基于时间编码的实际应用和观察性影响 工人赔偿临床接触-记录和编码高价值护理的最佳实践的后续工作 工人赔偿接触-ACOEM指导声明
1CNOS Occupational Medicine, Dakota Dunes, SD.
Journal of occupational and environmental medicine
|July 8, 2024
概括
职业医学诊所面临着工人赔偿护理支付方面的挑战. 医疗保险和医疗补助服务中心 (CMS) 的基于时间的编码选项改善了复杂患者管理的文档和报销.
科学领域:
- 职业和环境医学 职业和环境医学
- 医疗保健经济学 医疗保健经济学
- 医疗计费和编码 医疗计费和编码
背景情况:
- 管理与工作有关的疾病和伤害的临床实践历史上一直在努力获得适当的专业报酬.
- 美国职业和环境医学学院 (ACOEM) 的现有指导方针并没有被付款人广泛采用,以获得更高的补偿.
- 付款人不愿采用职业特定编码,这阻碍了对专业服务的公平补偿.
研究的目的:
- 评估新编码系统对职业和环境医学 (OEM) 服务支付的影响.
- 评估OEM诊所捕捉服务的价值超越直接的患者互动的能力.
- 为了确定基于时间的编码选项是否改善了对管理工人的医疗问题的报销.
主要方法:
- 分析OEM诊所在采用新编码系统之前和之后的支付和文档实践.
- 专注于实施2011年引入的医疗保险和医疗补助服务中心 (CMS) 赞助的基于时间的编码选项.
- 评估新编码框架下记录和报销的服务类型.
主要成果:
- 2011年采用CMS赞助的基于时间的编码选项,使OEM诊所能够更好地记录和收到服务付款.
- 诊所终于可以捕捉到超越基本患者接触的服务价值.
- 提高了对管理工人的健康状况至关重要的高价值活动的报销.
结论:
- 基于时间编码的实施有助于提高职业和环境医学实践的财务可行性.
- 这种编码转移允许在工人赔偿案件中更准确地评估全面的患者管理.
- 现在,OEM诊所可以更好地收回成本,并认识到提供专业护理的价值.
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