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
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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 ) .
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