Sauya ICD-9 Ga Duk An rufe ta HIPAA
An yi magana game da ICD-10 kwanan nan. Ba sabon ba ne. Hukumar lafiya ta Duniya (WHO) ta aiwatar da shi a 1993 don maye gurbin ICD-9 kuma yana kusan dukkanin ƙasashe a duniya, sai dai Amurka. Bari mu koyi game da ICD-10.
A {asar Amirka, yawanci yana nufin amintattun asibiti na ICD-10: ICD-10-CM. An saita wannan tsari na code don maye gurbin ICD-9-CM, wanda aka saita a halin yanzu na Amurka, a ranar Oktoba.
1, 2013. Duk da haka, gwamnati, game da wannan rubutun, ya jinkirta don lokacin da ba'a bayyana ba lokacin kwanan wata don tsarin bincike na ICD-10 da ka'idoji.
Me yasa ake bukata
An tsara tsarin tsarawa a kimiyya kuma kowane nau'in lambobi uku na iya samun kawai ƙananan ƙananan sassa. Yawancin lambobi a mafi yawancin kamfanoni an sanya alamun bincike. Masanin kimiyya yana ci gaba da gano sabon bincike, kuma babu lambobi don sanya wadannan ƙwayoyin.
ICD-10-CM zai ba da izinin ingantaccen bincike game da alamun cutar da sakamakon maganin da zai iya inganta kiwon lafiya. Wadannan bayanan zasu zartar da biyan kuɗi.
Menene Bambancin?
Sharuɗɗa, tarurruka, da dokoki suna kama da juna. Ƙungiyar lambobin suna kama da irin wannan. An yi wadatarwa da dama don tsarawa. Babban bambance-bambance tsakanin tsarin biyu shine bambance-bambance da zasu shafi fasaha da software.
Alal misali, lambobin lambobi a halin yanzu yana kusa da 13,600. Wannan zai kara zuwa 69,000.
ICD-10-CM ne don amfani a duk tsarin kiwon lafiyar Amurka. Binciken da aka tsara a karkashin ICD-10-CM yana amfani da 3 zuwa 7 digiri maimakon 3 zuwa 5 digiri da aka yi amfani da su tare da ICD-9-CM, amma tsarin tsarin dokoki yana kama da wannan.
Bayanin Tsarin Inpatient
ICD-10-PCS wani tsari ne na code ya tsara don maye gurbin Volume 3 na ICD-9-CM don rahoton saƙo na inpatient.
Za a yi amfani da asibitoci da masu biya. Zai buƙaci horo ga masu amfani. Dole likita ya kamata su sani cewa takardun da ake buƙata a karkashin ICD-CM-PCS su ne daban-daban, saboda haka canjin su na aikin likita zai taimakawa wannan canji.
ICD-10-PCS yana amfani da lambobi 7 na alphanumeric maimakon nau'in lambobi 3 ko 4 da aka yi amfani da su a karkashin tsarin ICD-9-CM da ke hadewa. Coding karkashin ICD-10-PCS yafi ƙayyadaddu kuma ya bambanta da tsarin ICD-9-CM da ke tsarawa.
Shiri
Duk da yake akwai bukatar samun ilimi mai mahimmanci da horarwa ga masu kirkiro, 'yan kasuwa, masu gudanar da aiki, likitoci, da sauran ma'aikatan lafiyar su don aiwatar da wannan babban canjin code, ana iya faruwa a cikin tsari. Ƙungiyoyin irin wannan AAPC zasu iya taimakawa.
Duk wanda ke da alhakin kwarewa ta hanyar aiki, kula da lafiyar lafiyar jiki, da sauran aiwatar da ICD-10 dole ya shirya sosai a gaban ƙaddamar da tsarin code. Cibiyar Kula da Medicare da Medicaid (CMS) ta bada shawarar cewa:
- Masu bayarwa
Ƙaddamar da wani tsari na aiwatarwa wanda ya haɗa da kima na tasiri akan ƙungiyarku, lokacin da aka tsara, da kuma kasafin kuɗi. Bincika tare da sabis ɗin biyan kuɗin kuɗi, tsaftacewa, ko gudanar da aikin sarrafawa game da tsarin biyayyarsu. Wadanda ke kula da lissafin kuɗi da kuma ci gaba da software a ciki ya kamata su shirya don rubutawa / katunan likita, asibiti, IT, da kuma ma'aikatan kudi don gudanar da ayyukan ICD-10 da HIPAA na 5010.
- Masu biya
Duba manufofin biyan kuɗi tun lokacin sauyawa zuwa ICD-10 zai ƙunshi sababbin dokoki. Tambayi masu sayar da software game da shirye-shiryen shirye-shiryen su da lokuta don ci gaban samfurin, gwaji, samuwa, da horo don Siffar 5010 da ICD-10. Dole ne ku kasance da shirin aiwatarwa da kuma kasafin kuɗi a wuri. - Masu sayar da software, tsaftace-tsare, da kuma sabis na biyan kuɗi na ɓangare na uku
Ya kamata ku sami samfurori da kuma ayyuka a ci gaba wanda zai bawa masu biya da masu bada damar aiwatar da ICD-10 a kan Oktoba 1, 2013. Ku fara magana da abokan ku a yanzu.
Cibiyar ta CMS ta ƙaddamar da litattafai guda huɗu na aiwatarwa don ƙarin kayan aiki don taimakawa masana'antun kiwon lafiya tare da sauyawa daga ICD-9 zuwa lambobin ICD-10.
Kowane jagora yana ba da cikakken bayani game da tsarawa da aiwatar da tsarin ICD-10. Yi amfani da jagororin a matsayin mai tunani ko kun kasance a tsakiyar rikodi ko kawai fara tsari.
Abubuwan da ke cikin kowane ɗigon littafi ya dace da shafukan da aka samo don saukewa a cikin duka Excel da PDF a kasa. Sha'idodi na al'ada ne kuma an halicce su don taimakawa ƙungiyoyi ya bayyana ma'aikata, ya kafa kwanakin ƙarshe na ciki / alhakin da kuma tantance masu shiri.
Jam'iyyar da aka shafa
ICD-10 zai shafar ganewar asali da kuma hanyar da ke ciki don tsarawa ga kowa da kowa da Dokar Assurance Biyan Kuɗi da Laifin Kuɗi (HIPAA) ta ba, ba kawai wadanda ke mika Maman Medicare ko maganin Medicaid ba. Ma'aikatar Kiwon Lafiya da Ayyukan Harkokin Kiyaye ta ba da umurni cewa tsarin ma'amala don duk abin da ya shafi lafiyar kiwon lafiyar lantarki dole ne ka canza zuwa HIPAA Shafin 5010 daga Shafin 4010 / 4010A a shirye-shirye don aiwatar da ICD-10.
Duk da yake akwai damuwa na farko a aiwatar da waɗannan lambobin, kyakkyawan ya kamata ya taimaka wajen samun cikakken lissafin kuɗi kuma hakan, ya kamata, ya taimaka tare da haɗaka da haƙuri da masana'antu da masana'antu.