ANSWERS: 1
  • 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:

    Medical Coding Career Guide

    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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