Eziokwu ziri ezi dabere na ọtụtụ components. Ịnọgide na-agbanwe agbanwe n'oge a na-agbanwe agbanwe, na-agbaso ụkpụrụ nduzi ọkọlọtọ mara mma na idebe ihe ndekọ zuru ezu nke ndidi bụ ụzọ dị mfe iji jide n'aka na azịza ahụike dị mma.
Nkọwa nke azọrọ ọgwụ Medicare nwere ihe dị iche iche nke chọrọ ka ndị na-enye ọrụ nwere ike ịkọwa iji gbochie ịkọ ma ọ bụ ịkwụ ụgwọ ezighi ezi.
Ejiri usoro a choro iwu NCCI ma obu CCI maka oru Medicare.
Ndị Ụlọ Ọrụ Na-ahụ Maka Ngwọta Ahụhụ (NCCI) bụ Ụlọ Ọrụ Na-ahụ Maka Ngwọta Ahụike (Medicine and Medicaid Services) (CMS) iji gbochie ịkwụ ụgwọ ego Medicare na-ezighị ezi n'ihi njehie nzuzo.
E nwere ụdị atọ nke NCC edits:
- Usoro nhazi usoro
- Mgbanwe ndị na-atụghị anya ya na-atụghị anya ya
- Ntinye ederede ntinye
Dika CMS si kwuo, a choputara atumatu nkesa NCCI ma tinye na nchikota usoro atumatu di iche iche tinyere:
- Usoro ihe omuma nke ugbua (CPT) akwukwo nso site n'aka American Medical Association (AMA)
- Ntube nke obodo na nke mba
- Obodo mba dị iche iche
- Ụgwọ ahụike
- Usoro nhazi oge a
Ebe nrụọrụ weebụ CMS na-enye ọtụtụ ọnụọgụ maka ndị na-enye ọrụ ka ha kwupụta usoro nkwupụta ahụike.
- National Correct Coding Initiative Policy Manual for Medicare Services
- Usoro NCC ka eji etinye maka onye ọka
- NCCI edetu eji tinye maka outpatient ụlọ ọgwụ na-ekwu na Outpatient Code Editor (OCE)
- NCCI Ajuju Ajuju Ajuju (Ajụjụ)
- MUE Isi
- MUE Ajuju Ajuju Ajuju (Ajụjụ)
- Usoro HCPCS / CPT na nsụgharị MUE nke a na-ebipụta na teepu MIKE / DME
- Usoro HCPCS / CPT na ụkpụrụ MUE e bipụtara na Ụlọ Ọgwụ Ọpụpụ Ụlọ Ọrụ MUE
- Usoro HCPCS / CPT na akwụkwọ MUE bipụtara na Durable Medical Equipment (DME) Supplier Services MUE table
- Mgbanwe nchịkọta nke nchịkọta nke ọ bụla ugbu a maka mgbanwe NCCI ma bipụtara MUE
- Ọdịdị Mgbasa Ọmụmụ Ihe Ọdịmma Ahụike: "Usoro Mmemme Nyocha Mgbagha: MR, NCC Edits, MUEs, CERT, na Mmemme nyochaghachi"
- Usoro mgbasa ozi mmụta mgbochi: "Otu esi eji usoro nhazi nke mmezi nke NCI (NCCI) Ngwaọrụ"
NCC: Usoro nhazi usoro
NCCI usoro nhazi usoro na-emetụta ma usoro CPT na HCPCS.
Usoro CPT bụ Usoro Usoro Usoro Ndị Nhazi, ndị American Medical Association kwalitekwara ma kwadoro ya na 1966. Ndị a bụ usoro usoro ihe omume amaokwu ise na-akọwa na usoro ọgwụgwọ, ịwa ahụ, na ọrụ nchọpụta.
HCPCS ma ọ bụ Usoro Nlekọta Nhazi Usoro Ahụike M na II. Ọkwa nke M gụnyere koodu CPT, na ọkwa nke Abụọ na-agụnye Koodu alphanumeric nke a na - eji amata ngwaahịa, ngwaahịa, na ọrụ ndị anaghị etinye aka na CPT mgbe a na - eji ya n'èzí ụlọ ọrụ dibịa.
Usoro nhazi nke usoro NCC na-egbochi ịkọ akụkọ na ịkwụ ụgwọ nke ọrụ ndị a na-ekwesịghị itinye na nkwupụta ahụ ọnụ. A pụrụ ịchọta NCCI na tebụl anọ dị na saịtị CMS.
Tebụl ndị a bụ akwụkwọ maka ụlọ ọgwụ na ndị dọkịta iji chọpụta nhazi nke Koodu nke a na-enweghị ike ịdebe n'otu nkwupụta ma ọ bụ na-enweghị otu. Ọ bụrụ na nkwupụta ahụ nwere ma koodu, e nwere ụzọ abụọ nwere ike ime:
- Dabere na ma edepụtara koodu ahụ na kọlụm 1 ma ọ bụ kọlụm 2 nke okpokoro, kọlụm 2 koodu ga-agọnahụ. Ihe nlereanya: Onye na-enye ọrụ ekwesịghị ịkọ mammogram otu nchọpụta ọrịa na-arịa ọrịa mammbụ. Ihe mammogram nke diagnostic otu a agaghị eru eru maka ịkwụ ụgwọ.
- Ọ bụrụ na tebụl na-egosi na e nwere ngbanwe dị mma na-akwadoghị na eji ya eme ihe, ma ogidi abụọ ga-eru eru. Ihe nlereanya: Jiri ngbanwe 59 na nke abụọ, usoro ọzọ ma ọ bụ obere ka edepụtara na kọlụm 1 ma ọ bụ kọlụm 2 dịka o kwesiri.
NCC: Ihe ederede a na-eleghi anya
NCCI mmezigharị na-enweghị atụ (MUE) na-emetụta CPT na HCPCS.
Ọ bụ ezie na nhazi usoro na-egbochi ịkwụ ụgwọ nke usoro a na-ekwesịghị ịkọrọ ọnụ na nkwupụta ahụike, MUE na-egbochi ịkwụ ụgwọ maka ọnụ ọgụgụ na-ekwesịghị ekwesị nke nkeji maka otu usoro.
Usoro ụfọdụ nwere ọnụ ọgụgụ kachasị elu nke ụlọnga ndị a ga-akọ maka otu onye ọrịa ahụ (onye na-erite uru) n'otu ụbọchị nke onye ọrụ ahụ na-enye ọrụ. Dịka ọmụmaatụ, a ghaghị ịkọọrọ koodu ntinye ọkụ naanị otu ugboro ma ọ bụ na ọ ga-agọnahụ ya.
Otú ọ dị, ọ bụ ezie na a na-agba ndị dọkịta na ụlọ ọgwụ ume ka ha kọọrọ nanị ọnụ ọgụgụ nke ohere maka nọmba CPT na HCPCS, ha aghaghị ịgbaso ntụziaka ntụziaka.
- Zere usoro nkwụsị. A na-ewere ọrụ ụfọdụ dịka ihe niile. Ịgba ụgwọ bụ ịgba ụgwọ maka usoro dị iche iche nke a na-ejikarị akwụ ụgwọ dịka otu ụgwọ. Dịka ọmụmaatụ, ụgwọ ndị na-akwụ ụgwọ maka mammogram abụọ na-ekpuchi, kama ịgba ụgwọ maka mammogram nke 1 bilateral.
- Zere usoro nhazi. Ịkọwapụta ọkwa nke ọrụ ma ọ bụ usoro a na-arụ iji kwụọ ụgwọ ma ọ bụ nweta ọkwa ọnụego dị elu dị ka nchikota. Ngbanwe na-eme mgbe ọrụ rụrụ arụ adịghị ekpuchi ya ma ọ bụrụ na onye na-ahụ maka ọrụ na-akwụ ụgwọ ọrụ na ebe ya.
NCC: Add-On Edits Code
NCCI gbakwunyere koodu nhazi egbochi ugwo nke Add-on Koodu nke a na-ewere dịka akụkụ nke koodu CPT na HCPCS.
Ihe ntinye ederede ndi adi n'ime usoro mbu abughi ihe ndi ozo n'oru ha ma ya mere ha adighi eru ugwo. Otú ọ dị, enwere ụfọdụ koodu tinye-na-agbakwunye na usoro mbụ bụ ndị ruru eru maka ịkwụ ụgwọ.
Akwụkwọ ntuziaka CPT na-akọwa ma nwee ntuziaka kapịrị ọnụ maka ọtụtụ koodu Ntinye. Maka usoro ndị nwere koodu bụ isi, koodu ntinye ekwesịghị ịkọ dị ka koodu mgbakwunye.