¶ … health information technology occupation and conduct a search of the Internet, consult professional Thorough Job Details: Although there are not an abundance of qualifications that an individual must have to earn a position as a professional medical coder, there are several different avenues to pursue them. Candidates typically must have graduated high school or earned the equivalency of a high school diploma. Once they have completed this step, they can satisfy the general education requirements in a couple of different ways: either by earning an associate's degree or a postsecondary certification in health information technology or in a related field. Certificate programs typically last less than a year, whereas associate's degree programs are generally two years of full time study. The completion of these courses usually qualifies individuals to begin working within the field of medical records and health information technology as a medical coder. It is also permissible for candidates to have other sorts of degrees (such as Bachelor's or graduates degrees), as long as they are in a related field. In this case,...
Their jobs are to identify the various forms of treatment or diagnostic work that a patient had and document that via a highly specialized coding system for the purpose of remuneration, billing and insurance. Therefore, they are frequently reviewing patient records, and may occasionally contact patients and their insurance companies.
Medical Coding Ethics Ethical Concerns in Health Care Delivery: Focus on Medical Coding and Billing Practices The objective of this study is to examine ethical concerns medical coding and billing in the physician office. Medical coding and billing has become very complex in light of health care reform. Recently, Christopher Gregory Wayne, reported to be "dubbed the Rock Doc" was arrested on a dozen charges of Medicare fraud" when he was accused
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,
For example, a nurse or physician may come across a patient that is near death due to pregnancy complications and the only way to save the mother is ostensibly to abort the fetus. That is the medical standard but many doctors and nurses would stay far away from ever involving themselves in an abortion even if there is an over-arching reason behind it that does not involve improper or
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
CPT Codes CPT coding is a fact of life in the provision of healthcare today. CPT stands for Current Procedural Terminology, and is a system first developed by the AMA (American Medical Association) in 1966 "to convert widely accepted, uniform descriptions of medical, surgical and diagnostic services rendered by healthcare providers into five-numeric codes" (Medical Coding Experts, p. 1). CPT codes are necessary in order for accurate reimbursement to be obtained
Coding Accuracy MS-DRG Coding Accuracy The Deficit Reduction Act of 2005 mandated changes in how the Centers for Medicare & Medicaid Services (CMS) reimburse IPPS hospitals for patient care (Centers for Medicare & Medicaid Services [CMS], 2011, p. 104). If a condition is present on admission (POA) then the hospital will receive appropriate payment for services rendered, but if the patient develops a preventable hospital acquired condition (HAC) that wasn't POA,
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