Ukulungiselela ifom ye-CMS-1500 yeBango loBango

Ifomu yeBhilidi yoNyango lwezeMpilo kwi-Medicare, Medicaid, kunye ne-Insurers

A

I-CMS-1500 yifom ebomvu-in-white-paper ifom yesicelo esetyenziswa ngama odokotela kunye nababoneleli ngebango lokubakho. Nangona yaveliswa ngamaziko e-Medicare kunye neMedicaid (i-CMS), uye waba ifom eqhelekileyo esetyenziswa ngabo bonke abathwali bomshuwalense.

Ihlaziywa ngezihlandlo. Ukususela ngo-Apreli 1, 2014, i-version ebuyekeziwe ye-02/12 kuphela yamukelwa yi-Medicare.

Inguqulelo ye-08/05 yakudala ayisasebenzi.

Ngubani na onokuyenza iBango leeBango ngokusebenzisa i-CMS-1500?

Nabani na ababoneleli bamaziko kunye nomthengisi bangasebenzisa i-CMS-1500 kwiibango zonyango lokuhlawula .

• Iinkonzo zonyango
• Abancedisi bezonyango
• Abahlengikazi
• Iingcali zonyango lwezonyango
• Abahlengikazi
• Abahlengikazi ababhalisiweyo abaqeqeshiweyo
• Iingcali zengqondo
• Abasebenzi bezentlalo
• Ukuthengiswa kwe-home dialysis kunye nezixhobo
• Iinkonzo ze-ambulance
• Iinkonzo zelabhu yecandelo lokuxilonga

Iingcebiso zokulungiselela i-CMS-1500

• Qinisekisa ukuba yonke idatha ingeniswe ngokuchanekileyo kunye ngokuchanekileyo kwiindawo ezifanelekileyo.
• Faka ulwazi lomshuwalense kubandakanya negama lomguli njengoko libonakala kwikhadi le-inshurensi.
• Sebenzisa iikhowudi zokuxilonga ezichanekileyo (ICD-9) kunye neenkqubo zenkqubo (CPT / HCPCS) usebenzisa i-modifiers xa kufuneka.
• Sebenzisa kuphela idilesi yangokwenkonzo yendawo yendawo yesevisi.
• Ungalibali ukufaka ulwazi lwe-NPI apho kuboniswe khona.

Imiyalelo engakumbi ifumaneka kwi-www.cms.gov okanye ku-www.nucc.org

Ukuhlaziywa kweCMS 1500 - Version 02/12

Ngempumelelo ngoJanuwari 6, 2014, inguqu ehlaziyiweyo (02/12) yefom ye-CMS 1500 yavunywa ukusetyenziswa. Ifom ye-CMS ye-1500 ehlaziyiweyo (ingcaciso ye-02/12) yaphuhliswa ukuba ihambelane neenguqu zenguqu kwi-elektroniki yenkokhelo ukusuka kwinguqulelo ye-4010 ukuya kwi-5010 ye-837P kunye nokutshintshwa kwe-ICD 9 ukuya kwi-ICD 10.

Ifom yaqaliswa ngoJanuwari 6, 2014. Ngomhla ka-Aprili 1, 2014, ababoneleli bangasebenzisa kuphela ifomathi yeCMS ehlaziyiweyo ye-1500 (i-version 02/12). Naliphi na izitokisi eziseleyo ze-08/05 akufanele zisetyenziswe.

Ukwahlukana Phakathi kwe-08/05 ne-Version 02/12

1. I-Header: itywala yengxande yatshintshwa yikhowudi ye-QR.
2. Indawo yeNgingqi 1: I-TRICARE CHAMPUS yatshintshwa yi-TRICARE; I-SSN ithathelwe endaweni yesazisi #
3. Indawo yeNgingqi 8: I-PATIENT STATUS yatshintshwa yi-RESERVED FOR NUCC USE
4. I-Locator Field 9b: OKUNYE UMSEBENZI WOKUBHALWA, I-SEX yatshatyathwa yi-RESERVED FOR NUCC USE
5. Indawo ye-Field 9c: IGAMA LOMSEBENZI OKANYE ISIKOLO satshatyathwa yi-RESERVED FOR NUCC USE
6. Indawo ye-Field 10d: I-RESERVED FOR LOCAL USE yatshintshwa ngeCODIMES CODES (Ikhethwe yi-NUCC)
7. Indawo ye-Field 11b: IGAMA LOMSEBENZI OKANYE ISIKOLO satshintshwa kunye NYE I-ID YOKWENZA (i-NUCC); Umgca onamacwecwe wongezwa ukulungiselela ukusetyenziswa kweefayile ezi-2
8. Indawo yeNgingqi 14: UMHLA WESIKHATHI (umcibisholo obomvu) UKUPHILA (uphawu lokuqala) OKANYE INJURY (ingozi) OKANYE UKUQALA (LMP) yatshintshwa ngo-DATE WOKUPHILA KWE-CURRENT, INJURY, okanye PREGNANCY (LMP); I-QUAL yongezwa, kwaye umgca wachaphazeleka wongezwa ukulungiselela ukusetyenziswa kweempawu ezi-3
9. Indawo yeNgingqi 15: UKUBA UMPATIENTO UNYE UTHIXO OLUNYE KANYE OKUNYE. UKUNIKELA UMHLA WOKUQALA KUNYE NOMTHETHO WENYE; I-QUAL yongezwa, kwaye umgca wachaphazeleka wongezwa ukulungiselela ukusetyenziswa kweempawu ezi-3

1. Indawo yeNgingqi 17: umgca onamacandelo wongezwa ukulungiselela ukusetyenziswa kweempawu ezi-2
2. Indawo yeNgingqi 19: UKUSETSHENZISWA KWEZINDAWO ZOKUSEBENZISWA KWEENKONZO ZAMASEBENZI zatshintshwa ngeenkcukacha ZOKWENKCWA KWEZIXHOBO (ezichazwe yi-NUCC)
3. Indawo yeNgingqi 21: I-ICD Ind yongezwa kwaye umgca wachaphazeleka wongezwa ukulungiselela ukusetyenziswa kweempawu ezi-1; 8 imizila eyongeziweyo yongezwa kwiikhowudi zokuxilonga; Iilebhile zokuxilongwa kwemigqa yekhowudi zatshintshwa ukusuka kumanani ukuya kwi-alphas
4. Indawo yeNgingqi 22: I-MEDICAID RESUBMISSION yatshintshwa ngu-RESUBMISSION
5. Indawo yeNgingqi 30: UKUQHUBEKA KWENKQUBO yatshintshwa nguRsvd kwiNUCC Ukusetyenziswa