Pamusoro peKodheji Coding uye Kubhadhara, Kudzidziswa Zvakanaka Ndiko Kwakawanda Kwokubudirira
Indasitiri yehutano yehutano ihurumende yakarongeka zvikuru, nechikonzero chakanaka, semamiriyoni ehupenyu anokonzerwa nehutano hwehutano hwakapiwa kune varwere munyika yose. Zvisinei, zvinokwanisika here kuti mishonga yezvechiremba inogona kutongororwa zvakanyanya ? Zvinokonzera kukura kwemitemo mitsva, mitsva itsva, uye mitemo inowedzera yakaoma inobata sei mamiriyoni ehutano hwezvehutano anoita vashandi vezvokurapa?
Zvimwe zvidzidzo zvinoratidzika kuratidza kuti mishonga yehutano yehutano inogona kunge yakanyanyisa-kutongerwa, kana kuti inotongororwa zvakare kune vazhinji vashandi vehutano kuti varambe vasingaverengeki mizinga yekushungurudzika uye zvikanganiso. Kuwedzera kwekugara uye kuchinja kwehutano hwehutano hunoenderera mberi kuwedzera zvikamu zvehutongi, zvichikonzera kushungurudzika kune vashandi vehutano, kusvika pavanonzwa vachinetseka uye vakanatswa kubva kune vavashandi vavo, izvo zvinoita kuti vaone kuti havakwanisi kutsigirwa nekudzidziswa zvakakwana uye zvigadzirwa kuti vaite basa ravo zvakanaka . Kutaura zvazviri, zvipatara muUnited States zvingangotarisana nenhamo, uye vanopfuura 56 kubva muzana yevashandi vanonzwa saizvozvo, maererano nekuongorora kwe 2017 neCulturalIQ, iyo inoti "Engagement & Retention in Healthcare Workers."
Coding Changes
Imwe inenge ichangobva kuitika, uye kuchinja kunokosha mumitemo yehutano yehutano inosangana ndiyo itsva ICD-10 coding system , yakatsiva ICD-9 munaOctober 2015.
Iko itsva yekodhi system inoda kusvika kaviri yehuwandu hwekuongorora zviratidzo kubva pa14,000 kusvika 68,000, nepo nzira dzekugadzira dzichikwira kudarika 2 000 muzana, kubva pa 4,000 kusvika 87,000 nhamba. Izvi zvakaguma ne 69 muzana kuwedzera kwehuwandu hwenguva yakatorwa kuronga mishonga yemishonga yevarwere (maminitsi 17 paIndaneti-10, vs. maminitsi mashanu pamakodhi eIndaneti-9).
Izvo zvakajeka zveIndaneti-10 nheyo dzakatungamirira kusanzwisiswa kwemashoko panzvimbo yebasa, zvichikonzera kukanganisa, kushanda zvakawandisa, uye nguva shoma yekuzadzisa mitemo yekubhadhara . Izvi zvinoguma pakuguma kwekubhadhara, uye kuwedzerwa kwekuwedzerwa kwekuwedzerwa kwemaawa, kudzvara kwechiremba vanachiremba, nguva dzose vachideredza hutano hwekutarisira kwevarwere, maererano naDavid Womack, purezidhendi uye CEO weIt Practice Management Institute (PMI), iyo inopa dzidzo nekudzidziswa kune vashandi vekurapa mahofisi emitambo yezvipatara, masangano ezvehutano, uye masangano ezvidzidzo munyika yose.
Kunyange zvazvo ICD-10 yakagadzirisa zvirongwa zvakarongeka, kuwedzera kwekuwedzera kwezvinyorwa zvitsva kunogona kuita zvakashata , Womack anowedzera.
Kubva pane zvakaitika kwaari muhutano hwevashandi vehutano, Mukadzi anoti kushandiswa kwevashandi kusununguka kunokonzerwa nechirevo ichi chepamusoro-soro, pamwe nekushaikwa kwekudzidziswa. Per Womack, kukura kwakanyanya kwemashoko kunze kwekugoverwa kudzidzisa kunogona kuve kusanganisa kusanganisa kwehutano hwehutano- ingozi yakakura yemabhizimisi akatova nekutadza kwekodhi .
Zvikanganiso Zvakakosha kuMushandi Wehutano
Zvikanganiso hazvingori mari chete yebhizimusi, uye vashandi, mari yakawanda mumari yekurasikirwa yakarasika.
Zvikanganiso zvakare zvinodhura nguva inokosha, uye hutano-zvakananga kukurudzira utano hwoutano.
Apo vashandi vanorohwa nezvinhu zvakawanda panguva imwechete izvo vasinganzwisisi, vanopinda mukusava nehanya uye vanononoka-zvichiita kuti kuwedzerwa kukanganisa, zvikanganiso, uye kusanzwisiswa kwakawanda.
Kusvika makumi mapfumbamwe kubva muzana emitemo yese yezvokurapa ine zvikanganiso, inodhura $ 68 mabhiriyoni mune kurasikirwa kwemari yekurapa . Inosanganiswa nehuwandu hwemashoko matsva, Womack anoti ngozi yekanganiso inowedzera gumi.
Sei kune kukwirira kwakadaro kwemafaira ekubhadhara? "Kutarisa kunovapo kune mubhadhari wezvakataurwa," Womack anotsanangura. "Vachibhadhari vehurumende uye vehurumende vanofananidza zvirevo zvekururamisa.
Kana matambudziko awanikwa, zvinodaro zvinorambidzwa, uye mari inorasika. "
Chii Chinogadziriswa? Nzira Yokugadzirisa, Itai Vashandi muZvinyorwa Zvitsva
Imwe nyanzvi yehutano ichave yakanyanya kutongororwa munguva yemberi. Nokudaro, maererano naWomack, hukuru-uhu, kuenderera mberi kwevashandi vekudzidzisa kunokosha pakuchengetedza boka rakabatana, rakabatanidzwa uye kuderedza zvikanganiso zvinodzivirirwa.
"Vashandirwi vashandi vanoita basa rakanyatsodzidziswa," maererano naWomack. "Vashandi vechikodhi uye vanobhadhara vane mazano akakodzera vanoita kuti mugadziriswe nenzira yakachena, yakagadziriswa [inishuwarenzi yehutano]."
Zvidzidzo zvinoratidza kuti masangano ezvehutano ane vashandi vanobatanidzwa zvikuru vanoita zvakanyanya kubudirira mukuchengeteka, hutano, uye kurwara kwezviitiko zvinotarisana, zvakakonzerwa nemigumisiro yemari.
Mudzimai anowedzera kuti makambani anopa unyanzvi hwechiremba mune zvechiremba coding, chechitatu-billing billing, office management, nekuteerera, vari kubatsira kusimbisa tsika yakakwirira mubasa nekupa up-to-date dzidzo uye kuongororwa izvo zvinosimbisa munhu wose anenge aine kunzwisisa. Mhedzisiro ndeyekuti vanachiremba vanogona kuisa pfungwa yavo kune kutarisa kwekutarisa, kushandura kune imwe nharo yepamusoro kune murwere, vose vachiona kuti tsika inoenderera mberi kubudirira.
Uyezve, Womack anonyevera pamusoro pekubhadhara makodhi asina kudzidziswa uye mabheji. "Rimwe rematambudziko makuru ekushandisa mabhizimusi asina kudzidziswa anouya apo vanongorori vezvehutano vanowana matambudziko anokonzerwa nekuwanazve mari yakawanda yezvinhu zvakadai sokubhadhara kwebasa risina kubhadharwa, kuregererwa, kukwidziridzwa kwekodzero, nezvimwe. Pakupedzisira, chiremba ane basa rekusainira pa zvose zvinodaro, asi vashandi vanogona kugoverana chikwereti chekubhadhara maitiro ekubhadhara, kana vachiziva vanoisa nhema dzenhema. "
Iko kukwereta kwakakodzera uye kunyora codhi kare kare chinetso chekurapa maitiro here? Hongu, anodaro Womack. "Kukanganisika kwekubhadharisa mari ndeyekurwadziwa kwechokwadi, Womack inoti. "Kurwisana nemadhora [kune chikwereti] kuchiitiko chacho dzimwe nguva kunotanga kupfuura kunyanya kwehutano mukugadzirisa kuchengetedza kwechiremba. Coders avo vasina kukodzera kwakadzidziswa vanowedzera mafuta, "anowedzera kudaro.
Haisi kungova nekushayikwa kwedzidzo yezvokurapa uye mabhizimisi anokonzera hofisi yekare yezvechiremba, inogonawo kukanganisa kushanda kweiyo yese yekuita. "Zvinyorwa zvakanyatsodzidziswa uye mabheji zvinogona kuvandudza kushandiswa kwebasa racho nekuwana kuwana mikana yekuwana uye kuendesa zvirevo zvemadhora ose anonyatsoita. Vadzidzisi vakanyatsodzidziswa vanotungamirira kune vashandi vanoita basa rakanaka, zvikanganiso zvishomanana uye [mukuru] kugutsikana kwebasa rose. "
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