Misimboti yeCoding Coding

Mirayiridzo yeCoder Coder Zvido zvekuziva

Coding yezvechiremba inobatsira nzira yekubhadhara kuburikidza nekuunza kuenzana kune nzira kuburikidza nekuziva magwaro. Kushandisa maitiro ehutachiona ehutano uye maitiro emitemo iyo inozivikanwa nemakambani einishuwarenzi , maitiro ose ekurapa, uye mahofisi ane chokuita nehutano hwakakodzera, chiremba chekurapa chichaita kuti makambani einishuwarenzi, mubhadharo wemabhizimisi, kana Centers for Medicare neMedicaid (CMS) vachaziva akatengesa chinhu uye kuti chirwere chacho chinorayira sei nzira, kuedza, kana kurapwa.

Kunyange zvazvo kune maitiro akawanda akasiyana ekunyorwa kwekodhi zvichienderana nehutano hwekurapa, kune mamwe mimwe mitemo yekukohwa iyo ichagara iripo.

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Chete Code chete Inonyorwa

Basa rechiremba nderekunyora zvinyorwa zvechiremba zvine tsanangudzo yakajeka yezvose zvinoshanda, kuongororwa uye nzira dzakanyatsoita uye zvakajeka zvakakwana nezvirwere zvevarwere, zvikumbiro, mamiriro, zvirwere, uye kukuvadzwa. Sezvinyorwa zvekurapa, zvakakosha kuti zvinyorwa zvakanyorwa pane zvekurapa zvinopindirana nemabhuku mukati mezvinyorwa zvechiremba.

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Nyore Madiresi muGwara Rakarurama

Hakusi kungoona coding uye maitiro nenzira yakarurama sezvinobvira zvakakosha, kuinyora mairi nenzira yakakodzera kunokosha zvakare. Nhamba yekutanga yekutanga ndiyo chikonzero chaicho chekushanyira murwere kunyange kana zvimwe zvirwere kana zviratidzo zvichipo kana kunyange kana nzira dzakawanda dzichiitwa.

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Tevera NCCI uye MUE Mirayiridzo

Medicare uye Medicaid vane zvimwe zvisiyana zvakasiyana pamusoro pemitemo yekodha kupfuura vamwe vanobhadhara. Coders inofanirwa kuudza zvikamu zvebasa rinobva kuNational Correct Coding Initiative (NCCI) uye neMedical Unlikely Edits (MUEs). Izvi zvinoitwa kudzivirira kutaurira mazano akawanda kana nzira dzisingabhadharwi pamwe chete nokuti imwe nheyo kana nzira inogona kunge inosanganisira imwe kana nokuti inenge isingatenderwi kuitirwa murwere mumwechete pazuva rimwe chete.

National Correct Coding Initiative (NCCI) yakagadzirwa neCenters of Medicare neMedicaid Services (CMS) kudzivirira maitiro asina kukodzera aMedare uye Medicaid nekuda kwekukanganisa kodhi. Pane mitatu yeCCCI inogadziriswa:

1. Nzira yekugadzirisa-ku-nzira inogadziriswa : Aya maitiro anotsanangura HCPCS uye CPT codes dzisingafaniri kubhadharwa pamwe chete. Kana aya nheyo dzakatemerwa pamwe chete kana kuti zvose zviri zviviri zvingarambwa.
2. Zviratidzo zvisingaoneki kuchinja : Aya maitiro anotsanangura HCPCS uye ma code CPT nedzimwe nhamba yezvikwata zvisingabhadharwi kubhadharwa kana kudai kwakarurama. Mune mamwe mamiriro ezvinhu, mapoka ebasa acharambwa kuti anopfuura izvo zvinonzi zvinodiwa nemishonga.
3. Yongedzera-pane kuchinja kwekodhi : Aya maitiro anodzivirira kubhadhara kwekuwedzera-kodhi dzinoonekwa sechikamu chekutanga ma CPT uye HCPCS nhamba.

Zvimwe

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Gara Up-to-Date paCoding Changes

Mhinduro yakarurama inobva pane dzakawanda zvikamu. Kuramba uchienda kune rimwe zuva pamagetsi ekunyorwa kwekodhi, kutevera maitiro akachengetedzwa kwekodhi nekuchengetedza zvinyorwa zvevarwere zvakajeka nzira dzinoshandisika dzekuti zvirongwa zvehutano zvehutano zvive zvakarurama.

Kunyora kwekodhi kunonyatsobvumira mubhadharo wehushuwarisi kuziva zviratidzo, chirwere, kana kukuvadzwa kwemurwere uye nzira yekurapa yakaitwa nachiremba.

Kuchengetedza kukanganisa kunoitika apo iyo inowanikwa inoiswa kune kambani ye inshuwarisi ine kusakanganiswa kwakaipa kana chirongwa chekodzero pamusoro pemhosva. Kunyora coding zvisina kururama kunogona kutungamirira kune dzakawanda zvinokonzera zvakaipa. Zvinotarisirwa kuti hofisi yezvokurapa inokura nzira yekuteerera iyo inogona kudzivirira kuputsa kwezvido zvekurapa zvinodhaka.

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Shandisa Zvakakodzera Kuchinja

Mamwe magwaro eCCT neHCPCS aida kushandiswa kwema modifiers. Zvinosanganisira nhamba mbiri, nhamba mbiri kana alphanumeric characters. CPT uye HCPCS code modifiers inopa humwe ruzivo pamusoro pebasa kana nzira yakagadzirwa.

Dzimwe shanduko dzimwe nguva dzinoshandiswa kuzivisa nzvimbo yemuviri umo maitiro akaitwa, maitiro akawanda muchitsauko chakafanana, kana kuratidza kuti nzira yakatangwa asi inorega. Zvinoshandura hazvichinje tsanangudzo yemitemo yekuita iyo yawedzerwa.

Key Modifier Facts:

• Hasi yose inogadzirisa inogona kushandiswa nezvose CPT uye HCPCS nhamba
• Tarisa ku National Correct Coding Initiative (NCCI) yeChirinary and Medicaid coding yakarurama
• Iva neruzivo nemagetsi anoshandiswa zvakanyanya kana kushandiswa zvisina kururama
• Inodpropriable coding yenzira code modifiers inogona kukonzera kunonoka kana kuderedza kubhadhara

Zvimwe