Ndeipi Inogona Kurapa Vanowana Makomba Kuverenga Kuvhara Kwezvinodhaka Zvinowanikwa?
Mazuva mashomanana ekubvunzurudza kuti chirwere chinouraya che fungal meningitis chave chichikonzerwa neakasvibiswa steroid injections yakagadzirwa nekambani inoita bhizinesi semishonga inobatanidza, varwere uye vatongi vakabvunza kuti sei US States neDrug Administration yakange isina kupindira kuitira kuchengetedza chinoshandiswa tsika yakagadzirwa nemishonga.
Chii Chinodhaka Kuwedzera Mishonga?
Ihwo unyanzvi uye sayenzi yekugadzirira mishonga yemunhu kune varwere inotumidzwa semishonga inogadzirisa.
Kubva pakurongororwa kwechiremba, pharmacy inobatanidza ichabatanidza zvigadzirwa zvega-ega pamwe chete musimba chaiyo uye muyero hunodiwa kumurwere.
Medicare Mupiro: Mishonga Inodhaka
Zvinyorwa zvemashure gare zvakabvunza kana chirongwa cheMedricare, icho chakaita sokuti chabhadhara kwezvikamu zvakasiyana zvezvigadzirwa zvakapiwa kuvarwere vane kurwadziwa kwemugumo, zvinogona kudzivirira dambudziko racho. The Associated Press , somuenzaniso, yakataura kuti Centers for Medicare & Medicaid Services (CMS) ine mitemo inorambidza kubhadhara mazana emishonga yakawanda inowanika kubva kumishonga inogadzira mishonga.
Pepanhau rinotaura zvakanyanya kuCMS 'chisarudzo chekurega kuvhara zvese zvinokonzerwa nehuwandu hwekudzivirira inhalation huchishandisa nebulizer.
Medicare inoenderera mberi kuvhara mishonga yakawanda yakawedzerwa, asi vanyori nemasvomemi vanofanira kutevera mitemo yehurumende kuti vaone kuti varwere vakakodzera vanowana mafomu ekuenzanisa avanoda pasina kubhadhara mari yakazara kubva muhomwe.
Medicare Mitemo
Kunze kwekunge zvimwe zvakataurwa, Medicare Part B inosanganisira zvinodhaka zvinowanikwa muzvipatara uye zvivako zvekugara kwenguva refu. Izvi zvinosanganisira podders zvakare inoshandiswa ne saline.
Kurega Kuvhara
Kuramba kuvhara kunogona kuguma nekugadzirisa kweCMS kana FDA kuti mishonga haisi yezvemishonga inotarisirwa, zvisiri pamutemo uye kana yakagadzirwa nemishonga inoshandiswa yakawanda sekuita semuiti wemishonga.
IFebruary 19, 2010, kushandiswa kweMedicare Prescription Drug Benefit Manual inonyatsotsanangura tsanangudzo uye nzira dzekugovera zvinodhaka zvinowanikwa kune Chikamu D vanobatsirwa:
Kuwedzerwa kwemishonga yemishonga yemishonga inogona kuva ne: (1) yese Chikamu D chemishonga chigadzirwa zvikamu; (2) imwe Chikamu D chemishonga chigadzirwa chezvinhu; kana (3) kwete Chikamu D chemishonga chigadzirwa chezvinhu. Izvo chete zvinoshandiswa zvakabatana nezvikamu izvo zvinogutsa tsanangudzo yeChikamu D chekushandisa zvinokodzera mari pasi peChikamu D ....
Mari yekushanda inobatanidza nekubatanidza chigadzirwa chakakonzerwa chinenge chikamu chimwe cheChikamu D chechirongwa chinogona kuiswa mumari yekubhadhara. ...
Pamakemikari ane zvigadzirwa zvose zvinogadzirwa, zvinowanzobatanidzwa-kugovana-mari kunofanira kushandiswa [kureva,, kune mutwere]. Kana ikemhi ine rine mazita emishandisi emiti, chikamu cheD D chinogona kushandisa sachigaro chekutsvaga mari yepamusoro kune yese yakaumbwa.
Kazhinji, chiyero chekubhadharwa kweCMS chechirwere chakakonzerwa chinoratidza chikamu B kana Chikamu D chiyero chekutengeserana kana kutengesa kwechigadzirwa chiripo chekutengeserana chiri nemishonga inoshandiswa yemishonga pamwe chete nemari inowanzoparidzirwa. Mishonga yemiti yakasiyana-siyana yakasiyana zvichienderana nemitengo yegore rimwe chete yemishonga yemishonga uye zvigadzirwa zvakawanda zveAAPIs.
Chikamu D zvirongwa zvakare kugadziridza zvekubhadharwa maererano nemitemo yemishonga yekodhi. Chikamu 20.1.2 chehutungamiri hweCMS chekupa ruzivo runotaura nezvekubhadharwa kwemari yekubhadhara.
Nzira Yokutora Nyore Zvakarurama
Kugadzirira, kuparadzira nekupa mishonga yakawandisa yemishonga yeMurengeti wemari inofanira kupiwa "chiitiko kune." Izvi zvinoreva, kutanga, kuti murwere anofanira kunge ari pasi pekurapa kwachiremba, mukoti mushandi kana mumwe mutungamiri wehutano hweCMS anozivikanwa uyo akarayira mushonga. Chechipiri, mishonga yakakonzerwa inofanira kushandiswa sechikamu chekuramba kuchirapa. Mutungamiri wekubhadhara wemakodhi manotsi anoti zvinokanganisa uye zvinopinda mishonga inokonzerwa pasi peChikamu B inowanzobhadharwa pasina zvinetso.
Pasi peEalthcare Common Procedure Coding System, kana HCPS J3490, zvinodhaka zvinodhaka zvinosarudzwa zvisingawaniki nemishonga. Current Procedural Terminology, kana CPT, zviratidzo zviripo kune marudzi mazhinji emakemikari. Nekubhadhara maitiro maviri, API inofanira kunyatsotsanangurwa.
Ko Zvakadini neMedicaid?
Kubhadharwa uye kubhadhara mitero yemishonga yakawandisa yakapiwa kuMedicaid vanobatsirika yakasiyana kubva kune hurumende kuenda kune imwe nyika nokuti nyika imwe neimwe inoshandisa mitemo yakawanda yakarongwa neCMS nenzira dzakasiyana. Pamusangano we federal, Medicaid inoda kugoverwa kwezvinodhaka zvinodhaka apo
- IA APIs inoshandiswa ndeye FDA-inogamuchirwa.
- Hurongwa hwehurumende dzakagadzirisa kubhadhara uye kubhadharwa kwemari yezvigadzirwa zvine API.
- Nzira yakagadzirwa netsika yakagadzirirwa uye inoparidzirwa maererano nemirairo yakakodzera yemutemo kune murwere ane chishuwo chakasimba.
Kurondedzera mitemo yega yega Medicaid program inotora bhuku. Sangano reNational Association of Medicaid Directors rinotaura vashanyi kune imwe nyika ye Medicaid webusaiti, iyo ichave yakanyatsoshandiswa pakuwedzera zvinodhaka zveMedicaid varwere.