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Essay On Medical Coding

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1/ The ever-changing world of the medicine and the need to stay up to date on the specialty coding in which the student ends up performing: Chances are that we have been to the doctor’s office and maybe even your local hospital a few times in our life (though hopefully not too often!). We have seen doctors, nurses and office administrators hard at work in these settings, but how much do you really know about what they do? Well, we’ll take you behind the scenes at hospitals and doctors’ offices. Our dream to enter the field of medicine is an important one. Once we learn the technical and administrative skills presented in this course, we’ll be one of the most versatile employees in health care today. As a Medical Billing and Coding (also called a COD), we will have many choices as we grow and mature in your career. We’ll be qualified to apply for jobs in hospitals, labs, clinics and many other facilities. We may find that we enjoy both front office and back office duties. This will make you an even more valuable employee. Being a medical billing and coding (COD) will open doors for us as a respected and vital member of the medical team. All we need to do is keep reading. Also, E/M coding is of the highest importance, and coordination of …show more content…

Up until 1996, using HCPCS was optional. In that year, however, the government passed the Health Information Portability and Accountability Act or HIPAA. We’ll look closer at that very important piece of legislation in later courses, but for now, all you need to know is that HIPAA made the use of HCPCS mandatory in certain cases. Example: if you are coding, say, the placement of a tracheal stent for an elderly patient who is on Medicare, you would still use the CPT code

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As it is, practices are struggling to meet the October 1 ICD-10 compliance deadline. Assigning ICD-10 codes before then will cost real money. For example, if you want to design a billing system, it would have to include both ICD-9 and ICD-10 codes simultaneously. This could prove expensive depending on the healthcare vendor contracts.

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HCPCS level 1 uses CPT codes to identify medical services & procedures level 2 is used to identify the products, supplies, and services that are not in CPT codes ICD-10 used for diagnosis and in patient procedures There 's so many different types of services and procedures within the medical field that different codes are needed to specifically identify them properly. Coding was created to make medical billing simple. Proper coding will ensure accurate and timely reimbursements.

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Initially, facilities voluntarily used HCPCS codes, but with the implementation of HIPAA in 1996, facilities began to report HCPCS for transaction codes (Webb, 2012). CPT (Current Procedural Terminology) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations (Rouse, 2015). The HCPCS level II coding system has a selected standard coding system with a wide acceptance among both public and private insurers. The HCPCS level II codes set are alphanumeric code set and primarily include non-physician products, supplies, and procedures not included in CPT. For HCPCS to bill the and identify the service that are been used such as.

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E/M codes tell what was done in the office. Everything that the doctor or physician has done is documented, and coded. If a certain thing was not done then it should not be coded, and charged for that is considered fraud. Also everything that is done in the office must be documented, and coded using the E/M codes. If the E/M coding was done incorrectly the person would get in trouble for fraud, and not only that the office would have a bad reputation, and other insurance companies wouldn 't probably want to go through that office anymore.

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Certified Coding Specialist are experienced professional coders who use ICD-10-CM and CPT coding systems to categorize information from patients medical records for insurance reimbursement purposes (AHIMA). Retrieve medical records of patients for review of clinical data. Assign codes accordingly per ICD-10 and CPT coding guidelines. Communicate and cooperate with healthcare facility and billing offices.

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With the number of codes increasing from 14,000 to 70,000, the demand for coders and billing personnel has increased and exceeds local demand. Many healthcare organizations recently have contracted with coding vendors to provide ICD-9 coding assistance, in part to allow in-house coders to undergo ICD-10 training and participate in dual coding. However, It is still unclear how coding professionals and vendors will be impacted long-term by the implementation. According to Forbes, the ICD-10 switch for providers has been better than expected.

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Coders would be involved in these tasks. Accounts receivable for health care providers differ from accounts receivable

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HCPCS Level II codes commonly are referred to as national codes or by the acronym HCPCS, which stands for the Healthcare Common Procedure Coding System. HCPCS codes are used for billing Medicare and Medicaid patients and have been adopted by some third-party payers. These codes, updated and published annually by the Centers for Medicare and Medicaid Services (CMS), are intended to supplement the CPT coding system by including codes for nonphysician services, administration of injectable drugs, durable medical equipment (DME), and office supplies. The main terms are in boldface type in the index.

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Difference between ICD9 and ICD 10 codes What sets ICD-10 apart from ICD-9 is specificity, i.e., more codes — a lot more codes — that convey more detail than the old codes. Payers will expect physicians to bill using these more specific codes. That means doctors will have to “write more stuff” in the medical record to support the codes. You won’t have to memorize thousands of new codes; you will need to learn what documentation elements are relevant to the codes you use most frequently in your practice. I am currently a Medical assistant and I am doing billing and coding to have extra income and be incharge of some ccounts and work from home, I would like to get my Bachelos degree in Helath care

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The purpose of the HIPAA transactions and code set standards is to simplify the processes and decrease the costs associated with payment for health care services. The transactions and code set standards apply to patient-identifiable health information transmitted electronically. Physician practices will continue to be able to submit paper claims. When the regulations take effect in October 2002, standard formats and code sets will take the place of any payer-specific or location-specific formats or requirements. ICD-9-CM Volume 1 and 2: Diagnosis Coding - ICD-9-CM is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys.

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The health care providers are able to quickly finish the patient charting. The Electronic Medical Records allows you to have flexibility to schedule more patients

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I am excited about the opportunity to share my insights and work with peers and faculty members to create positive change in the healthcare field. Comparatively, during my internship with the assessment team at California University of Science and Medicine, I was given the incredible opportunity to understand administration, team management, and technical skills comprehensively. Working with the medical school's software systems, I organized and delivered student assessment activities and information. In order to communicate effectively with delivery teams, I learned to collate large datasets and present them

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With this being said the job outlook for me in this area is very good. If I was a coder I would be able to work in every type of medical facility including, doctors’ offices, surgery centers, hospitals and health care systems (“Medical Coder”). The more experience that I have with this job the more opportunities I will have to be able to work at home with either a hospital or a contractor (“Medical Coder”). This job has the highest percentage of women. Around 88.4% of this career field is made up of women (Shatkin).

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The level of care that the varying healthcare professionals provided to these patients was fascinating and became intrigued to a career path in the medical field. Over the next couple of years, I narrowed the possibility

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