I-HCPCS Ingakusiza Unqume Izikweletu Zezokwelapha Nezilinganiso Zezinzuzo
(Funda ukuthi yimaphi amakhodi we-HCPCS, ukuthi abukeka kanjani nokuthi ungabatholaphi ngaphambi kokuba uwabuke.)
Kusuka kulesi sikhungo se-Medicare HCPCS, uzothola izinto ezintathu: incazelo yekhodi ngayinye ye-HCPCS, i-Value Value Value (RVU) ne-Geographic Practice Cost (GPCI). Uma behlanganiswa, baba yisiHlelo Sama-Physician Fee.
Kuyini Inani Elilinganiselwe Inani (RVU)?
Ikhodi ngayinye ye-HCPCS inikezwa inani - inani lemali le-Medicare lizokhokhela esibhedlela noma udokotela waleso nsizakalo ngokwesilinganiso.
Khona-ke, amadolobha nezinye izindawo zendawo banikezwa i-RVU - inani lemali elilinganiselwe - lelo phesenti, eliphakeme noma eliphansi, lokukhokha okujwayelekile kwe-HCPCS.
Nakhu ukuthi kusebenza kanjani: Kuye lapho uhlala khona, i-RVU izoba ephezulu noma ephansi kunokulinganisa, ngokusekelwe ezindleko zokwenza ibhizinisi. Ngakho, isibonelo, izindleko zokwenza ibhizinisi ziphakeme kunezilinganiso eNew York City. Isilinganiso = 1. I-RVU yeNew York City ingase ibe ngu-1.3. EBirmingham, Alabama, enezindleko eziphansi kakhulu zokwenza ibhizinisi, i-RVU ingaba ngu -75.
Iyini Inkinga Yezindleko Ze-Geographic Practice Index?
I-GPCI yinani elikhokhelwa ikhodi ngayinye ye-HCPCS uma isilinganiso sesandisiwe yi-RVU. Akuyona iphesenti - yiyona imali yangempela yama dollar. Ukubuka i-Code X kusuka phezulu, ogwini olujwayelekile (RVU = 1.0) lungaba ngu- $ 100. E-New York City, lapho i-RVU ingu-1.3, i-Code X ibiza u-$ 130. EBirmingham, e-Alabama lapho i-RVU ikhona khona .75, i-Code X izoba ngu-$ 75.
Uma kuhlangene, inani lemali yokukhokha ikhodi, i-RVU, kanye nomphumela we-GPCI kukho imali yezokwelapha kuzo zonke izinsizakalo noma inqubo abangakunikeza yona, isiguli sabo. Ubizwa ngokuthi iShejuli YezeMpilo.
Khumbula, iHlelo Lama-Physician Fee likutshela ukuthi yini i-Medicare ekhokhela lezi zinsizakalo. Uma unomshuwalense wangasese , inani elikhokhwa kudokotela noma esibhedlela lingase libe ngaphezulu noma ngaphansi.
Uma wenza i-HCPCS lookup, ungafunda izinto ezine:
- Ungasebenzisa ikhodi ye-HCPCS ukuthola ukuthi iyiphi insizakalo noma inqubo emele yona.
- Ungasebenzisa isevisi noma inqubo ukubheka amakhodi we-HCPCS angasebenza.
- Ungathola ukuthi uM Medicare ukhokhela kangakanani udokotela kanye nesikhungo endaweni yakho ngaleyo nsizakalo noma inqubo (i-RVU).
- Ungathola inani elilinganiselwe elikhokhelwa kuwo wonke ama-US ngaleyo khodi.
Nakhu ukuthi ungakwenza kanjani ukubuka kwakho kwe-Medicare HCPCS mahhala:
- Isinyathelo 1: Uzoqala ekhasini elibukeziwe elichaza izinto ozozibuka. Funda ngokusebenzisa ulwazi ekhasini lokubuka konke, bese uchofoza u-START SEARCH.
- Isinyathelo sesibili: Ekhasini elilandelayo, uzothola isihloko esithi usuke ukhangela amakhodi we-CPT. Lezi amakhodi zifana kakhulu namakhodi we-HCPCS, nakuba i-HCPCS ihlanganisa amakhodi engeziwe amadivayisi, amasevisi we-ambulensi, kanye nemishini yokwelapha eqinile.
Uzothola ilayisensi yokuphela kokusebenzisa. Empeleni, ikutshela ukuthi ungabheka lezi zimakhodi kuphela ngolwazi lwakho lomuntu siqu nokuthi awukwazi ukuzithengisa kunoma ubani omunye. Kunomthetho owengeziwe omele ufunde ngawo.
Isinyathelo sesi-3: Chofoza ku-ACCEPT noma Ungamukeli. Uma uchofoza UNGAMUKELI, ngeke uvunyelwe ukufinyelela kwi-code lookup.
- Isinyathelo 4: Ikhasi elilandelayo yikhasi lakho lokusesha. Okokuqala, uzokhetha unyaka noma ingxenye yonyaka obuka ngayo amakhodi. Okulandelayo, uzokhetha uhlobo lwemiphumela oyifunayo. Uma ungaqiniseki, futhi uqhathanisa iphepha lakho lokukhokhisa kumanani, bese ukhetha i-GPCI yabaqalayo. Uma kuvela ukuthi kungabi yilokho okufunayo, ungabuyela ukubheka enye inzuzo.
Uzodinga futhi ukhethe "othwali" othize noma "indawo". Lezi zinzima ukukhetha kusuka ngoba zihlelekile. Kungase kudingeke ufunde ngokusebenzisa kungenzeka ngoba akuyona i-alfabhethi ngempela. Isibonelo, ngiphila ku-Central NY engabhalwanga noma yikuphi eduze kwaseNew York. Kubhalwe ngokuthi "Ukuphumula kweNew York."
Hit SUBMIT.
- Isinyathelo sesi-5: Faka ikhodi ye-HCPCS ozama ukuyibona ekhasini elilandelayo. Bese ukhetha BONKE ABAKHONI kusukela lapho kuzokunika lonke ulwazi mayelana nalolo khodi.
Qhubeka ubheka phezulu amakhodi okudingayo. Qopha ulwazi oludinga kuye ngokuthi uzoyisebenzisa yini.
Xhumanisa imiyalo ye:
- Ukufunda i-EOB yomthengi - Incazelo yeziNzuzo
- Uma ukholwa udokotela wakho ukukhokhisa ngezinsizakalo ezinganikezwa zona noma ukukhokhisa izinga eliphezulu lezinsizakalo kunalokho owamukele, uzofuna ukwazi ukuthi ungenzani ngalolu hlelo, olubizwa nge- Upcoding .