Mashandisirwo emitemo yezvokurapa anobatsira sei Utano hwako
Chero pose paunenge uine mushonga wehutano wakaitwa kana hutano hwehutano hwakapiwa huripo, hunoiswa murekodhi yako yezvekurapa yekutevera uye kubhadhara. CPT codes uye HCPCS nheyo dzakabatana nehurongwa hwekurapa kwekodhi hunodikanwa kune vapeji nevatsigiri kuti vatume mashoko ehurumende. Ona kuti vanoshandiswa sei uye zvavanorevei pamusoro pehutano hwako.
Ndeapi CPT Codes?
CPT (Common Procedural Technology) nhamba ndiyo nhamba dzakagoverwa kuita mabasa ose uye kushanda mushandi wezvechiremba angapa kune murwere kunosanganisira kurapwa, chirwere, uye kuongorora.
Dzinoshandiswa nevatsigiri vekuchengetedza kuti vaone mari yekubhadhara iyo mushandi achagashira nemubhizimisi webasa iroro. Sezvo munhu wese achishandisa zvinyorwa zvakafanana zvinoreva chinhu chakafanana, vanoita kuti huve zvakafanana.
Nhamba yeCPT inoratidzika seiri nhamba-nhamba nhamba dzishanu nhamba dzisina mari, kunyange zvazvo vamwe vane nhamba ina uye imwe tsamba. Zvimwe zvinoshandiswa kakawanda se 99213 kana 99214 (nokuda kwekuongororwa kwevakawanda).
Nhamba dzePCT dzakagadzirwa, dzakachengetedzwa uye dzakachengetedzwa neAAM (American Medical Association). Sezvo mutsika wehutano hunochinja, hutsva hutsva hugadzirirwa hutsva huno, maitiro epanguva ino anogona kuve akavandudzwa, uye mapepa ekare, asina kushandiswa anorasikirwa. Zviuru zvemitemo zviri kushandiswa uye zvinovandudzwa gore negore.
Kubatana pakunzwisisa kuti basa iri chii uye kuti vashandi vakasiyana vanobhadharwa havangave vakafanana. Izvozvo zvinogadziriswa nezvibvumirano pakati pevateresi nevanomwe vadziviriri.
Semuenzaniso, Dhigiri A anogona kuita chekuita chepanyama (99396) uye kubhadharwa $ 100 neinishuwarenzi yako. Kana iwe wakaenda kuDhictor B, kubhadharwa kwake nekambani yako yunivhuti yekuongorora ikoko, Code 99396, inogona kunge iri $ 90 chete.
Ko HCPCS Codes dzakabatana sei neCPS Codes?
HCPCS inomirira Healthcare Common Procedure Coding System.
Idzi nheyo dzinoshandiswa uye dzakachengetedzwa neCenter for Medicare & Medicaid Services uye dzinoshandiswa kubhadhara Medicare, Medicaid, uye nevamwe vakawanda vatori vatatu. Kana ukashandisa Medicare, uchaona magwaro eHCPCS mumapepa ako.
Pane mazinga maviri emitemo. Nhamba I mitsamba yakabva ma CPT codes (iwo akafanana zvakafanana) uye anoshandiswa kumabasa uye nzira dzinowanzopiwa navanachiremba. Nhamba dzeChipiri II dzinobata hutano hwehutano uye nzira dzisina kupiwa navanachiremba. Mienzaniso yezvinhu zvakabhadharwa nehutachipiri hwechipiri ndiyo mishonga yemishonga, zvigadzirwa, uye ambulensi. HCPCS Nhamba dzechipiri nhamba dzinotanga netsamba uye dzine nhamba ina. Vanogona kuchinja mavhesi anenge ari maviri tsamba kana tsamba uye nhamba.
Mienzaniso yeCPT Codes
- 99214 inogona kushandiswa kuhofisi yehofisi
- 99397 inogona kushandiswa pakuongorora kwekudzivirira kana iwe uri kupfuura 65
- 90658 inoratidza chirwere chinoputika
- 90716 inogona kushandiswa kuti chicken pox vaccine (varicella)
- 12002 inogona kushandiswa kudonhora kudarika kwema-inch pane ruoko rwomurwere
Dzimwe nhamba dzePCT dzakasungwa . Izvi zvinoreva kuti zvinoshandiswa zvakabatana pamwe chete saka dzinotsanangura zvakasiyana siyana zvekutarisira.
Kuenzanisa Nhamba dzeCCT kuMashandi Avanomiririra
Kufarira kwaunoita mumataiti aya kazhinji kunowirirana nevarapi vako uye inishuwarenzi .
HCPCS nheyo dzechipiri II dzinogona kuwanika paIndaneti, asi nhamba yandinyorera uye CPT nhamba dzakanyorwa neAAA. I AMA inopomerwa mvumo yekubhadhara kushandiswa kwemashoko eCPT uye kuwanika kune zvinyorwa zvakakwana, izvo zvinoreva kuti haugoni kuwana runyoro rwakakwana paIndaneti pasina. Kuita kuti zvive nyore kupfurikidza nevarwere, AMA inopa nzira yekutsvaga mapeji ega eCPT aunogona kuwana pane zvikwereti zvechiremba kana EOBs (kukosheswa kwezvipo).
Kana iwe une mapepa ane CPT kana HCPCS code pamusoro payo, uye iwe uchida kuziva kuti chirevo ichi chinomirirei, unogona kuzviita nenzira dzakawanda:
- Ita CPT code search paAmerican Medical Association website. Iwe unofanirwa kunyoresa (pasina rusununguko) uye iwe unogumira kutsvaga tsashanu pazuva. Izvi zvinobvumira varwere kutsvaga kamba yeCPT kana kushandisa izwi guru kuti vaone kuti chii chinonzi CPT code inogona kuva.
- Taura nehofisi yechiremba wako uye vakukumbire kuti vakubatsire kufanana nemakiti eCPT nemasevisi.
- Taura nevashandi vako vebhadha uye uvakumbire kuti vakubatsire.
- Yeuka kuti mamwe magwaro anogona kuiswa mubhadharo asi anogona kutariswa kumusoro nenzira imwechete.
- HCPCS nhamba yekodhi yechipiri inogona kuwanika pawebsite yeCMS uye nekuita webhutsva mamwe masayiti anoshandiswa nevashandisi.
Kwatingawana Mapurisa eCCT muZviremba Zvako Zvokurapa uye Purogiramu
CPT uye HCPCS nheyo dzinowanika uye dzinoshandiswa mumapepa akasiyana-siyana uye zvinyorwa sezvamunochinja kuburikidza nehupi hwehutano hwehutano. Makomiti anogona kushandiswa kugadzirisa zvinhu zvose kubva pane zvaunoziva kusvika kumari yehutano hwako.
- Sezvaunosiya chigaro chechiremba kana kuti wakasunungurwa kubva kuchipatara kana mune imwe nzvimbo yezvechiremba, unopiwa mapepa anosanganisira pfupiso yenhamba yevhisi yawakapiwa kwauri. Aya mazano mashanu maitiro kazhinji ndiwo maCP codes kana HCPCS nhamba (kana iwe uchishandisa Medicare). Kune dzimwe mitsara pane iyo mapepa, zvakare. Zvimwe zvinogona kuva maIndaneti , izvo zvingangodaro dzine nhamba kana tsamba uye kazhinji dzine zvigaro zvepamusoro.
- Paunowana gwaro kubva kuna chiremba, usati wapedza kana kuti mushure mekunge watumirwa kumubhadhara wako (inshuwarisi kana Medicare), ichava neurongwa rwemashumiro. Pedyo nega yese yebasa ichava nhamba ye5-digit code. Iyoyo code yeCPT kana HCPCS code.
- Apo iwe unogamuchira EOB, Tsanangudzo yeZvibatsiro , kubva kumubhadhari wako (inshuwarisi, Medicare kana vamwe), icharatidza kuti zvakawanda zvebasa rega rega zvakabhadharwa nokuda kwedu. Kufanana nemutemo wechiremba, nheyo imwe neimwe ichaenderana neCCT kana HCPCS code.
Zvinogadzirisa sei uye Bhizimisi Vanoshandisa CPT uye HCPCS Codes
- CPT uye HCPCS nheyo dzinopindira zvakanakira mari yomubatsiri. Sezvo vakadaro, ivo vanonyanya kutaura nezvekunyorwa kwekodhi uye kazhinji vanoshandisa mapepa emagetsi ekurapa kana mazano ekunyora kuti vaone kuti nzira dzakanyorwa zvakakodzera.
- Hofisi yechiremba yako kazhinji inotanga nzira yekunyora. Kana vakashandisa mapepa akaungana mapepa, vachaona pairi mapepa eCCT anoshandiswa pakushanya kwako. Kana vakashandisa magwaro emakiriniki panguva yekushanya kwenyu, zvichaonekwa munheyo iyoyo.
- Mushure mokusiya hofisi yechiremba, mabhuku enyu anotsvakurudzwa nemakodhi ezvokurapa uye mabheji kuti vape mazano akakodzera. Zvinyorwa zvako zvino unoenda kubhadhara kuti upe ruzivo rwemashumiro awakapa kune wako inshuwarisi kana mubhadhare. Vanachiremba uye zvivako zvinowanzoshandisa nzira dzemagetsi kuchengeta uye kutumira ruzivo urwu, kunyange zvazvo zvimwe zvingave zvichiri kuitika kuburikidza nemakero kana fax.
- Urongwa hwako hwehutano kana mubhadhari akadai seMedarere zvino shandisa mazano ekugadzirisa kudai uye tsanangurai kuti muchabhadhara chiremba wenyu zvakadini.
- Hurumende uye hurumende vezvematongerwo enyika vanoshandisa data kubva kune coding kuti vaone maitiro ekurapa uye kuti vaone bhajeti ravo reMedare uye Medicaid.
- Inishuwarenzi yehutano yekodzero uye hurumende vanoongorora mashandisi vanoshandisa dhizino rekunyora kuti vafanotaurirei mari yekuchengeta utano mune ramangwana kuvarwere vari mumasangano avo.
Shoko Rinobva
Kuva murwere ane ruzivo kune chikamu chekuita kuti uwane rubatsiro rwakanakisisa rweutano. Paunoona chimwe chinhu chausinganzwisisi murekodhi yako yezvechiremba kana musero, taurukure pamwe nemutarisiri wako wehutano kana inshuwarisi. Iwe une kodzero yekuita basa rakaoma pakuita kuti utano hwako huongororwe zvakarurama.
> Sources:
> CPT® Process: Sei Code Inova Code. AMA. https://www.ama-assn.org/practice-management/cpt%C2%AE-process-how-code-becomes-code.
> HCPCS_Coding_Questions. CMS.gov Centers for Medicare & Medicaid Services. https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCS_Coding_Questions.html. Yakabudiswa musi waJuly 22, 2013.