Wednesday 15 November 2017

What Is Medical coding ? What are the type of departments in Medical Coding ?


 Medical coding : Medical coding is the gold standard in the healthcare industry . Medical coding is the transformation of healthcare diagnosis , procedures , medical services , and equipment into universal medical alphanumeric codes . Medical coding professionals help ensure the codes are applied correctly during the medical billing process , which includes abstracting the information from documentation , assigning the appropriate codes , and creating a claim to be paid by insurance carriers . 

Departments in Medical Coding ? 
A person who has ever taken a trip in to the doctor’s office or hospital has likely seen medical codes . The numbers are used to assign charges to a medical diagnosis , service or procedure . IF the medical code is not checked correctly then you may not be aware that there are different types of medical codes are using today . 

ICD codes are alphanumeric designations given to every diagnosis ,description of symptoms and caused as death attribute to human beings . These classifications are developed ,monitored and copyrighted by the WHO and NCHS to oversees all changes and modifications to the ICD codes , in cooperation with WHO . 

On oct . 1 ,2014 ,ICD-10 was implemented and it replaced predecessor ,ICD-9-CM as the standard coding system for U .S . The 11th process is currently under way , and ICD-11 will be finalized in 2018 . 

Types of departments in Medical Coding ? 
1 . ICD-10 : 
2 . CPT : 
3 . HCPCS Level II 

What Is ICD-10 : 

The International Classification of Diseases , Tenth Edition ( ICD-10 ) is a clinical cataloging system that went into effect for the U .S . Accounting for modern advances in clinical treatment and medical devices , ICD-10 codes are having options compared to those found in its predecessor , ICD-9 . once go through 
best medical coding training institutes in india for better information

What is the importance of ICD-10 : 

ICD-10 codes provide more detailed information for measuring healthcare service quality , safety and efficacy . 
• Value-based reimbursement 
• Outcome measurements 
• Clinical , financial and administrative performance measurement 
• The design of payment systems and claims processing 
• Reporting on new medical technology 
• Improving reimbursement systems 
• Disease and care process Management 

What is CPT : 

Current Procedural Terminology ( CPT® ) codes were first published in 1966 and are developed , maintained , and copyrighted by the American Medical Association ( AMA ) . Thousands of CPT® codes are in use , and they are updated annually . They fall into three categories . 
Mostly used CPT codes for medical coding and medical billing : 
• new patient office visit number codes : codes used to bill for patients that have never been seen by any physician in the same specialty within the same group in the last three years ; 
• established patient office visit codes : used to bill for patients that have been seen by a physician in the same specialty within the same group before last three years ; 

What is HCPCS Level II

HCPCS is an acronym for Healthcare Common procedure Coding System ( HCPCS ) . Standardized code sets are necessary for Medicare and other health insurance providers to provide healthcare claims that are managed consistently and in an orderly manner . 

How it is used : 


HCPCS LEVEL II are alphanumeric codes ,primarly for non-physician services .They represent items ,supplies and non-physician services not covered by CPT-4codes .Level II codes are maintained for the US centers for Medicare Medicaid Services( CMS ) . 

3 comments:

what is modifier 59?

                                          WHAT IS MODIFIER 59                   Modifiers assist tell the story of what the provider d...