Ukufaka esikhundleni se-ICD-9 Kuzo Zonke Ezihlanganisiwe ngu-HIPAA
Kube nokukhuluma okuningi nge-ICD-10 kamuva. Akuyona into entsha. Iqaliswe yi-World Health Organization (WHO) ngo-1993 ukufaka esikhundleni se- ICD-9 futhi cishe cishe wonke amazwe emhlabeni, ngaphandle kwe-United States. Masifunde kabanzi mayelana ne-ICD-10.
E-United States, ngokuvamile ibhekisela ekuguqulweni kwemitholampilo yase-US ye-ICD-10: i-ICD-10-CM. Leli khodi lisethiwe lihlelwe esikhundleni se-ICD-9-CM, isethi yethu yamanje yekhodi ye-diagnostic yase-US, ngo-Okthoba.
1, 2013. Noma kunjalo, uhulumeni, njengalolu lolo, ubambezele isikhathi esingacacisiwe usuku lokuqalisa uhlelo lwe-ICD-10 lokuxilonga nokulandelana kwezinqubo.
Okwenza Kuyadingeka
Uhlelo lokuhlukaniswa luhlelwe ngokwesayensi futhi isigaba ngasinye samadijithi amathathu singaba namasentimitha angu-10 kuphela. Izinombolo eziningi ezigabeni eziningi zinikezwe ukuxilongwa. Isayensi yezokwelapha iqhubeka yenza izinto ezitholakalayo, futhi azikho izinombolo zokwabela lezi zifo.
I-ICD-10-CM izovumela ukuhlaziywa okungcono kwamaphethini wesifo kanye nemiphumela yokwelapha engadlulisela ukunakekelwa kwezokwelapha. Lemininingwane efanayo izokwehlisa ukuhanjiswa kwezicelo .
Yini ehlukile?
Imihlahlandlela, imihlangano, nemithetho zifana kakhulu. Inhlangano yamakhodi ifana kakhulu. Ukuthuthukiswa okuningi kwenziwe ekwenzeni ikhodi. Ukuhlukana okukhulu phakathi kwezinhlelo ezimbili kukhona umehluko ozophazamisa ubuchwepheshe bolwazi kanye nesofthiwe.
Isibonelo, inani lamakhodi njengamanje lingama-13 600. Lokhu kuzokwanda kube ngu-69,000.
I-ICD-10-CM iyasetshenziswa kuzo zonke izilungiselelo zokunakekelwa kwezempilo zase-US. Ukutholakala kwezibalo ngaphansi kwe-ICD-10-CM isebenzisa amadijithi angu-3 kuya kwangu-7 esikhundleni samadijithi angu-3 kuya ku-5 asetshenziswa nge-ICD-9-CM, kodwa ifomethi yekhodi yekhodi ikhofana.
Ukubikwa Kwezinqubo Zokugula
I-ICD-10-PCS iqoqo lekhodi elenzelwe ukufaka uMqulu 3 we-ICD-9-CM yokubika inqubo yokugula.
Izosetshenziswa izibhedlela kanye nabakhokhi. Kuzodinga ukuqeqeshwa okubalulekile kubasebenzisi. Odokotela kufanele baqaphele ukuthi izidingo zamadokhumenti ngaphansi kwe-ICD-CM-PCS zihluke kakhulu, ngakho-ke amadokhumenti abo amarekhodi wezokwelashwa angaphathekile kulolu shintsho.
I-ICD-10-PCS isebenzisa amadijithi angu-7 e-alphanumeric esikhundleni samadijithi angu-3 noma amane wezinombolo ezisetshenziswa ngaphansi kwenqubo ye-ICD-9-CM. Ukwenza ikhodi ngaphansi kwe-ICD-10-PCS kucacile kakhulu futhi kuhluke kakhulu kunqubo ye-ICD-9-CM yokubhala ikhodi.
Ukulungiselela
Ngesikhathi kuzodingeka kube nemfundo ebalulekile nokuqeqeshwa kwamakhodi, abakhokhisi, abaphathi bamakhono, odokotela, kanye nabanye abasebenzi bezempilo ukuze basebenzise ngokugcwele lokhu kuguqulwa kwekhodi enkulu, kungenziwa enkambisweni ehleliwe. Izinhlangano ezifana ne-AAPC zingasiza.
Noma ubani obhekene nekhono lokufaka ikhodi yomkhuba, ukuphathwa kolwazi lwezempilo, nokunye ukuqaliswa kwe-ICD-10 kufanele kulungiselelwe kahle kusengaphambili kokuqeqesha ikhodi. Isikhungo se-Medicare neMediicaid Services (CMS) sineluleka ukuthi:
- Abahlinzeki
Thuthukisa isu lokuqalisa elihlanganisa ukuhlolwa komthelela enhlanganweni yakho, umugqa wesikhathi esinqunyiwe, kanye nesabelomali. Hlola ngensizakalo yakho yokukhokha, indlu yokuhlanza, noma umthengisi wesofthiwe yokuphatha mayelana nokuhlelwa kwawo. Abanikezeli abathwala ukukhokha kanye nokuthuthukiswa kwesofthiwe ngaphakathi kumele bahlele amarekhodi wezokwelapha / ikhodi yezokwelapha, imitholampilo, IT, kanye nabasebenzi bezezimali ukuze baqondisane ne-ICD-10 kanye ne-HIPAA Version 5010 imizamo yokuguquka.
- Abakhokhi
Buyekeza izinqubomgomo zokukhokha kusukela ukushintshela ku-ICD-10 kuzobandakanya imithetho entsha yokubhala ikhodi. Buza abathengisi bakho be-software mayelana nezinhlelo zabo zokulungela kanye nezikhathi zokuthuthukiswa komkhiqizo, ukuhlolwa, ukutholakala, nokuqeqeshwa kwe-Version 5010 ne-ICD-10. Kufanele ube nehlelo lokuqaliswa kanye nesabelomali sokuguquguquka endaweni. - Abathengisi be-Software, izindawo zokuhlanza, kanye nezinsizakalo zokukhokha zangaphandle
Kufanele ube nemikhiqizo nezinsizakalo ekuthuthukiseni okuzovumela abakhokheli nabahlinzeki ukuba baqalise ngokugcwele i-ICD-10 ngo-Okthoba 1, 2013. Qala ukukhuluma namakhasimende akho manje.
I-CMS ithuthukise izincwadi ezine zokusebenzisa njengezinsiza ezengeziwe zokusiza imboni yokunakekelwa kwezempilo ngokushintsha kusuka kuma-ICD-9 kuya kuma-ICD-10 amakhodi.
Umhlahlandlela ngamunye unikeza ulwazi oluningiliziwe lokuhlela nokwenza inqubo yokuguqula i-ICD-10. Sebenzisa iziqondiso njengendlela yokubhekisela noma ngabe ungaphakathi kwenguquko noma uqale nje inqubo.
Isithasiselo sencwadi ngayinye ibonisa izifanekiso ezifanele ezitholakala ukulanda kumafayela e-Excel nama-PDF ngezansi. Izifanekiso zenziwe ngezifiso futhi zidalwe ukusiza izinhlangano zicacise izindima zabasebenzi, zibeke isikhathi sokugcina / imithwalo yemfanelo yangaphakathi futhi zihlole ukulungiswa komdayisi.
Amathintekayo
I-ICD-10 izophazamisa ukuxilongwa kanye nenqubo yokugulisa iziguli kubantu bonke abahlinzekwe ngumthetho we-Health Insurance Portability and Accountability Act (HIPAA), hhayi nje labo abathumela i-Medicare noma i-Medicaid. UMnyango WezeMpilo kanye Nezinsizakalo Zomuntu wagunyaza ukuthi izindinganiso zokuthengiselana kwazo zonke izimangalo zezempilo ze-elekthronikhi kufanele zishintshe ku-HIPAA Version 5010 kusukela ku-Version 4010 / 4010A ekulungiseleleni ukuqaliswa kwe-ICD-10.
Ngenkathi kuzoba nobuhlungu bokuqala ekusebenziseni la amakhodi amasha, ekugcineni kufanele kusize ekukhokheleni okunembile futhi lokho, kufanele futhi kusize ngokwaneliseka kwesiguli kanye nomndeni nomkhakha.