MEDICAL CODING
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Medical coding
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Medical coding is converting a medical diagnosis or symptoms, procedures, and drugs into codes and Medical billing is billing insurance companies and patients for procedures and office visits. Their work is submitted to insurance companies for payment purposes, data collection, research, billing and quality improvement purposes.
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Medical Coders play an important role in the financial success of private medical practices and other health care facilities. The greater the expertise of the Medical Coder in identifying relevant diagnoses for patient encounters, the greater the insurance reimbursement to the physician. This field generates medical coders who specialize in coding after a thorough training program and a certification process. The American academy of professional coders (www.aapc.com) and American Health Information Management Association (www.ahima.org) offers certification.
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Medical Coding Industry has met the cutting edge of information technology due to which there has been several channels opened towards placements in the health information field. These open doors has diversified and created platforms for the aspiring generation who have laid their career in the health information field.
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Certified Medical Coders are in high demand throughout the healthcare industry. In fact, according to the US Bureau of Labor Statistics, Health care is the largest U.S. industry, making this career a sound choice and medical support professionals, including Medical Coders, are one of the 10 fastest-growing allied health occupations, And, studies show that Medical Coders are paid accordingly for their exceptional medical coding skills.
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As a coding and billing specialist, you will work with Medical BPOs.ICD-10 Medical Coding certification is valid in USA, UAE, India. ICD-10-AM is valid in Qatar, New-Zealand, Australia. Medical Coding for CANADA, please whatsapp Dr Santosh Guptha @ 9966933693
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What is Medical Coding?
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Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. 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.
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Medical Coders play an important role in the financial success of medical practices and other health care facilities. Higher the expertise of the Medical Coder in identifying relevant diagnoses for patient encounters, the greater the insurance reimbursement to the physician. This field generates medical coders who specialize in coding after a thorough training program and a certification process. The American academy of professional coders (www.aapc.com) and American Health Information Management Association (www.ahima.org) offers certification.
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Medical Coding Industry has met the cutting edge of information technology due to which there has been several channels opened towards placements in the health information field. These open doors has diversified and created platforms for the aspiring generation who have laid their career in the health information field.
-
Certified Medical Coders are in high demand throughout the healthcare industry. In fact, according to the US Bureau of Labor Statistics, Health care is the largest U.S. industry, making this career a sound choice and medical support professionals, including Medical Coders, are one of the 10 fastest-growing allied health occupations, And, studies show that Medical Coders are paid accordingly for their exceptional medical coding skills.
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Medical coding, which is also referred to as medical classification, is the process where medical coders assign universal medical codes, in numeric or alphanumeric format, to medical procedures and diagnoses. To determine the procedures or diagnoses that must be coded, medical coders may refer to the patient's medical record, lab results or doctor's notes. These codes are used to track diseases and injuries and the procedures used to treat medical problems. Medical codes are used on claim forms submitted to insurance companies, Medicare and Medicaid for reimbursement and on diagnostic request forms. They may also be used internally at health care facilities for research and marketing purposes. Those organizations that use medical coding include health care facilities, health insurance companies, the federal government and workers' compensation providers..
- Correct medical coding is essential for the accurate transmission of procedures and diagnosis data between health care providers and the many insurance companies that act as third-party payers for the health care services rendered to patients.You must have the coding manuals (ICD-10-CM, CPT and HCPCS Level II) for the assignment of codes and for this course. If you don't have the coding manuals, order them now and then begin going through the course modules.
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Where is Medical Coding Performed?
- Hospitals (Inpatient and Outpatient facilities) Physician's offices Home health care agencies Long term care facilities Insurance companies.
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How is Medical Coding Accomplished?
The physician or other health care provider documents in detail about the patient's condition. Key medical terms are identified and abstracted from the medical record. Using coding manuals, specific codes are assigned to each term. Diagnosis codes and inpatient procedure codes are found in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM Volumes 1, 2). Outpatient services and procedure codes are found in the Current Procedural Terminology (CPT) manual, copyrighted by the American Medical Association (AMA). CPT codes are also referred to as Level I codes. The HCPCS (pronounced "hik picks") Level II manual contains codes for Transportation Services, Medical and Surgical Supply codes, Durable Medical Equipment, Drugs Administered Other Than Oral Method, Temporary and other codes identifying services and supplies. For diagnosis coding, locate main term(s) and subterm(s) using ICD-10-CM Volume 2 (Alphabetic Index) and verify the code(s) in ICD-10-CM Volume 1 (Tabular List).
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Medical Coding is used for ?
Validating necessity of services based on diagnosis for insurance claims, Administrative decisions, Researching the quality of health care, Planning for future health care needs.
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Ideal Qualities of the Medical Coder ?
Knowledge of Medical Terminology, Knowledge of Anatomy & Physiology, Critical thinking, attention to detail, Willingness to learn, Accuracy, Self-motivated , Flexibility, Basic computer skills, Organizational skills, Medical coders work in inpatient and outpatient hospital facilities, clinics, physicians offices and insurance companies. Medical coders are also referred to as medical record coders, coders/abstractors, health information coders or coding specialists.
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Important Points for Medical Coders and Billers to Remember ?
If it is not documented, it was not done. Do not attempt to code something that is not adequately documented by the provider. Don't guess the codes; always refer to the manuals and then assign the codes. Always use the current editions of the coding manuals for correct and accurate medical coding and billing. October 1st every year: New ICD-10-CM (for Diagnosis and Inpatient Procedures) manual should be used. January 1st every year: New CPT (for Procedures) manual and HCPCS Level II (for Drugs and Supplies) manual should be used. ALWAYS maintain the privacy and security of medical records (Protected Health Information). [You can use old editions of the coding manuals for training, but for the CPC/CCS certification exam, you need to use the current edition of the manuals.]
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DETAILED TRAINING FOR AAPC CPC Exam Preparation and Medical Coding Jobs
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--- 2 months training @ 2 hours per day-5 days a week
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--- 1 month revision and FREE study hours
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--- 10 CPC Mock Exams
Anatomy Structure of the human body to increase your understanding.
Physiology How the human body functions.
Medical definitions and terminology Includes pronunciation and use of medical prefixes.
Coding medical procedures What to code and how to prepare the forms.
Professional claim information How to set up medical claims for Medicare, Medicaid, private insurance companies, HMOs, PPOs, workers' compensation and personal injury cases.
Practice You'll get plenty of practice doing Medical Coding with personal consultation from your own instructor.
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What is Medical Billing?
Medical Billing Form
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The responsibility of the medical biller in a healthcare facility is to follow the claim to ensure the practice receives reimbursement for the work the providers perform. A knowledgeable biller can optimize revenue performance for the practice.
