Xyoo 2025 CBI cov ntaub ntawv xa tawm: yam koj yuav tsum paub
Lub sijhawm kawg rau kev xa koj cov ntaub ntawv Care-Based Incentive (CBI) xyoo 2025 yogLub Ob Hlis 28, 2026. Cov Cuab Yeej Xa Cov Ntaub Ntawv (DST) muaj nyob rau ntawm Alliance'sTus kws kho mob Portalnyob rau hauv "Kev Xa Cov Ntaub Ntawv." Cov cuab yeej no tso cai rau cov neeg muab kev pabcuam xa cov ntaub ntawv los ntawm lawv cov ntaub ntawv kho mob hluav taws xob thiab cov ntaub ntawv ua ntawv rau CBI thiab Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab Cov Txheej Txheem Zoo (HEDIS) ntsuas.
Ib Phau Ntawv Qhia Txog Cov Cuab Yeej Xa Cov Ntaub Ntawv kuj muaj nyob rau ntawmPortal. Phau ntawv qhia no muab cov lus qhia ib ntus ntawm cov ntaub ntawv xav tau rau txhua qhov kev ntsuas, yuav ua li cas rub tawm thiab yuav ua li cas kho qhov tsis lees paub.
Kev Ntsuas
Kev ntsuas koj tuaj yeem xa cov ntaub ntawv rau suav nrog:
- Kev kuaj mob qog noj ntshav mis (kev tshuaj ntsuam thiab mastectomies).
- Cervical Cancer Screening (Pap and HPV screening and hysterectomies).
- Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas (0-21 xyoos).
- Kev Tshuaj Xyuas Kab Mob Chlamydia.
- Kev kuaj mob qog nqaij hlav hauv plab.
- Tswj ntshav siab.
- Kev Ntsuam Xyuas Kev Nyuaj Siab rau Cov Hluas thiab Cov Neeg Laus.
- Kev tshuaj ntsuam kev loj hlob hauv thawj 3 xyoos.
- Mob ntshav qab zib HbA1c Tsis Zoo Tswj> 9.0%.
- Kev siv Dental Fluoride Varnish.
- Kev Txhaj Tshuaj Tiv Thaiv Kab Mob Rau Cov Menyuam Yaus thiab Cov Hluas.
- Initial Health Appointment (IHA).
- Kev tshuaj ntsuam txhuas hauv cov menyuam yaus.
- Kev Saib Xyuas Tom Qab Tawm Tsev Kho Mob.
Tom qab koj xa koj cov ntaub ntawv, koj yuav tau txais email lees paub hauv ib hnub ua haujlwm.
Cov lus qhia rau kev ua tiav
- Cov ntaub ntawv xa mus rau Kev Mus Saib Xyuas Menyuam Noj Qab Haus Huv hauv 15 Lub Hlis Thawj Zaug ntawm Lub Neej (W15) yuav tsum tau ua raws li tus lej ID ntawm tus menyuam. Yog tias tus menyuam tsis tau muab tus lej ID, thov tos kom xa cov ntaub ntawv ntsuas kom txog thaum tus menyuam daim ID muaj. Qhov no yuav pab kom ntseeg tau tias muaj kev tshaj tawm raug thiab muaj pov thawj raug rau qhov kev ntsuas.
- Rau kev tshaj tawm txog Kev Teem Caij Saib Xyuas Kev Noj Qab Haus Huv Thaum Pib (IHA), cov ntawv xa mus rau IHA "dummy code" (99499) yuav tsum xa los ntawm Cov Cuab Yeej Xa Cov Ntaub Ntawv (DST). Tus kws kho mob Portal suav nrog cov lej dummy xa uas cov neeg muab kev pab tuaj yeem siv tom qab peb zaug sim ncav cuag cov tswv cuab tsis tau. Cov lej dummy IHA xa los ntawm cov ntawv thov tsis raug lees txais (siv tau txij li Lub Ib Hlis 1, 2025).
- Yog tias koj cov ntaub ntawv raug tsis lees txais ua ntej lawm, thov saib seb yog vim li cas ho tsis lees txais, kho kom raug thiab xa rov qab. Yog tias koj muaj lus nug txog vim li cas cov ntaub ntawv raug tsis lees txais, thov hu rau koj tus Neeg Sawv Cev Kev Sib Raug Zoo nrog Cov Kws Muab Kev Pabcuam.
Cov lus nug?
Yog koj muaj lus nug txog Cov Cuab Yeej Xa Cov Ntaub Ntawv, thov email rau[email protected].
Daim ntawv thov cov ntaub ntawv kho mob rau HEDIS Kev Ntsuas Xyoo (MY) 2025
Lub Koom Haum sau thiab tshaj tawm Cov Ntaub Ntawv thiab Cov Ntaub Ntawv Txog Kev Ua Haujlwm Zoo ntawm Kev Kho Mob (HEDIS) cov ntaub ntawv txhua xyoo, raws li California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) xav tau. Ua ib tus kws kho mob ntawm Alliance, koj tau pom zoo koom nrog peb cov kev pab cuam zoo thiab kev tshuaj xyuas, suav nrog kev muab cov ntaub ntawv kho mob raws li qhov xav tau. Thov saib cov ntsiab lus hauv qab no txog kev thov cov ntaub ntawv tom ntej rau MY2025.
Lub sijhawm thiab hom ntawv
Nrhiav kev pab txog cov ntaub ntawv kho mob ntawm tus neeg mob los ntawm peb tus neeg muag khoom, KDJ Associates, Inc., ntawm lub Ob Hlis thiab lub Tsib Hlis 2026. Lawv yuav tiv tauj koj ntawm:
- Fax.
- Xa ntawv.
- Kev mus xyuas ntawm qhov chaw.
- Chaw taws teeb hluav taws xob cov ntaub ntawv kho mob (EMR) kev nkag mus.
Thov xa cov ntaub ntawv thov tsis pub dhau tsib hnub.
HEDIS kev ntsuas tab tom tshuaj xyuas
Xyoo no, peb yuav tshuaj xyuas cov kev ntsuas HEDIS hauv qab no:
- Cervical Cancer Screening.
- Tswj ntshav siab.
- Kev Tshuaj Xyuas Kev Loj Hlob Hauv Peb Xyoos Thawj Zaug ntawm Lub Neej.
- Kev ntsuas glycemic Status rau cov neeg mob ntshav qab zib.
- Kev tshuaj ntsuam txhuas hauv cov menyuam yaus.
- Prenatal thiab Postpartum Care.
- Kev Ntsuas Qhov Hnyav thiab Kev Qhia Txog Kev Noj Haus thiab Kev Ua Si Lub Cev.
Siv cov ntaub ntawv
Peb siv cov ntaub ntawv no los:
- Tsim thiab txhim kho cov kev kawm thiab cov txiaj ntsig ntawm cov tswv cuab/tus muab kev pab.
- Saib Xyuas:
- Kev saib xyuas tau zoo.
- Tus nqi ntawm kev nkag mus rau cov kev pabcuam tiv thaiv.
- Kev tswj cov mob ntev.
- Kev ua haujlwm ntawm tus kws kho mob.
- Kev npaj khomob ua haujlwm.
Cov lus nug?
- Nrhiav cov lus teb rau cov lus nug uas nquag nug hauv lub HEDIS FAQ Guide.
- Koj tuaj yeem tiv tauj CJ Vansant, Alliance Quality Improvement Project Specialist, ntawm 831-430-5553 lossis [email protected].
Ua tsaug rau koj txoj kev koom tes thiab kev koom tes hauv qhov project tseem ceeb no!
Xyoo 2025-2026 cov kev hloov tshiab thiab cov lus ceeb toom txog lub caij mob khaub thuas
Thov nco ntsoov cov kev hloov pauv uas tau ua rau cov tshuaj tiv thaiv kab mob khaub thuas Fluad®, Flublok® thiab Fluzone® muaj hnub nyoog ntau npaum li cas (sau ua ntawv tuab hauv lub rooj).
Kev hloov kho tshiab txog kev them nqi/kev sau code
Cov lus qhia no siv rau txhua txoj kab lag luam ntawm Alliance, siv tau txij lub Cuaj Hlis 1, 2025, txog rau Lub Rau Hli 30, 2026. Nws siv rau cov tswv cuab uas txuas nrog koj txoj kev kho mob, cov tswv cuab uas tsis txuas nrog (tsis tas yuav xa mus) lossis cov tswv cuab ntawm pawg thawj coj.
| Lub npe tshuaj tiv thaiv | Kev noj tshuaj | Hnub nyoog Group | CPT Code |
| Afluria® (IIV3)
|
0.5 mL PFS 10-bx * | 3 xyoos & laus dua | 90656 |
| 5ml wb
.5 mL / dos |
3 xyoos & laus dua | 90658 | |
| Fluad® (IV) | 0.5 mL PFS 10-bx * | 18 xyoo & laus dua | 90653 |
| Fluarix® (IIV3) | 0.5 mL PFS 10-bx * | 3 xyoos & laus dua | 90656 |
| Flublok® | 0.5 mL PFS 10-bx * | 9 xyoo thiab laus dua | 90673 |
| Flucelvax® (CCIIV3)
|
0.5 mL PFS 10-bx * | 6 hli & laus dua | 90661 |
| 5ml wb
.25 mL / dos |
6 hli & laus dua | 90661 | |
| FluLaval® (IIV3) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90656 |
| FluMist® (LAIV3) | 0.2 mL tshuaj tsuag 10-bx * | 2a49 xya | 90660 |
| Fluzone® (IV)
|
0.5 mL PFS 10-bx * | 6 hli & laus dua | 90656 |
| 5ml wb
.5 mL / dos |
3 xyoos & laus dua | 90658 | |
| Fluzone® High-Dose (IV) | 0.5 mL PFS 10-bx * | 18 xyoo & laus dua | 90662 |
Cov npe txhaj tshuaj tiv thaiv kab mob
| Lub npe tshuaj tiv thaiv | Kev Tiv Thaiv Lub Npe nrog CVX* |
| Afluria®
|
Influenza, txhaj tshuaj, trivalent, pres dawb (140) |
| Influenza, txhaj tshuaj, trivalent (141) | |
| Fluad® | Influenza, txhaj, subunit, adjuvanted, pres dawb (168) |
| Fluarix® | Influenza, txhaj tshuaj, trivalent, pres dawb (140) |
| Flublok® | Influenza, recombinant, trivalent, txhaj, pres dawb (155) |
| Flucelvax®
|
Influenza, injectable, MDCK, pres free, trivalent (153) |
| Influenza, txhaj tshuaj, MDCK, trivalent (320) | |
| FluLaval® | Influenza, txhaj tshuaj, trivalent, pres dawb (140) |
| FluMist® | Influenza, nyob, intranasal, trivalent (111) |
| Fluzone®
|
Influenza, txhaj, cais tus kab mob, trivalent, pres free (140) |
| Influenza, txhaj, cais tus kab mob, trivalent (141) | |
| Fluzone® High-Dose | Influenza, txhaj tshuaj, koob tshuaj sib faib kab mob siab, pres dawb (135) |
* Kho CVX code rau npe txhaj tshuaj tiv thaiv yog xav tau rau Care Based Incentives (CBI).
Yog tias cov neeg mob/niam txiv xaiv tsis koom nrog kev sib qhia cov ntaub ntawv txhaj tshuaj tiv thaiv kab mob, cov ntaub ntawv txhaj tshuaj yuav tsis muaj. Tus neeg mob/niam txiv tuaj yeem thov hloov lawv qhov xwm txheej sib qhia txhua lub sijhawm. Nws tuaj yeem hloov kho los ntawm lub vev xaib ntawm lub chaw sau npe. Yog xav paub ntxiv, thov saib cov ntaub ntawv qhia tawm ntawm cov vev xaib ntawm lub chaw sau npe:
