Kev Ntsuas Qhov Tseeb thiab Daim Ntawv Qhia Txog Kev Siv CPT II Coding
Ntsuas piav qhia
Qhov kev ntsuas no lub hom phiaj yog los pab cov neeg muab kev pab txhim kho qhov tseeb ntawm kev kuaj mob kom npaj rau kev hloov pauv tus nqi yav tom ntej. Cov neeg muab kev pab uas ua tiav CMS Medicare Learning Network (MLN) Diagnosis kev cob qhia nrog qhov qhab nia ntawm 70% lossis siab dua yuav tau txais kev them nyiaj ib zaug ntawm $200. Cov neeg muab kev pab yuav tsum xa daim ntawv pov thawj ua tiav rau lawv tus Neeg Sawv Cev Kev Sib Raug Zoo nrog Cov Neeg Muab Kev Pab kom tsim nyog.
ICD-10-CM yog siv los tshaj tawm cov ntaub ntawv kuaj mob thiab cov ntaub ntawv tuag ntawm cov neeg mob. Kev kuaj mob kom raug yog qhov tseem ceeb heev rau kev txhim kho kev saib xyuas neeg mob, kev them nyiaj thov, cov txiaj ntsig ntawm kev tshuaj xyuas, kev kwv yees nyiaj txiag kho mob thiab kev sau cov ntaub ntawv.
Coding tshwj xeeb yog coding rau cov cai tshwj xeeb tshaj plaws uas cov ntaub ntawv kho mob txhawb nqa. Siv cov kev kuaj mob uas tsis qhia meej yuav tsum tau tseg rau thaum cov ntaub ntawv kho mob tsis paub lossis muaj.
Cov mob uas siv ntau dhau ntawm cov lej tsis tau teev tseg suav nrog:
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- Zam cov kab mob uas tsis tau teev tseg.
- Siv cov txheej txheem coding los muab cov lej kuaj mob kom raug.
- Tshuaj xyuas cov lus thov rau kev kuaj mob tsis tau teev tseg thiab nug tus kws kho mob yog tias xav tau cov ntaub ntawv ntxiv.
CPT Qib II cov lej yog siv los ntsuas kev ua tau zoo ntawm cov ntsuas kev ntsuas hauv Healthcare Effectiveness Data and Information Set (HEDIS) thiab Care-Based Incentive (CBI) program. Lub Alliance siv lawv los taug qab thiab ua tiav koj CBI.
CPT Qib II cov lej ib txwm muaj: 
CPT Qib II cov lej tau tsim los ntawm American Medical Association (AMA) raws li kev ua tau zoo ntxiv kev taug qab cov txheej txheem txheej txheem ntxiv rau Qib I thiab III coding teev. Qib II cov lis dej num yog xaiv tau thiab siv tsis tau los hloov cov lej I rau kev them nqi.
Lub Alliance txhawb kom cov chaw kho mob thiab cov neeg ua haujlwm them nqi siv CPT Qeb II cov lej rau kev ntsuas kev ua tau zoo kom txo qis qhov xav tau ntawm cov neeg muab kev pabcuam xa cov ntaub ntawv, sau cov ntaub ntawv sau tseg thiab tshuaj xyuas daim duab.
| Pawg I Codes | E&M, ANES, SURG, RAD, LAB |
|---|---|
| Qeb II Codes | TRACKING QUALITY NTAWM CARE |
| Qeb III Codes | TXOJ CAI TSHIAB |
| Ntshav Qab Zib Tsis Zoo Tswj> 9% | |
|---|---|
| Cov txiaj ntsig ntawm HbA1c | |
| HbA1c qib <7% | 3044f ua |
| HbA1c qib ≥7 thiab <8% | 3051f ua |
| HbA1c qib ≥8 thiab ≤9% | 3052f ua |
| Qib HbA1c> 9% | 3046f ua |
| Tswj ntshav siab | |
|---|---|
| Cov txiaj ntsig ntawm systolic thiab diastolic | |
| Systolic <130 mm Hg | 3074f ua |
| Systolic 130-139 mm Hg | 3075f ua |
| Systolic ≥140 hli Hg | 3077f ua |
| Diastolic <80 mm Hg | 3078f ua |
| Diastolic 80-89 mm Hg | 3079f ua |
| Diastolic ≥90 hli Hg | 3080f ua |
Thaum qhia txog qhov tsim nyog CPT II code rau qhov txiaj ntsig ntawm A1c, sau nrog tus nqi hnub xeem, tsis yog hnub ntawm qhov chaw ua haujlwm mus ntsib thaum qhov kev xeem raug tshuaj xyuas.
