Ukutshintshwa kwe-ICD-9 Kuzo zonke ezifihliweyo yi-HIPAA
Kukho intetho eninzi malunga ne-ICD-10 kungekudala. Akuyinto entsha. Yayisungulwa yi-World Health Organisation (WHO) ngo-1993 ukuba ithathe indawo ye- ICD-9 kwaye iphantse kuwo onke amazwe kwihlabathi, ngaphandle kwe-United States. Masifunde ngakumbi malunga ne-ICD-10.
E-United States, ngokuqhelekileyo ibhekisela kulungiso lwezonyango lwe-ICD-10: ICD-10-CM. Le khowudi isetyenziselwe ukufaka indawo ye-ICD-9-CM, i-code yethu yangoku ye-ID yokuhlola i-US, ngo-Okthoba.
1, 2013. Nangona kunjalo, urhulumente, njengolu bhalo, ulibale ixesha lokungaqinisekisiweyo umhla wokuqalisa inkqubo ye-ICD-10 yokuxilonga kunye nenkqubo yokubhala.
Kutheni Kufuneka
Inkqubo yokwahlula ihlelwe yenzululwazi kwaye isigaba ngasinye sinezididi ezintathu sinokuluhlu lwamacandelo angama-10 kuphela. Uninzi lwamanani kwiindidi ezininzi ziye zabelwa ukuxilongwa. Inzululwazi yezokwelapha iyaqhubeka yenza izinto ezintsha, kwaye akukho manani ukunika ezi zifo.
I-ICD-10-CM iya kuvumela uhlalutyo olungcono lweepatheni zesifo kunye neziphumo zonyango ezinokunyusa unyango lwonyango. Ezi nkcukacha ezifanayo ziya kunqumla ukuhanjiswa kwamabango .
Yintoni eyahlukileyo?
Izikhokelo, iindibano kunye nemithetho zifana kakhulu. Umbutho weekhowudi ufana kakhulu. Ukuphuculwa okuninzi kuye kwenziwa ekwenzeni ikhowudi. Ukwahluka okukhulu phakathi kweendlela ezimbini kukho ulwahluko oluya kuchaphazela iteknoloji yolwazi kunye nesofthiwe.
Ngokomzekelo, inani leikhowudi ngoku li-13 600. Oku kuya kwanda ukuya kuma-69,000.
I-ICD-10-CM iyasetyenziswa kuzo zonke izicwangciso zezempilo zase-US. I-diagnostic encoding phantsi kwe-ICD-10-CM isebenzisa iidijithi ezi-3 ukuya ku-7 endaweni yeenombolo ezi-3 ukuya kuma-5 ezisetyenzisiweyo nge-ICD-9-CM, kodwa ifomathi yesethi yeefowuni iyafana.
Inkqubo yokuBhala kweziNyango
I-ICD-10-PCS yikhowudi eyenzelwe ukubuyisela uMqulu 3 we-ICD-9-CM ngenkqubo yokunika ingxelo yonyango.
Kuya kusetyenziswa izibhedlele kunye nabahlawuli. Kuya kufuna uqeqesho olubalulekileyo kubasebenzisi. Oogqirha kufuneka baqaphele ukuba iimfuno zamaphepha phantsi kwe-ICD-CM-PCS zihluke kakhulu, ngoko ke amaxwebhu abo erekhodi yezokwelapha angaphathanga nolu tshintsho.
I-ICD-10-PCS isebenzisa amadijithi angama-7 alphanumeric esikhundleni seenombolo ezi-3 okanye ezine zeenombolo ezisetyenziswa phantsi kwe-ICD-9-CM inkqubo yokubhala ikhowudi. Ukukhishwa kweenkcukacha phantsi kwe-ICD-10-PCS kuchanekile ngakumbi kwaye kuhluke kakhulu kwi-ICD-9-CM inkqubo yokubhala ikhowudi.
Ukulungiselela
Nangona kuya kufuneka ukuba ube yimfundo ebalulekileyo kunye nokuqeqeshwa kwamakhowudi, ii-billers, abaphathi bezenzo, oogqirha kunye nabanye abasebenzi benonophelo lwezempilo ukuze bazalise ngokupheleleyo le nkqubela enkulu yekhowudi, ingaqhubeka kwinkqubo. Imibutho efana ne-AAPC inokunceda.
Nabani na ojongene nomsebenzi wekhowudi yokubhala, ukulawulwa kweenkcukacha zezempilo, kunye nokunye ukuphunyezwa kwe-ICD-10 kufuneka balungiselele kakuhle ngaphambi kokuqeqesha ikhowudi. Iziko lezeMpilo kunye neenkonzo zeMedicaid (CMS) icebisa ukuba:
- Ababoneleli
Ukuphuhlisa isicwangciso sokuphunyezwa esibandakanya ukuhlolwa kwefuthe kwintlangano yakho, ixesha elifutshane kunye nohlahlo lwabiwo-mali. Hlola kunye nenkonzo yakho yokubhatala, isakhiwo sokucima, okanye umthengisi wolawulo lweprogram ye-software malunga nezicwangciso zokuthobela. Abanikezeli abasebenzisa ukuhlawula kunye nokuphuhliswa kweekhompyutha ngaphakathi kufuneka bacebe iirekhodi zezocwangciso / iinkcukacha, iikliniki, i-IT kunye nabasebenzi bezemali ukudibanisa kwi-ICD-10 kunye ne-HIPAA Version 5010.
- Abahlawuli
Ukuhlaziywa kwemigaqo-nkqubo yokuhlawula ukususela kwenguqu kwi-ICD-10 kuya kubandakanya imithetho emitsha yokubhala. Buza abathengisi bakho beekhompyutha malunga nezicwangciso zabo zokuzilungiselela kunye nexesha lokuphuhlisa imveliso, ukuvavanya, ukufumaneka, kunye noqeqesho lwe-Version 5010 kunye ne-ICD-10. Kufuneka ube neprogram yokuphunyezwa kunye nebhajethi yeshintsho endaweni. - Abathengisi beSofthiwe, amaziko okucoca, kunye neenkonzo zokuhlawula i-third party
Kufuneka ube neemveliso kunye neenkonzo ekuphuhliseni eziya kubavumela abahlawuli kunye nababoneleli ukuba bazalise ngokupheleleyo i-ICD-10 ngo-Oktobha 1, 2013. Qala ukuthetha nabathengi bakho ngoku.
I-CMS iye yaphuhlisa iiNcwadi ezine zokuSebenza njengezixhobo ezongezelelweyo zokuncedisa imboni yonakekelo lwempilo ngokuguquka kwiikhowudi ze-ICD-9 ukuya kwi-ICD-10.
Isikhokelo ngasinye sihlinzeka ngolwazi olunzulu malunga nokucwangcisa nokuphumeza inkqubo yenguqu ye-ICD-10. Sebenzisa izikhokelo njengokuba ubhekiselele ukuba uphakathi kwenguqu okanye uqala nje inkqubo.
Isihlomelo sesicatshulwa ngasinye sichaza iimodeli ezifanelekileyo ezifumanekayo ukukhuphela kwiiFayile kunye neefayile zezantsi apha ngezantsi. Iimodeli zizenzekelayo kwaye ziye zadalwa ukuze zincede iinkampani zicacise iindima zabasebenzi, zibekwe ixesha elide lomsebenzi / zixanduva kunye nokuvavanya ukulungela umthengisi.
Amaqela achaphazelekayo
I-ICD-10 iya kuthintela ukuxilongwa kunye nenkqubo yokungenasiphelo kubhaliswa kuwo wonke umntu ogqitywe ngumThetho we-Intshumo yokuPhathwa kwe-Intshuwalense kunye neNtlawulo (i-HIPAA), kungekhona nje abo bangenise i-Medicare okanye iMedicaid. ISebe lezeMpilo kunye neeNkonzo zoLuntu ligunyaze ukuba imimiselo yokuthengiswa kwayo yonke imibono yezempilo ye-elektroniki kufuneka iguqule kwi-HIPAA Version 5010 kwi-Version 4010 / 4010A ekulungiseleleni ukuphunyezwa kwe-ICD-10.
Nangona kuya kubakho intlungu yokuqala ekuphunyezweni kwezi khowudi ezintsha, ekugqibeleni kufuneka kukuncedisa ukuhlawula ngokuchanekileyo kwaye oko kufuneka kukuncedise ukwaneliseka kwesigulane kunye nentsapho kunye noshishino.