa reMurengeti weMedare uye MSP zvinodaro.
Unoshuma zvikwata zvebasa rinobva kuNational Correct Coding Initiative (NCCI) uye Mishonga Inenge Isingaoneki Ichishandurwa (MUEs) kudzivirira kutaurira mabasa akawanda kana nzira dzisingafaniri kukweretwa pamwe chete nokuti imwe nheyo kana nzira inogona kusanganisira imwe kana kuti inenge isingaiti ngazviitwe pamurwere mumwe chete pazuva rimwechete.
Iwe unofanirwa kuonekwa neValance Beneficiary Notice (ABN) pane faira kuti unyatsoronga mabhuku asina kubvunzwa nehuwandu hwakakodzera, kureva GA kana GZ, iyo ichatsvaga mabasa anogona kukweretwa kana kuti asina kukweretwa kumurwere.
Unowana chigamba kubva kumurwere achibvumira basa rebatsiro, achibvumira mutapi kuti awane mvumo, uye kuti atarisire.
Iva nechokwadi chekugadziriswa kwehutano kune Common Common File (CWF) usati wabhadhara chirevo chekuita kuti hutano hwemurwere husina kuchinja.
Zvausingafaniri Kuita Kurapa Kwemishonga
Usabhadhara chero basa chero ripi zvaro, muedzo, kana nzira inogadzirwa kana pasina magwaro ezviratidzo, zvikumbiro, mamiriro, zvirwere, nekukuvadzwa kunopa humwe uchapupu kunze kwekuti chipikisi chekuongorora chinoshandiswa.
Usapupurira maitiro eCCT / HCPCS asingatauri maitiro apo mamwe maitiro eCCT / HCPCS maitiro akawanikwa.
Usangowedzera modifers kune vose CPT / HCPCS apo rereji yezvechiremba haitsigire kushandiswa kwayo.
Usaisa zviyero, maitiro kana maitiro zvakasiyana pane izvo zvinofanira kunge zvakabatanidzwa pamwe chete nokuti zvinoonekwa sezvikamu zvebasa rimwechete, kuedza kana nzira.
Usaisa mari yezvinodhaka zvinotungamirirwa uye kupera pamwe chete. Mari yakasara inofanira kukonzerwa pane imwe mutsara uye inoratidzwa neJW modifier.
Usaisa mvumo kuneMedarere kubhadhara kana murwere akavharwa neMedare Managed Care.
Usaisa mhosva yeVenipunctures (36415) pane Medicare Part B inoti. Izvi zvinogona kungotorwa sechikamu chechipatara chirevo.
Usaisa mari yekuongorora miviri kunze kwekuti iwe uri kubhadhara kugamuchira kuramba. Kana kubhadhara kwekuramba, iva nechokwadi chekuwedzera GY kuchinja kune yakakodzera CPT / HCPCS kemo yenzira.
Usatora mushandi weMedarereti B mazano apo murwere akasarudza Hospice yekurapa uye kutarisira chirwere chinopera.
Usatumira mapepa mapeji pane chimwe chinhu kunze kweiyo, yemavhuni uye machena CMS-1500 kana maB-04 mafomu.