Friday 28 February 2014

Modified Billing and Coding to Execute you’re Indeed

Billing and coding is one of the greatest rising fields due to present and upcoming changes in the medical care industry. It is an explanation area of the economic and business side for healthcare suppliers. With so many health care companies establishing new programs, keeping up with the newest codes is precedence for any practice

Overview:
Medical Coding could be purely clear as the procedure of exchanging the medical services, procedures, health form, diagnosis and preventive measures into CPT and ICD Codes in compliance with system and regulations set by AMA (American Medical Association) and CMS (Center of Medicare and Medicaid Services). There are 2 category of medical coding.

CPT Coding:
CPT means present technical terminology; it's the procedure of coding the health care service deliver by health care specialized into 5 digit code for logical reimbursement of the service. These codes are subjected to an annual revision on Jan 1st of each one year.

Procedural and service based coding has further segregation as HCPCS Level II Codes (Healthcare Common Procedure Coding System) used by Medicare and monitored by CMS (Center of Medicare and Medicaid Services). HCPCS Codes are based on as Ifixclaim CPT Codes made by the AMA. AMA CPT Coding is also referred as HCPCS Level I.
Ifixclaim Medical claim forms

HCPCS Level II codes are used for billing supplies, ambulance services, prosthetic and other insurance to cover services out of the scope of an office visit.

CPT coding came into being before 1980 and HCPCS coding came into existence during the 1980s. Both CPT and HCPCS are subject to annual revision.

ICD Coding:
ICD is an acronym of International Classification of Diseases; it's the process of converting the medical condition, disease and preventive measure into a maximum of 5 digit alpha numeric code, having decimal on or after 3 digits. Ifixclaim ICD Coding is administrated by the AMA and the codes are subjected to annual revision on Oct 1st. These codes are coded to the highest level of specificity to the patient's health care condition and disease. ICDs are in the transiting phase of Volume 9th to Volume 10th as per the recent mandate by the Government.

What is Medical Billing?
Medical Billing is the practice of put forwarding and following up claims to health care insurances for the services distributed by the health care proficient, up-and-coming from disease conditions or defensive care of the patient.


Billing and coding has been in observed for quite a few decades from now. This industry is ever changing due to constant changes in the health care industry. With constant reform and implementations, physician practices are touching towards outsourcing billing and coding to concentrate on service delivery quite than having to contract with day to day management concerns.

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