Mesh : Workers' Compensation / economics Humans United States Clinical Coding / standards Occupational Medicine Practice Guidelines as Topic Documentation / standards Occupational Diseases / therapy economics Centers for Medicare and Medicaid Services, U.S. Occupational Injuries / therapy economics

来  源:   DOI:10.1097/JOM.0000000000003150

Abstract:
UNASSIGNED: Clinical practices that provide workers\' compensation care and other services related to managing work-related illnesses and injuries have long been challenged in receiving appropriate payment for their professional work. The American College of Occupational and Environmental Medicine (ACOEM) has provided excellent guidelines for coding and billing via its various documents that have been provided over the years. However, despite these guidelines, payors have been slow to adopt occupational specific coding guidelines to justify higher professional payment. With the move to a Centers for Medicare & Medicaid Services (CMS)-sponsored time-based coding option in 2011, the occupational and environmental medicine (OEM) clinics have been able to finally not only document but recoup the value of those services that go beyond the simple patient interface, being able to capture those activities that truly provide high value in the management of workers\' medical issues.
摘要:
为工人提供与管理与工作有关的疾病和伤害相关的补偿护理和其他服务的临床实践长期以来一直在为他们的专业工作获得适当的报酬方面面临挑战。美国职业与环境医学学院(ACOEM)通过多年来提供的各种文档为编码和计费提供了出色的指南。然而,尽管有这些指导方针,付款人在采用特定职业编码准则以证明较高的专业薪酬是缓慢的。随着2011年转向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,职业和环境医学(OEM)诊所最终不仅能够记录,而且还能够收回这些服务的价值。能够捕获那些真正在工人医疗问题管理中提供高价值的活动。
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