Impembelelo ye-ICD-10 kunye neminye imiGangatho yokuCwangcisa kwiMveliso yeMveliso

KwiCoding kunye neBilling, uQeqesho oluCwangcisiweyo luPhezulu loPhumelelo

Icandelo lonyango lonyango liyimveliso elawulwa kakhulu, sinesizathu esihle, njengoko izigidi zabantu zichaphazela umgangatho weenkonzo zempilo ezinikezelwa zizigulane kwilizwe lonke. Nangona kunjalo, ngaba kungenzeka ukuba ishishini lonyango lingalawulwa kakhulu ? Uxinzelelo olwandayo lwemiqathango emitsha, iinkqubo ezintsha, kunye nemigaqo eminyanisekileyo echaphazela izigidi zabasebenzi bezonyango ezenza abasebenzi bezonyango?

Ezinye izifundo zibonakala zibonisa ukuba imboni yononophelo lwempilo inokulawulwa ngokugqithiseleyo, okanye ubuncinane ilawulwa ngabasebenzi abaninzi benonophelo lwezempilo ukuba baqhubeke bengenawo amanqanaba okungaxinzekanga kunye neephene. Ukukhula rhoqo kunye nokutshintsha kwimimiselo yokunakekelwa kwempilo ngokuqhubekayo kufaka iindawo zobungcali, kubangele uxinzelelo kubasebenzi bezempilo, ukuze baziva bexakeke kwaye baxhumeke kubaqeshi babo, nto leyo eyenza bazive bengenelungelo lokuqeqeshwa kunye nobutyebi ukwenza imisebenzi yabo kakuhle . Enyanisweni, izibhedlele zaseUnited States zinokubakho kwiimeko ezibuhlungu, ngamaphesenti angaphezu kwama-56 ebenzi bavakalelwa ngaloo ndlela, ngokutsho kwe-2017 isifundo seCultureIQ, esithi "Ukuzibandakanya nokugcinwa kwabasebenzi bezeMpilo."

U kutshintsha iCoding

Omnye ngokutsha, kwaye utshintsho olukhulu kwimimiselo yokunakekelwa kwempilo ekhutshwayo yinkqubo entsha yekhowudi ye -ICD-10, eyathatha indawo ye-ICD-9 ngo-Oktobha ka-2015.

Inkqubo entsha yokubhala i-coding iphindwe kabini kwimiqulu yeenkcukacha zokuxilonga ukusuka kwi-14,000 ukuya kuma-68,000, ngelixa iikhowudi zomgaqo-nkqubo zanyuka ngaphezu kwama-2,000 ekhulwini, ukusuka kwiikhowudi ezi-4,000 ukuya kuma-87,000. Oku kuye kwabangela ukwanda kweepesenti ezingama-69 kwisixa sithathwe ekujongeni iindleko zonyango zegulane (imizuzu eyi-17 kwi-ICD-10, imizuzu emi-5 ngokukhangela kwi-ICD-9).

Ubume beekhowudi ze- ICD-10 bukhokelela kwimimiselo engaqondakaliyo kwindawo yokusebenzela, kubangela iimpazamo, ukusebenza ngokugqithiseleyo, kunye nexesha elincinane lokugqiba iinkqubo zokuhlawula . Oku kubangela ekugqibeleni ukuncipha kweembuyekezo, kunye nokwanda kweendleko zexesha elingaphezu kwexesha, ukukhahlela oogqirha ngokwezezimali, ngexesha lonke ukunciphisa umgangatho wokunyamekela isigulane, ngokutsho kukaDavid Womack, umongameli kunye ne-CEO ye-Practice Management Institute (PMI), enika imfundo noqeqesho abasebenzi be-ofisi yezobugcisa kwiinkqubo zesibhedlele, iinkonzo zonyango kunye namaziko emfundo lonke.

Nangona ukuphunyezwa kwe-ICD-10 kuqinisekiswe inkqubo, ukunyuka kwenyathelo olutsha ngokukhawuleza lwedatha kunokuba nefuthe elichaseneyo , uMackack ungeze.

Ngokuxhomekeke kumava akhe kwintsimi yokuqeqeshwa kwabasebenzi bezempilo, uMomack uthi ukuchithwa kwabasebenzi kubangelwa yile miphumo-mgaqo-nkqubo, ngokuhlanganiswa nokungabikho koqeqesho. Nge-Womack, ukukhula okunjalo kwedatha ngaphandle koqeqesho oluhambelanayo kungabonakalisa intlangano yenkathalo kwimboni yezempilo- enkulu ingozi yoshishino esele idibene neepositi zokubhala .

Iingcamango Ziyingozi kwiShishini lezeMpilo

Iingcamango azibizi nje kuphela i-shishini, kunye nabaqeshi, imali eninzi kwiimbuyekezo ezilahlekileyo.

Iimpazamo zithengela ixesha elixabisekileyo, kunye nomgangatho-ngokuthe ngqo kwimpilo yesigulane.

Xa abasebenzi bebetha izinto ezininzi ngokukhawuleza ukuba abaziqondi, baya kuba nokunganakwa baze baphumele ngaphandle-kubangele iimpazamo ezongeziweyo, iimpazamo kunye nokungaqondi ngokubanzi.

Ukufikelela kuma-80 ekhulwini kuwo onke amabhili yezokwelapha aqule iimpazamo, ukubiza i-$ 68 yezigidigidi kwiindleko zempilo ezilahlekileyo . Ukudibene nokugqithiswa kwedatha entsha, uMomack uthi umngcipheko weeposiso ukwandisa kabini.

Kutheni kukho ukuphakama okuphakamileyo kweefayile zokuhlawula? "Ubungqina obukhoyo bubekho kwicala lokuhlawula amabango," kuchazwa uMnack. "Abahlawuli belimele kunye noorhulumente bajonga ngokufanayo iimfuno zokuchaneka.

Xa kukho iingxaki, amabango aphikisiwe, kwaye imali ilahlekile. "

Sisiphi Isixazululo? Indlela yokulungisa, Ukubandakanya abasebenzi kwi-Wake Wake yeMimiselo emitsha

Icandelo lezonyango liza kuba lilawulwa kakhulu kwixesha elizayo. Ngako oko, ngokweMomack, uphuculo oluphezulu, ukuqeqeshwa kwabasebenzi okuqhubekayo kubaluleke kakhulu ukugcina iqela elihlangeneyo, elibandakanyekayo kunye nokuncipha iiposiso ezikhuselweyo.

"Abasebenzi ababandakanyekayo ngumsebenzi oqeqeshwe kakuhle," ngokutsho kukaMomack. "Abasebenzi bekhowudi kunye nabarhoxiso ngokuqeqesha ngokufanelekileyo banegalelo kwisisombululo ngendlela ehlambulukileyo, ehambelanayo [ye-inshorensi yezempilo]."

Uphando lubonisa ukuba imibutho yokunakekelwa kwezempilo eneempembelelo ezisebenzayo kakhulu yenza ngempumelelo ngempumelelo kwiinkqubo zokhuseleko, umgangatho, kunye nesifo sengqondo, ezichaphazela kakhulu iziphumo zemali.

UMackack wongeza ukuba iinkampani ezinika isatifikethi sezobugcisa kwi-coding yezokwelapha, ukuhlawula i-third party party, ukuphathwa kweofisi kunye nokuthotyelwa, zinceda ukubeka umgangatho ophezulu emisebenzini ngokubonelela ngemfundo yokuvavanya kunye nokuvavanya okuqinisekisa ukuqonda okupheleleyo komfaki sicelo. Isiphumo kuba ukuba oogqirha banokugxila ingqalelo ekunyamekelweni kwesigulane, ukuguqulela kumava angcono kwisigulane, ngelixa uqinisekisa ukuba umgangatho uyaqhubeka uphumelela.

Ukongezelela, uMomack uxwayisa ngokuqeshisa iikhowudi zezokwelapha ezingaqeqeshiweyo kunye nabaqulunqi. "Enye yemingcipheko enkulu yokuqesha amaphepha-coders angaqeqeshiyo afika xa abaphicothi-zincwadi bezempilo befumana iingxaki ezibangelwa ukubuyiswa kwemali eninzi yezinto ezifana nokuhlawulwa kweenkonzo ezingakhange zinikezelwe, ukuchithwa, ukukhutshwa komsebenzi, njl. Ekugqibeleni, ugqirha unembopheleleko yokusayina zonke izibango, kodwa abasebenzi banokwabelana nabo uxanduva lokuziphatha okungalunganga, ukuba bayazithoba ngamabango amanga. "

Ngaba ukuhlawula okufanelekileyo kunye nokubhalwa kwikhowudi kumlando kumngeni wezokwelapha? Ewe, utsho uMasack. "Inkathazo yenkqubo yokubuyiselwa kwintlungu yintlungu, ngokuqinisekileyo, uMomack uthi. "Ukulwa needola [ezihlawulwa] kulo mkhuba ngamanye amaxesha kunokubaluleka ngaphezu kokunyanga kweemeko zonyango ekuqaliseni ukugcinwa kwezokwelapha. Iikhowudi ezingenalo uqeqesho olufanelekileyo zongeza umlilo, "uyongezelela.

Akunakho kuphela ukungafumaneki kokuqeqeshwa kwamakhowudi ezonyango kunye nabahlawuli bezonyango abachaphazela i-ofisi yangaphambili yezokwelapha, kunokuchaphazela nokuveliswa komsebenzi wonke. "Amakhowudi aqeqeshiwe kakuhle kunye nabaqulunqi banokuphucula inzuzo yonke yalo mkhuba ngokufumana amathuba angenangeniso kunye nokuhambisa amabango edosa ngalinye elifanelekileyo. Abasebenzi abaqeqeshwe kakuhle bakhokelela ekusebenziseni ngcono komsebenzi, iziphoso ezimbalwa kunye nokwaneliseka komsebenzi wonke. "

> Imithombo:

> "Ukubandakanya & Ukugcinwa kwabasebenzi bezeMpilo." ICulturalIQ. Yintoni Inkcubeko? InkcubekoIQ., Nd

> "ICD-10 Implementation Pros and Cons." MedLink. Np, 20 uJan. 2016

> "Ukuchithwa kweCoding engalunganga kuphazamisa uLwazi oluSebenzisiweyo olusetyenziswa yiZiko loKhathalelo lwezeMpilo, luneziphumo ezimbi kwiNkcazo yonakekelo lwezeMpilo." EliLawulayo lezeMpilo. Np, nd

> Jensen D, Ward E kunye ne Starbuck L. "Unyaka kamva: Impembelelo ye-ICD-10 Impembelelo yoLawulo lweeNgcaciso." YoLawulo lweMpilo. Np, 21 Disemba 2016.

> "Eyona Ncoko kuBugqithiso oluPhepha phezulu, iiNkcazo zokuSebenza kwezeMali kwiSigqeba sokuSebenza, Cinezela i-Ganey Research Shows." IiNkcazo zezeMpilo. Np, nd