Sidee ICD-10 Code loo saameeyaa Daryeelkaaga iyo Cunugaaga
Waxay qaadataa sanado badan oo waxbarasho iyo tababar ah si loo baro dhakhaatiirta xirfadaha loo baahan yahay si loo qiimeeyo bukaanka, loo sameeyo baadhitaan, iyo u daawee qofkaas sida waafaqsan heerarka daryeelka. Sannadka 2015, lakab cusub oo kakan ayaa lagu daray oo saameeya in qorshahaaga caymisku bixiyo kharashka daryeelkaaga - isbeddel ku yimaada qiyaasaha cudurka.
Sida Bixinta Kharashka Caafimaadka
Waxaad qaadan kartaa koorso si aad u fahamtid waxyaabaha kharashka ah ee biilka caafimaadka , laakiin waxa aad dhab ahaantii u baahan tahay inaad ogaato waa qaybaha biilasha saameyn ku yeelanaya heerka shakhsi ahaaneed.
Erayada fudud, dhakhtarkaagu wuxuu kuu qiimeeyaa, wuxuu kuu soo dirayaa lambarka aqoonsiga si uu ula tacaalo xaaladdaada, wuxuuna dooranayaa lambarka biilka taasoo ku saleysan culeyska booqashadaada. Baaritaan kasta oo amar ah waa in sidoo kale lala xiriiriyaa lambarka aqoonsiga. Macluumaadkan ayaa markaa loo gudbinayaa shirkaddaada caymiska, Medicare waxaa ku jira, sidaa daraadeed dhakhtarkaaga ayaa bixinaya adeegiisa.
Haddii dhakhtarkaaga uusan soo xaadirin lambarka aqoonsiga saxda ah, waxaa suurtagal ah in qorshahaaga caymiska uusan bixineynin daryeelka aad heshay. Taas ayaa kaa dhigeysa inaadan bixin kaliya lacagta ama lacagta caymiska kaliya ee baaritaanka ama booqashada laakiin qadarka dollarka oo dhan.
Isbeddelka ka yimid ICD-9 ee codadaha ICD-10
Qeybaha Caalamiga ah ee Cudurada Caalamiga ah waa sanduuq qalab ee ogaanshaha. Qoraalka 10aad (ICD-10) taniyo 1990, liiska bukaan-socodka ayaa loo adeegsadaa aduunka oo dhan si loo eego heerka cudurrada iyo dhimashada. Xaqiijinta calaamadaha cudurka waxay sidoo kale hagaajinaysaa awoodda ay u leedahay in ay la socdaan dadaallada caafimaadka, la socoshada isbeddellada caafimaadka, iyo ka jawaab celinta khatarta caafimaadka.
Hase yeeshee, Maraykanka ayaa si gaabis ah u qaadanayay qawaaniinta ugu dambeeyay oo aan ka wareegin ICD-9 oo ah ICD-10 ilaa October 2015.
Waxaa jira qawaaniin badan oo cudurka lagu ogaado ka badan inta aad qiyaasi kartid. Tirada calaamadaha suurtogalka ah ee bixiyaha daryeelka caafimaadku waa inuu ka doortaa kor u kaca badan ee October 2015. Waxaa jira 155,000 oo qoodhadh ah oo laga heli karo sannadka 2015 ee ICD-10 marka la barbardhigo 17,000 ee code ee ICD-9.
Sannadka 2018, waxaa jiri doona 363 codsi oo cusub, 142 lambar aan shaqeyneyn, iyo 226 oo dib loo eegay.
Tani waxay kor u qaadday tayada dhakhtarrada si ay u helaan calaamadaha ay u baahan yihiin si ay u helaan caymis ay ku bixiyaan. Daraasad tijaabo ah oo ay soo saartey Bulshada Maareynta Macluumaadka Daryeelka Caafimaadka ayaa soo jeedineysa in boqolkiiba 63 kaliya ee codeynta ICD-10 inay noqon karto mid sax ah. Qalabaynta biilasha badan ayaa kuu horseedi kara inaad bixiso wax ka badan qaybtaada caddaalad ah.
Doorashada Xeerka Xuquuqda
Si aad u heshid fikrad adag ee ICD-10, fiiri cabashooyinka sare ee neefsashada. Nooca xasaasiyadeed (sanka oo dhan laga helo xasaasiyadaha) wuxuu leeyahay ugu yaraan lix qoodwal oo kala duwan oo laga dooran karo, oof-wareenka 20, xiiqda 15 codadka, hargabka 5 lambarrada, sinusitis 21 codadka, iyo dhuun xanuunka 7 xabbo. Kuwani waa kuwa fudud.
Xaaladaha adag ee la mid ah " hypertension" waxay leeyihiin lakabyo badan oo lagu ogaado cudurka sida muujinaysa sida xaaladdu u la xiriirto cudurka wadnaha, cudurka kalyaha, uurka, iyo waxyaabo kale oo badan. Sonkorowgu wuxuu leeyahay xitaa xeerar badan. Waxaa jira xitaa saddex qoodheyn oo loogu talagalay in lagu dhufto shay hoos u dhac ku yimaada shiraaca! Waxaad naftaada u dulqaadan kartaa oo aad raadin kartaa lambarrada Xarunta Medicare iyo Medicaid (CMS).
Tusaale: Medicare wuxuu bixiyaa oo kaliya bixinta baaritaanka cufnaanta laf-dhabarka ee loo yaqaan osteoporosis haddii loo isticmaalo qoodhaha ICD-10. Medicare wuxuu diidi doonaa caymiska loogu talagalay ICD-10 code M85.80, "cudurro kale oo cayiman oo lafdhabarka lafaha iyo dhismaha, goobta aan la cayimin", laakiin waxay ansixinaysaa magdhawga M85.81x-M85.89x, calaamado muujinaya goobta (anqawga, cagaha, garabka, gacmaha, lugta hoose, garabka, bawdada, gacanta sare, ama meelo badan) iyo dabacsanaan (bidix ama midig) ee laf-dhabarka, ie, M85.822, "cudurro kale oo cayilan oo lafdhabarta iyo qaabka, .
Tani waa muraayad la yiraahdo maxaa yeelay waxaa jira qawaaniin badan oo kale oo dabooli doona baaritaanka cufnaanta laf dhabarta. Si kastaba ha noqotee, way sahlan tahay in la arko sida hal rug oo keliya ay u go'aamin karto cidda bixinaysa daryeelkaaga, adiga ama caymiskaaga.
Rafcaanka Keeskaaga
Kadib markii loo wareejiyo ICD-10 sanadka 2015, Xarumaha Adeegyada Medicare iyo Adeegyada Medicaid (CMS) ayaa loo oggol yahay mudo hal sano ah oo loogu talagalay ujrada ujrada. Si fudud loo dhigo, CMS ayaa u fidisay daryeel darro muddo 12 bilood ah. Ilaa iyo inta ay dhakhtarradu ku calaamadoobeen qaybta saxda ah ee cudur, xitaa haddii aysan ahayn midka la door biday, ma ayan ciqaabi doonin CMS iyo daryeelkaaga waa in la daboolaa. Taasina ma ahan kiiska.
Haddii wakhti kasta aad hesho biil aanad u maleynaynin in lagaa rabo inaad bixiso, la xiriir xafiiska dhakhtarkaaga. Waa suurtogal inay isticmaalaan ICD-10 khalad ah. Dhakhtarkaagu wuxuu awoodi karaa inuu beddelo lambarka ogaanshaha cudurka ku saabsan midka ku siinaya caymiska aad u baahan tahay.
Ereyga ka
Dhakhaatiirta ayaa si fiican u yaqaan daryeelka caafimaadka marka loo eego biilasha caafimaad. Iyada oo ka badan 155,000 codadka ICD-10, waxaa suurtogal ah in dhakhtarkaagu doorto mid qalad ah. Haddii Medicare uu diido lacag bixinta adeegyada sababtoo ah khaladaad qaldan, waxaa lagaa tagayaa inaad bixiso jeebka. Ogow xuquuqdaada. La xiriir xafiiska bixiyaha biilkaaga haddii aad u aragto wax khasaare ah oo ku jira biilkaaga.
> Ilo:
> 2018 ICD-10 CM iyo GEMs. Xarumaha bogga Adeegyada Medicare iyo Medicaid. https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html. La daabacay 8/11/2017.
> Qiyaasta Lafaha Cufka ICD-10 Dib loo cusbooneysiiyey Adeegyada Adeegyada. Websaytka "American College of Radiology". https://www.acr.org/Advocacy/Economics-Health-Policy/Billing-Coding/Coding-Source-List/2016/March-April-2016/Bone-Mass-Measure-ICD-10-Shabaab- Adeegyada- La cusboonaysiiyay.
> Herman, B. Kaliya 63% ee Dukumeentiyada ICD-10 si sax ah loo codsaday. Becker's Hospital CFO website-ka. http://www.beckershospitalreview.com/finance/report-only-63-of- > icd > -10-dokumentiyo-sax ah-coded.html. La daabacay Oktoobar 24, 2013.
> ICD-10 Code Look Up. Xarumaha bogga Adeegyada Medicare iyo Medicaid. https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx.
> Qeybinta Caalamiga ah ee Cudurada (ICD). Bogga internetka ee Ururka Caafimaadka Adduunka. http://www.who.int/classifications/icd/en/.