Medical Coding
What is Medical Coding?
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 happens every time patient see a healthcare provider. The healthcare provider reviews your complaint and medical history, makes an expert assessment of what’s wrong and how to treat you, and documents your visit. That documentation is not only the patient’s ongoing record,
it’s how the healthcare provider gets paid.
What Service we provide you In Medical Coding?
Our Medical coding professionals help ensure the codes are applied correctly during the medical billing process using CPT®, ICD-10-CM, and HCPCS Level II classification systems, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.
We believe in Quality and accuracy by following the CMS Guidelines very strictly to ensure the reimbursement on each and every code to reduce the denials on claims.
Medical coders translate documentation into standardized codes that tell payers the following:
• Patient’s diagnosis
• Medical necessity for treatments, services, or supplies the patient received
• Treatments, services, and supplies provided to the patient
• Any unusual circumstances or medical condition that affected those treatments and services
The main task of a medical coder is to review clinical statements and assign standard codes using CPT®, ICD-10-CM, and HCPCS Level II classification systems. Our Medical billers, on the other hand, process and follow up on claims sent to health insurance companies for reimbursement of services rendered by a healthcare provider.
Why is medical coding needed?
A patient’s diagnosis, test results, and treatment must be documented, not only for reimbursement but to guarantee high quality care in future visits. A patient’s personal health information follows them through subsequent complaints and treatments, and they must be easily understood. This is
especially important considering the hundreds of millions of visits, procedures, and hospitalizations annually in the United States.
Medical coding classifies these for easier reporting and tracking. And in healthcare, there are multiple descriptions, acronyms, names, and eponyms for each disease, procedure, and tool. Medical coding standardizes the language and presentation of all these elements so they can be more easilyunderstood, tracked, and modified.