Lambobin HCPCS lambobi ne na Medicare da aka ba kowane aikin da sabis na likita zai iya ba wa mai haƙuri. Akwai lambobin ga kowane likita, m, da kuma bincike na bincike. HCPCS na nufin tsarin kiwon lafiyar jama'a na yau da kullum.
Tun da kowa yana amfani da wannan ka'ida don ma'anar abu ɗaya, suna tabbatar da daidaito. Alal misali, komai abin da likita likita Medicare ya yi don samun maganin rashin lafiya (HCPCS code 95115) cewa Medicare zai biya likitancin wannan adadin wani likita a wannan yankin gefe zai kasance don wannan sabis ɗin.
HCPCS lambobin cajin suna kulawa da CMS, Cibiyoyin Kula da Medicare da Medicaid. Suna dogara ne akan CPT Codes ( Lambobin hanyoyin fasaha na yau da kullum) da Cibiyar Harkokin Kiwon Lafiya ta Amirka ta haɓaka. Kwamfuta HCPCS an tsara ta ta HIPAA, wanda ke buƙatar dukkanin kungiyoyin kiwon lafiya su yi amfani da ka'idoji na ma'amala don ma'amaloli da suka shafi bayanin kiwon lafiya.
Matsayin HCPCS Codes da Masu gyara
HCPCS ya ƙunshi nau'i biyu na lambobin.
- Level na na ƙunshi lambobin CPT. Kwamitin CPT ko ka'idojin ka'idoji na yau da kullum suna da lambobi 5 ne da Hukumar Kula da Lafiya ta Amirka (AMA) ta gudanar. Ana amfani da lambobin CPT don gano hanyoyin kiwon lafiya da ka'idojin da likitoci ko wasu masu sana'a masu lasisi suka umurce su.
- Mataki na II na HCPCS sune lambobin alphanumeric wanda ya ƙunshi rubutun harufa guda ɗaya da lambobi huɗu suka biyo bayanan kuma Cibiyoyin Medicare da Medicaid Services (CMS) suna gudanar da su. Wadannan lambobin suna gano alamun marasa likita irin su sabis na motar asibiti, kayan aikin kiwon lafiya mai mahimmanci, da kantin magani. Wadannan ba yawan kuɗi ne da suka wuce ta wurin ofishin likita don haka dole ne a magance su da Medicare ko Medicaid daban-daban daga hanyar kamfanonin inshora na kiwon lafiya zai magance su.
Wasu Lambobin HCPCS sun buƙaci amfani da masu gyara. Sun ƙunshi lambobi biyu, haruffa biyu ko haruffan alphanumeric. HCPCS masu gyare-gyare na code suna ba da ƙarin bayani game da sabis ko aiki. Ana amfani da masu amfani don gano yankin jiki inda aka yi hanya, hanyoyi masu yawa a cikin wannan lokacin, ko nuna an fara hanya amma an katse.
Wani lokaci lokuta ana sadaukar da sabis ne tare, a cikin wannan yanayi za'a iya haɗa su lambobin. Wadannan ana kiran su "lambobi" .
Muhimmanci ga ma'aikatan lafiya da masu bada
Masu ba da kyauta ya kamata su san ka'idodin ka'idojin HCPCS na kowane mai ɗaukar mahimmanci musamman lokacin da biyan kuɗi na Medicare da Medicaid. Medicare da Medicaid yawanci suna da haruffa mafi dacewa fiye da sauran masu sayarwa.
Masu badawa da masu kula da ofishin likita dole su tabbatar da cewa masu kula da lafiyar likitoci suna ci gaba da kiyaye lambobin HCPCS. HCPCS lambobi suna sabuntawa akai-akai saboda sababbin lambobin da aka ƙaddamar don sababbin hanyoyin da lambobin yanzu suna jujjuya ko soke su.
Inda Ma'aikata Za su iya gano HCPCS / CPT Codes
Marasa lafiya zasu iya samun HCPCS / CPT Codes a wurare da yawa. Yayin da kake barin ofishin likita, an ba ka damar yin nazari akan alƙawarka wanda zai iya samun jerin jerin ayyukan da likitanka ya bayar, tare da wasu daga cikinsu. Lambobin da aka haɗa, yawanci lambobi biyar, su ne lambobin.
Idan alƙawarinka na buƙatar biyan kuɗin da likitanku ya bi don biyan kuɗi ko co-inshora, to, lambobin za su iya zama a kan waɗannan takardun kudi.
Mai kirki mai kwarewa da basira masu amfani da lafiya zai yi amfani da waɗannan ka'idoji don sake duba lissafi na likita daga likitoci, wuraren gwaji, asibitoci ko wasu wurare.
Yana da kyau hanya don tabbatar da inshora (da kuma co-biya da co-inshora) suna biyan kawai ga wadanda sabis ɗin da kuka karɓa.
Idan ka karɓi maganganun daga ko dai likitan ko asibiti na kiwon lafiya da lambobin HCPCS / CPT ba su bayyana ba, to, tuntuɓi ƙungiyar wanda ya aike su kuma nemi sabon bayani wanda ya hada da lambobin.