Cov Mob Uas Tus Kws Muab Kev Pab Tiv Thaiv Tau - Cov Lus Txhais
Rov qab mus rau PPC FAQ Home Page
Dab tsi yog qhov kev xav tau ntawm tus kws kho mob-tiv thaiv tau (PPCs)?
Title 42 ntawm Txoj Cai ntawm Tsoom Fwv Teb Chaws Txoj Cai, ntu 447, 434 thiab 438 thiab Welfare and Institutions Code (WIC) seem 14131.11 xav kom cov kws kho mob qhia tag nrho cov PPCs uas cuam tshuam nrog kev thov rau Medicaid (Medi-Cal hauv California) cov nyiaj them lossis nrog cov kev kho mob uas tau muab rau cov neeg mob uas yuav muaj Medicaid. Tsoom Fwv Teb Chaws cov cai thiab lub xeev txoj cai tseem txwv tsis pub Medicaid them rau kev kho mob ntawm PPCs.
PPC yog dab tsi?
Muaj ob hom PPCs: Cov kev kho mob tau txais kev kho mob (HCAC), uas yuav tsum tau tshaj tawm yog tias cov no tshwm sim hauv tsev kho mob mob hnyav, thiab lwm yam kev tiv thaiv kev tiv thaiv (OPPC), uas yuav tsum tau tshaj tawm yog tias qhov no tshwm sim hauv ib qho chaw kho mob.
HCACs yog dab tsi?
HCACs are the same conditions as the hospital-acquired conditions (HACs) that are reportable for Medicare, with the exception that Medi-Cal does not require providers to report deep vein thrombosis/pulmonary embolism for pregnant women and children under 21 years of age, as noted below.
The ICD-10-CM codes for HCACs are available on the CMS website for “ICD-10 HAC List.”
Providers need to report HCACs only when they occur in inpatient acute care hospitals.
HCACs:
• Air embolism
• Ntshav incompatibility
• Catheter-associated urinary tract infection
• Deep vein thrombosis/pulmonary embolism (tsis suav cov poj niam cev xeeb tub thiab cov menyuam yaus hnub nyoog qis dua 21 xyoos)
cphuma tom qab ntawd: Fumocracure
o Dislocation
o Intracranial raug mob
o Crushing raug mob
o Hlav
o Hluav taws xob poob siab
• Cov khoom txawv teb chaws khaws cia tom qab phais
• Iatrogenic pneumothorax nrog venous catheterization
kev tswj tsis zoo
ketoacidosis
o Nonketotic hyperosmolar coma
o Hypoglycemic coma
o Secondary diabetes with ketoacidosis
o Secondary diabetes with hyperosmolarity
• Theem III or IV pressure ulcers
• Kev mob ntshav qab zib mob ntshav qab zib
graft (CABG)
o Surgical site infections nram qab no:
• Bariatric surgery
• Laparoscopic gastric bypass
• Gastroenterostomy
• Laparoscopic gastric restrict surgery
• Orthopedic cov txheej txheem rau txha nraub qaum, caj dab, lub xub pwg nyom thiab hluav taws xob
(CIED) cov txheej txheem
• Vascular catheter-associated infection
OPCs yog dab tsi?
OPPCs kuj tseem hu ua "yeej tsis muaj xwm txheej" thiab Cov Xwm Txheej Loj Tshaj Tawm raws li Medicare. Rau Medi-Cal, OPPCs raug txhais raws li nram no:
• Phais tsis raug/txheej txheem ua rau mob
• Phais/txheej txheem ua rau mob rau tus neeg mob tsis raug
• Phais/txheej txheem ua rau mob rau qhov tsis raug ntawm lub cev
Cov kws kho mob yuav tsum tshaj tawm peb qhov OPPCs no thaum cov no tshwm sim hauv txhua qhov chaw kho mob. "Kev phais mob uas cuam tshuam" yog hais txog kev phais mob.