Medical billing and coding can be described as the process of presenting and following up on claims to health insurance companies for the purpose of obtaining payment for services provided by the healthcare provider. Regardless of whether an insurance company is government-owned or privately owned company, the process for medical billing and coding is similar for many companies. For an individual to become a specialist in medical billing and coding, he/she is usually encouraged to become certified through taking an exam. While such individuals are not compelled by the law to do so, certification schools have been established as avenues for theoretical foundation for students entering this field.
What is Medical Billing and Coding?
Generally, the medical billing and coding process is an interaction between the insurance company that caters for the health expenses and the health care provider. Medical coding involves the allocation of either a numeric or alphanumeric code to a clinical procedure, diagnosis, or treatment. This process facilitates the easy, fast, and precise retrieval of information for review of the medical billing and the patient's health information or record. This process is important in the medical field because it can be used in collection of data to carry out health studies, analyze outcomes on patients, and in health care planning.
While billing and coding are used interchangeably in the medical field, coding basically entails translating clinical documentation into numeric or alphanumeric codes. This clinical documentation...
Billing and Coding Tech Technological developments within society in general has caused many changes in how society operates and solves its problems. The healthcare field is no exception and has utilized some of these improvements. The purpose of this essay is to describe and highlight some of these developments within this field . Specifically this essay will present information that describes how medical billing and coding practices have implemented technology in
It would then become incumbent on the experienced coder to be able to read through the injuries and determine the accurate code to use. Another issue Kramer, Barancik, and Thode, Jr. (1990) found was that certain areas of the body lacked a code when injured to a very specific area of the body. The training and education one needs to be a successful medical coder, and in particular a remote
Selecting the right vendor (background check) Choosing the right vendor can be just as important as the system being setup and the software being utilized. Choosing the right vendor is just as important as choosing the right EMR software. Daniel Ray, in the article, "Electronic Medical Records (EMR) Vendors- Points to Consider," declares the following things are essential in choosing the right vendor for your business: 1. Checking the track record: evaluate
ICD and CPT CodesICD and CPT codes are both used in medical billing and coding, but they serve different purposes. ICD codes are used to describe the diagnosis or reason for the medical service, while CPT codes are used to describe the actual medical service or procedure provided.ICD codes (International Classification of Diseases) are a standardized system of codes used to classify and code diagnoses and medical conditions (Hong &
In case of referrals, the physicians are able to share information with ease allowing a more accurate diagnosis to be made and the sending of reports between the two physicians becomes easy since it is electronic. In these ways, electronic medical records systems help physicians and healthcare organization to improve the quality of care provided to patients as well as improving the relationship between the patient and the physician
Each standardized nursing language is designed for use in a number of clinical settings, including home care, ambulatory care, and inpatient treatment, with certain languages providing decided advantages within particular circumstances. Although it is true that "improved communication with other nurses, health care professionals, and administrators of the institutions in which nurses work is a key benefit of using a standardized nursing language" (Rutherford, 2008), the proliferation of several
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