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.
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.