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The Curious Bag
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Medical billing and coding refers to the reporting of services given by a health provider using a coding system. The coded information is sent to the patient's insurer to claim reimbursement.
Medical Codes
A medical code gives insurance companies a way to identify the services rendered by a service provider to a patient.
Process
Medical coding and billing expedites the processing of a claim against the insurance policy of the patient. The submitter of the claim can then be reimbursed by the insurance company.
Other Use
Medical codes are used by governments and private health care companies to collect research statistics on care. This helps them to rate the effectiveness of the treatment being administered by the service provider.
Coding Systems
Current Procedure Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) are the coding systems used in medical coding and billing. HCPCS codes are used in reference to Medicare and Medicaid.
Who Uses Medical Coding and Billing?
A wide range of companies use medical billing and coding. These include law firms, consulting firms, home health care agencies, clinics, hospitals and private physicians.
Source:
EICD: Medical Coding File Samples
Ahima.org: About Medical Coding & Medical Records: AHIMA
Resource:
BLS: Medical Records and Health Information Technicians
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