HCPCS Inogona Kukubatsira Iwe Kurapa Bhidha reMishonga uye Kuongororwa Kwezvipo
(Dzidza kuti HCPCS nhamba idzi, chii chavari kutarisa uye kuti ungawana kupi usati wavatarisa.)
Kubva muMutauro weHIVP HCPCS, iwe uchawana zvinhu zvitatu: tsanangudzo ye code imwe neimwe yeHCPCS, Relative Value Amount (RVU) uye Geographic Practice Cost (GPCI). Kana vakaiswa pamwechete, vanova Physician Fee Schedule.
Chiiko Chinonzi Chikosha Chikuru (RVU)?
Nhamba imwe neimwe yeHCPCS inopiwa kukosha-mari yakawanda Medicare ichabhadhara chipatara kana chiremba webasa iroro seyeroji.
Zvadaro, maguta nemamwe nzvimbo nzvimbo dzakapiwa RVU - chiyero chechiyero chechiyero - iyo inopera, yakakwirira kana yakaderera, yehuwandu hweHCPCS kubhadhara.
Hezvino iyo inoshanda sei: Maererano nekugara kwaunoita, RVU ichave yakakwirira kana yakaderera kupfuura yevhareji, zvichienderana nemari yekuita bhizinesi. Saka, somuenzaniso, mari yekuita bhizinesi yakakwirira kupfuura yevhareji muNew York City. Ivhareji = 1. RVU yeNew York City inogona kuva 1.3. MuBirmingham, Alabama, iyo ine mari shoma shoma yekuita bhizinesi, RVU inogona kuva .75.
Chii chinonzi Geographic Practice Cost Index?
Iko GPCI ndiyo mari inobhadharwa imwe neimwe yeHCPCS kana imwe yega yakawedzerwa neRVU. Haisi purogiramu - ndiyo chaiyo yeharadha yemari. Kutarisa Purogiramu X kubva kumusoro, muganhu wegungwa (RVU = 1.0) inogona kuva $ 100. MuNew York City, uko RVU iri 1.3, Code X inokwana $ 130. MuBirmingham, Alabama uko RVU iri .75, Code X yaizobhadhara $ 75.
Kana yakabatanidzwa, chikamu chebhadharo chekhodi, RVU, uye GPCI chigumisiro chemari yechiremba yebasa rose kana nzira inogona kukupa iwe, murwere wavo. Inonzi "Physician Fee Schedule".
Yeuka, Purogiramu Yezvipatara Fee inokuudza chete kuti Medicare inobhadharai nokuda kwebasa iri. Kana iwe uine inshuwarisi yega , mari inobhadharwa kuchiremba kana kuchipatara inogona kunge yakanyanya.
Paunoita HCPCS kuona, unogona kudzidza zvinhu zvina:
- Iwe unogona kushandisa ikhodi yeHCPCS kuti uwane kuti sangano kana chirongwa chinomirira.
- Iwe unogona kushandisa sangano kana nzira yekutarisa kumusoro kweHCPCS zvimbo zvingashanda.
- Iwe unogona kuwana kuti Medicare yakawanda inopa sei chiremba uye nzvimbo panzvimbo yako nokuda kwebasa iri kana nzira (RVU).
- Iwe unogona kuwana muvhareji wemari yakabhadharwa kuUnited States yekodhi iyo.
Heino nzira yekuita nayo Medicare HCPCS kutarisa kwako pasina:
- Nhanho 1: Uchatanga pane peji rekupfupisa rinotsanangura zvinhu zvauri kuda kutarisa. Verenga kuburikidza nemashoko ari pamusoro peji peji, zvino bhura pa START SEARCH.
- Nhanho 2: Pajiji rinotevera, uchawana musoro unoti uri kutarisa kumusoro kweCPT codes. Aya aya maitiro akangofanana neHCPCS nhamba, kunyange zvazvo HCPCS inosanganisira dzimwe nhamba dzezvigadzirwa, ambulance services, uye mishonga yemishonga yakasimba.
Iwe uchawana Iti End-Use License. Muchidimbu, inokuudza kuti unogona kutarisa mapeji aya chete nekuda kwemashoko ako ega uye kuti haugoni kuvengesa kune ani zvake. Iko kune mamwe maitiro ezvemitemo waunofanira kuverenga kuburikidza.
Nhanho 3: Dzvanya kubvuma kana kuti Usagamuchira. Kana iwe ukanyora paUYE USAGUMA, haungabvumirwi kuwana kodhi yekuona.
- Nhanho 4: Peji rinotevera nderokutsvaga peji rako. Kutanga, iwe uchasarudza gore kana chikamu chegore chaunotarisa kumusoro kwemasimboti. Zvadaro, iwe uchasarudza mhando yemigumisiro yaunoda. Kana iwe usingazivi, uye iwe uri kuenzanisa mapepa ako ekubhadhara kumatengo, zvino sarudza GPCI yekutanga. Kana zvichizoitika kwete kuti zvive izvo zvaunoda, unogona kudzoka kuzotarisa imwe kukosha.
Iwe uchazofanirawo kusarudza imwe "carrier" kana kuti "nzvimbo." Izvi zvakaoma kusarudza kubva nokuti ivo vari mune zvisingazivikanwi. Iwe unogona kuverenga kuti uverenge kuburikidza nega ega ega nokuti haisi chaiyo yemafabhethi. Somuenzaniso, ndinorarama muCentral NY iyo isina kunyorwa chero kupi zvako pedyo neNew York. Yakanyorwa se "Zororo reNew York."
Hit SHANDISA.
- Nhanho 5: Inyore HCPCS code iwe uri kuedza kuziva pane peji inotevera. Zvadaro sarudza VANHU VANODZIDZISA kubva izvo zvichakupai ruzivo rese pamusoro pekodhiyo.
Ramba uchitarisa pamusoro pemitemo yaunoda. Nyora ruzivo rwaunoda zvichienderana nezvauchazoshandisa.
Bata kune mirayiridzo ye:
- Kuverenga EEB Yako Mubhadhari - Tsanangudzo yeBatsiro
- Kana iwe uchitenda chiremba wako kuribhadharira kwebasa risina kupiwa kwauri kana kuribhadharo yepamusoro yehutano kupfuura iwe wakagamuchira, iwe unoda kuziva zvaunofanira kuita pamusoro pemutambo uyu, unonzi Upcoding .