Nzira yeDDRG Inotsanangura Sei Chipatara Chinowanikwa?

Medicare uye mamwe makambani ehutano ehutano hwehutano anokweretesa kurapwa kwevatsigiri vavo vachishandisa chirongwa chekubhadhara cheRGG . Nguva imwe neimwe yamunobvumirwa sechirwere chechipatara, chipatara ichocho chinopa DRG kune iyo yekugamuchira. Chipatara ichibhadharwa mari yakatarwa yeDGG iyo, pasinei nemari yakawanda iyo inopedza kukubata iwe. Kana chipatara chinogona kukubata zvakakwana nemari shoma kupfuura Medicare kuripa iyo kuDGG yako, saka chipatara chinopa mari pane izvo zvipatara.

Kana chipatara ichipa mari yakawanda kukuchengetedza kupfuura Medicare inopa iyo kuDGG yako, saka chipatara chinorasikirwa nemari pane izvo zvipatara.

Dzidza zvakawanda pamusoro peizvi mu " DRG 101: Chii chinonzi DRG uye Inoshanda Sei? "

Kuti uone kuti zvipatara zvakabhadharwa zvakadini kune imwe nzvimbo yekurapwa, iwe unofanira kutanga uziva kuti DRG yakagoverwa yeiyo yezvipatara. Mukuwedzera, iwe unofanira kuziva chipatara chakakanganiswa . Dana chipatara chekubhadhara, chekuverengera, kana dhipatimendi rekuchengetedza nyaya uye ugobvunza kuti Medicare yaro yakakanganiswa sei.

Kuenzanisira Kunze Mari Inotora Chipatara Inobhadharwa Nekupiwa DGG

Imwe DRG imwe neimwe inopiwa chiremera chakarehwa zvichienderana nehuwandu hwehuwandu hwezvinhu zvinotarisirwa kutarisira murwere anopiwa kune iyo DRG. Iwe unogona kutarisa pamusoro pechiremera chakaenzana cheDGG yako nekunyora chati yakapiwa neCenters for Medicare neMedicaid Services inotevera mirairo iyi:

1. Enda kune peji ino webhusaiti yeCMS.
2. Dhura pasi kusvika pasi peji. Tsvaga nzvimbo inonzi "Downloads."
3. Dhaunirodha tafura 5.
4. Vhura faira inoratidza ruzivo se Excel spreadsheet (faira inoguma ne ".xlsx".)
5. Nzvimbo yakanyorwa "zviyereso" inoratidza kukosha kweDGG imwe neimwe.

Avhareji chiyero chekuresa 1.0. DGG ine uremu hunorema hunopfuura ma1 1.0 huwandu huwandu hwemhando-hukuru hunobata kurapa uye huzhinji huri shoma kudarika. DGG ine uremu hunorema hunopfuura 1.0 kazhinji inoda zvimwe zvinhu zvekurapa uye inodhura zvakanyanya kurapa. Izvo zvakakwirira kuyerwa kwechiremera, inowedzera hupfumi inofanirwa kurapa murwere ane iyo DRG.

Kuti uone kuti mari yako yakawanda yakabhadharwa neiko, iwe unofanira kuwedzera kukosha kweDGG nehuwandu hwechipatara chako. Heano muenzaniso kune chipatara chinokwana $ 6,000 apo huwandu hweDGG yako huwandu huwandu 1.3:

$ 6,000 X 1.3 = $ 7,800. Chipatara chako chabhadharwa madhora mazana manomwe nemazana manomwe (800)

Chipatara Chakanyatsogadziriswa Kushanda Sei?

Sezvo utano hwehutano huripo uye hushanda hunosiyana munyika yose uye kunyange kubva kuchipatara kuenda kuchipatara, Medicare inopa imwe nzira yakasiyana-siyana kune chipatara chimwe nechimwe chinogamuchira Medicare. Somuenzaniso, chipatara muManhattan, New York City zvichida ine mari yepamusoro yebasa, mari yakakwirira yekuchengetedza nzvimbo yayo, uye yepamusoro yemari mari kupfuura chipatara muKnoxville, Tennessee. Chipatara cheManhattan chinogona kunge chiine chikwata chakakura kupfuura chipatara cheKnoxville.

Zvimwe zvinhu izvo Medicare inowedzera muchipatara chako chinoshandiswa mukutengesa kunosanganisira kana kwete iyo chipatara chekudzidzisa nevakagari nevashandi, kana kuti kwete mumaruwa, uye kana kana kwete iyo inotarisira chikamu chisingaverengeki chevarombo nevasina kuvimbiswa. Chimwe nechimwe chezvinhu izvi chinowedzera kuwedzera chipatara chakabatanidzwa.

Yose yeOctober, Medicare inopa chipatara chimwe nechimwe tsananguro itsva. Nenzira iyi, Medicare inogona kubhadhara kuti inobhadhara zvakadini chero zvipi zvayo zvakapiwa chipatara kwete kubva munyika yose yakafanana nehupfumi, asiwo kune dzimwe nzvimbo dzenharaunda. Somuenzaniso, senharaunda inowedzera kukura, chipatara mukati memunharaunda iyo chinogona kurasikirwa nemazita ekumaruwa.

_Sources:

_{Federal Register, Medicare Program; Chipatara Chirwere Chinotarisirwa Kubhadharwa Zvirongwa Zvekuchengetedza Zvakanaka Zvipatara neHure-Term Care Hospital Zvinotarisirwa Kubhadhara Shanduro yeSarudzo Kuchinja uye Gore Rokubhadhara 2016 Mitengo; Kuongororwa kwehutano hwehutano hwehutano hwevadzidzisi, kunyanya kushanduka kuenderana neElectronic Health Record Incentive Programme; Zvinyorwa zveMedare-Inotenderera, Chirongwa Chechipatara Chechidiki uye Chirongwa Chisiri Kubhadhara Kwezvipatara, 8/17/15.}