Ukwenza Amazwi Akho Kulawo Amakhodi Wezokwelapha Ezididayo
Amakhodi wezokwelapha asetshenziselwa ukuchaza ukuxilongwa kanye nokwelashwa, ukunquma izindleko, nokubuyisela imali, nokuchaza esinye isifo noma izidakamizwa kwenye.
Iziguli zingasebenzisa amakhodi wezokwelapha ukuze ufunde kabanzi mayelana nokuxilongwa kwabo, izinsizakalo zabo ezihlinzekwe zona, zibone ukuthi bahlinzekwa kangakanani abahlinzeki babo, noma baphinde bahlole kabili ukukhokhiswa kwabo kubanikezeli babo noma umshuwalense wabo noma umkhokha. Funda kabanzi mayelana nalezi zinhlelo zezokwelapha zezokwelapha.
Amakhodi we-CPT (i-Current Procedural Terminology)
Lezi zimakhodi zakhiwe yi-American Medical Association ukuchaza zonke izinhlobo zesevisi umhlinzeki wezempilo onganikeza isiguli. Zisetshenziselwa ukwenza uhlu lwalezo zinsizakalo zokuhambisa umshwalense, Medicare, noma omunye umkhokheli ngezinhloso zokubuyiselwa.
Iziguli zingase zibe nesithakazelo ekubhekeni amakhodi we-CPT ukuze ziqonde kangcono izinsizakalo udokotela wazo azinikezile, ukuphindwa kabili-hlola izikweletu zabo, noma ukuxoxisana ngamanani aphansi ezinsizakalo zabo zezempilo.
Amakhodi we-HCPCS (Uhlelo lokuCoding leNqubo yezokuPhatha kwezeMpilo)
Amakhodi we-HCPCS asetshenziswa yi-Medicare futhi asekelwe kuma-CPT amakhodi. Iziguli ezisebenzisa i-Medicare, ikakhulukazi labo abadinga usizo lwe-ambulensi noma amanye amadivayisi ngaphandle kwehhovisi likadokotela, bangase bafune ukufunda okwengeziwe ngamakhodi we-HCPCS. Izinga elilodwa le-HCPCS amakhodi wesibuko amakhodi we-CPT futhi asetshenziselwa ukubona izinsizakalo zezokwelapha nezinqubo eziyalwe odokotela noma ezinye izichwepheshe ezilayisensiwe. Amakhodi amabili we-HCPCS angama-alphanumeric futhi ahlonipha amasevisi angewona odokotela njengamasevisi we-ambulensi, imishini yokwelapha eqinile, nekhemisi.
Ama-ICD Amakhodi (Ukuhlukaniswa Kwabantu Emhlabeni Wonke)
Ukuhlukaniswa kwamazwe ngamazwe amakhodi (i-ICD) agcinwa e-United States yi-CDC, nasemhlabeni jikelele yi-World Health Organization. Zisetshenziselwa ukuchaza ukuxilongwa.
Amakhodi e-ICD aguquka ngokuhamba kwesikhathi, ngakho-ke anenombolo efakwe kubo ukukhombisa ukuthi yimaphi amakhodi asetshenziswayo. Amakhodi we-ICD-9 avame ukutholakala kumarekhodi eziguli. Odokotela baseMelika badlulela ohlwini olubuyekeziwe lwamakhodi e-ICD-10 ngo-2015.
Amakhodi wesifo se-ICD atholakale kumarekhodi abhekene neziguli ezinjengezitifiketi zokufa noma amarekhodi esibhedlela.
Amakhodi we-ICF okukhubazeka
Amakhodi we-ICF ajwayelekile. Amakhodi e-ICF abhekisela kuKwahlukaniswa KwaseMhlabeni Kokusebenza, Ukukhubazeka, Nempilo futhi bachaza imiphumela yokukhubazeka-ukuthi isebenza kanjani isiguli esimweni sakhe.
I-DRGs (Ukuxilongwa Amaqembu Ahlobene)
Ukuxilongwa kwamaqembu ahlobene (i-DRG) yasungulwa yi-Medicare ukuhlela izinsizakalo zesibhedlela ngokuxilongwa, uhlobo lwezokwelapha, nezinye izinqubo zokufaka inkokhelo.
Uma isiguli singeniswe esibhedlela, ukubuyisela emuva kweMedare kuncike kwi-DRG yesiguli, kungakhathaliseki ukuthi izindleko zangempela zokuhlala esibhedlela ziyiziphi, noma yiziphi iziguli ezikhokhelwa izibhedlela.
Ukucatshangelwa kwenziwa ukuthi iziguli ezihambisana nephrofayili efanayo zizodinga cishe ukunakekelwa kanye nezinsizakalo ezifanayo. Kukhona ama-DRG angaba ngu-500 ahlukene. Zibuyekezwa njalo ngonyaka ukuze zengeze izifo ezintsha noma izimo.
Amakhodi we-NDC (Amakhodi Kazwelonke Wezidakamizwa)
Amakhodi we-NDC atholakala kuNcwadi Yomthetho Kazwelonke Wezidakamizwa. Kusukela ngo-1972, i-FDA idinga ukuthi bonke abakhiqizi bezidakamizwa noma izidakamizwa ze-insulin babone futhi babike inombolo eyingqayizivele, ingxenye yesithathu yemikhiqizo yawo ngayinye. I-FDA igcina uhlu olubuyekeziwe lwalezi zinombolo kwiwebhusayithi yayo. Kumele kuqashelwe ukuthi ngenxa yokuthi inombolo inikezwe, lokho akusho ukuthi umuthi uvunyelwe yi-FDA. Uma unesifiso mayelana ne-NDC yesidakamizwa osithathayo, ungayicwaninga kuwebhusayithi ye-FDA.
Amakhodi we-CDT (Ikhodi yezinqubo zamazinyo kanye nesimiso somuntu)
Amakhodi we-CDT avumela ukuthi amazinyo angene esenzweni sokubhala. I-CDT ibhekisela ku-Code kwizinqubo zamazinyo kanye nesimenenhla.
Amakhodi we-DSM-IV-TR wezifo zengqondo
Amakhodi we-DSM-IV-TR asetshenziselwa ukuxilonga izifo zengqondo. Zinyatheliswa futhi zigcinwe yi-American Psychiatric Association. I-DSM-IV-TR imele iNcwadi yokuThola nokuThathaniswa kweMental Disorders, Edition 4, Umbhalo Wokubuyekeza.
Ngenkathi ungabona lezi amakhodi kumarekhodi aseziguli ezikhona, umagazini wesi-5 we-DSM ushicilelwe ngo-2013 futhi uncoma amakhodi we-ICD-10 ngezimo zengqondo. Lezi zibuye zishintshe ngokuhamba kwesikhathi, njengoba kube nokubuyekezwa ngo-Okthoba 2017.