Xusuusin ahaan, marka loo eego Maamulka Daryeelka Caafimaadka, wakaaladaha caafimaadka dabeecadda (BHAs) waa inay soo sheegaan lambarka shatiga Waaxda Caafimaadka (DOH) ee goobta-gaarka ah. Lanbarkan waa laga raadin karaa Raadinta Xarunta bogga mareegaha DOH.
MUHIIM: Hubi inaad u isticmaasho qaabkan shatiga DOH: REF*G2*lambarka 8-lambar; tiro kaliya, ma laha xarfo alifbeeto ah.
Waad ku mahadsan tahay dadaalkaaga aad ku raacayso shuruudaha shatiga DOH ee sheegashadaada. Si loo sii caawiyo bixiyeyaasha, waxaanu samaynay FAQ-ga shatiga DOH ee hoose.
FAQ
CHPW waxay adeegsataa wax ka beddel nidaam si loo diido sheegashooyinka marka lambarka shatiga DOH laga saaro. Waxaan helnay sababaha asaasiga ah ee diidmada badankood:
- Lambarka shatiga DOH laguma meeleeyo goobta saxda ah ee sheegashooyinka elektarooniga ah ee 837.
- Goobta Adeegga Goobta NPI iyo Cinwaanka (Loop 2310C) waxay la mid tahay Bixiyaha biilasha NPI iyo ciwaanka, sidaas darteed waxaa tirtiraya guri nadiifin ah.
Hoos waxaa ku jira macluumaadka kaa caawin kara soo gudbinta sheegashooyinka shatiga DOH.
Shuruudaha Warbixinta
CHPW waxay hadda u diidaysaa bixiyayaasha halka xogta kabka caafimaadka habdhaqanka (BHSD) looga baahan yahay. Sida lagu sheegay hagaha Nidaamka Xogta Caafimaadka Dhaqanka, kuwa soo socda ayaa hadda looga baahan yahay inay soo gudbiyaan xog dheeri ah:
- BHAs waxay qandaraas la gashay BH-ASO ama MCO si ay u bixiyaan adeegyada BH
- Nambarka shatiga DOH loogama baahna adeegyada xarunta biilasha Guryaha Qoyska ee qaangaarka ah (waxaa lagu dalacsiiyay HCPCS S5126)
- E&T-yada xorta ah
- Maaraynta ka bixista aaminka ah ee aan cisbitaalka ahayn
- Goobaha xasilinta
Lambarka shatiga DOH waa in lagu soo wargeliyaa sida soo socota:
MUHIIM: Isticmaal qaabkan: REF*G2*8-lambar; tiro kaliya, majiro xarfaha alifbeetada lambarka shatiga DOH
Sheegashooyinka elektarooniga ah
- Qaybta Wareegga 2310C, REF*G2 ee 837P (xirfadle) marka sheegashada oo dhan ay ku taal isla goobta adeegga; ama
- Wareegga 2420C, REF*G2 Qaybta 837P (xirfadle) marka hal ama in ka badan oo xariiqyo ah ay ku yaalliin goob adeeg oo ka duwan Loop 2310C
Xariirka Bixiyaha ee CHPW's HealthMAPS
The Soo gudbi Dacwad Xirfadeed shaashadaha ku jira bogga CHPW HealthMAPS waxaa ka mid ah Lambarka shatiga DOH goobta. Akhriso annaga Gelitaanka Sheegashooyinka, Sheegashooyinka la Saxay, iyo Daawashada Ruqsadaha Hore iyo Gudbinta hagaha tababarka si aad u hesho macluumaad dheeraad ah oo ku saabsan qaybtan.
CMS 1500 Warqad iyo Sheegasho Elektroonik ah
Haddii aad isticmaasho CMS 1500 si aad u bilawdo nidaamka cabashada, waxa u beddelaya 837 X12 iibiyahaaga software.
Iibiyahaagu wuxuu geynayaa gurigooda nadiifinta ka dibna ugu dambeyntii waxaa laga keenaa CHPW gurigayaga nadiifinta.
Fadlan la xidhiidh cidda u tarjumeysa CMS 1500 837 oo hubi inay fahmeen meel kasta oo lambarka shatiga DOH uu ku yaal CMS 1500, marka loo turjumayo 837 DOH waa inuu ahaadaa:
- Loop 2310C, ee qaybta NM1*77 oo si toos ah u taal ciwaanka goobta adeega, Magaalada, Gobolka, iyo Zip-ka.
- Qaabka saxda ah waa: REF*G2*12345678, adigoo u beddelaya lambarkaaga shatiga DOH ee dhabta ah "12345678".
- Tiro kaliya, 8 nambar; majiro xarfaha alifbeetada.
Waa suurtogal in Goobta Adeeggu ay la mid tahay Ciwaanka Biilasha. Guryaha nadiifinta badankoodu waxay tuuri doonaan Loopka Xarunta Adeegga haddii ay la mid tahay Loop-ka Ciwaanka Bixiyaha.
CHPW waxay ogaatay in ka saarida NPI-da nuqul ka mid ah ee Xarunta Adeegga Loop-ka Goobta Adeegga iyo hubinta NM1*77 ciwaanka iyo REF*G2 ay joogaan ka dib Magaalada, Gobolka, iyo Zipka ay ka hortagayso in la tirtiro nuqul ahaan.
Haddii aad isticmaasho CMS 1500 si aad u soo dirto CHPW cabasho warqad run ah oo ka baxsan isticmaalka software biilasha caafimaadka, lambarka shatiga DOH waa in lagu soo gudbiyaa sanduuqa 32b. Fadlan ku dar isreebreebka "G2" ka hor lambarkaaga shatiga; tusaale ahaan, "G2 12345678." Sanduuqa 32b ee sheegashada warqada waa xaalada kaliya ee xarfaha xarfaha la aqbali karo, waana in lagu hor dhigaa lambarkaaga shatiga hortiisa.
Sheegashada Xirfadlayaasha
NM1*77 Qaybta Goobta Adeegga (Loop 2310C) waa inay joogtaa si loo hubiyo xidhiidhka saxda ah ee lambarka shatiga DOH, sababtoo ah la'aanteed, khadka REF * G2 waxaa lagu khaldami karaa inuu ka tirsan yahay Loop hore (2310B) kaas oo ah Bixiyaha Bixinta. Loops 2310B iyo 2310C labaduba waxay isticmaalaan REF*G2.
Lambarka shatiga DOH waxaa iska leh Loop 2310C. Haddii Goobta Adeegga Goobta ay la mid tahay goobta biilasha, ka dib ka dhaaf NPI ee Goobta Adeegga Goobta Loop, NM1*77 qaybta.
- Sheegashada xirfadleyaasha gebi ahaanba hal goob
Haddii NPI ee Goobta Xarunta Adeeggu ay la mid tahay NPI-da biilasha markaa Loop 2310C waa inuu u ekaado sidan:NM1*77*2*ABC Clinic***~ (katagista NPI-da marka ay la mid tahay biilasha NPI)
N3*123 Jidka Weyn~
N4*Magaalada Kansas*MO*64108~
REF*G2*12345678 - Biilasha xirfadlayaasha NPI way ka duwan tahay goobta adeega NPI
Haddii NPI ee Goobta Xarunta Adeeggu ay ka duwan tahay Billing NPI, markaas Loop 2310C waa inuu u ekaado sidan:NM1*77*2*ABC Clinic**XX*1234567891~
N3*123 Jidka Weyn~
N4*Magaalada Kansas*MO*64108~
REF*G2*12345678
Resources dheeraad ah
WAC 246-341-0300Shatiyeynta Wakaalada iyo shahaado-siinta macluumaadka guud, waxaa loogu talagalay in lagu caawiyo qeexida habka lagu helo lambarka shatiga iyada oo loo marayo DOH.
Ilaha Maamulka Daryeelka Caafimaadka Gobolka Washington ee soo socda ayaa bixiya macluumaad dheeraad ah:
- The Tilmaamaha Nidaamka Xogta Caafimaadka Dhaqanka (BHDG; oo sidoo kale loo yaqaan Tilmaamaha Xogta Macaamilka Dheeraadka ah ee Caafimaadka Dhaqanka) waxay tilmaamaysaa goobta ku habboon ee "Lifaaqa F: Tilmaamaha Gudbinta Lambarka Shatiga DOH ee Kulamada BH." Waxay sheegaysaa: "Fadlan tixraac Gobolka Washington 837 Hagaha Xogta Saaxiibka ee Xirfadlayaasha iyo Hay'adaha iyo La kulanka Hagaha Warbixinta Warbixinta (EDRG) shuruudaha warbixinta.” BHDG waxaa loogu talagalay oo keliya xogta dheeraadka ah ee Nidaamka Xogta Caafimaadka Dhaqanka (BHDS); waa in aan loo isticmaalin hage tixraac ahaan si loo gudbiyo xogta kulanka.
- The 837 Hagaha Xogta Saaxiibka ee Xirfadlayaasha iyo Hay'adaha Qaybta "3 Tilmaamaha Ganacsiga" tixraacyada wareegyada 2310C iyo iyo 2420C.
- The La kulanka Hagaha Warbixinta Warbixinta waxay leedahay qaybta "Ka warbixinta Lambarka Shahaadada DOH ee Adeegyada Caafimaadka Dhaqanka"
Wixii su'aalo ah, fadlan la xiriir Xiriirada Bixiyaha: [emailka waa la ilaaliyay].
