Billing and coding is one concerning the fastest growing fields due to customary ampersand upcoming changes in the healthcare industry. It is a key area of the monetary and business side for healthcare providers. With so many health care companies introducing new programs, keeping up amidst the latest codes is a priority for any practice
Medical Coding could be simply defined as the process of converting the medical services, procedures, health condition, diagnosis and preclusive measures into CPT and ICD Codes in compliance with rules and regulations set by AMA (American Medical Association) and CMS (Center of Medicare besides Medicaid Services). There are 2 types of medical coding;
CPT means current procedural terminology; it’s the process regarding coding the health care service delivered by health care professional into 5 digit decipher for reasonable reimbursement of the service. These codes are subjected to an annual revision on Jan 1st of each year.
Procedural and service based coding has further segregation as HCPCS Level II Codes (Healthcare Common Procedure Coding System) worn by Medicare and monitored by CMS (Center of Medicare and Medicaid Services). HCPCS Codes are based on 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 exterior regarding the scope of an commission visit.
CPT coding came into being prevenient 1980 and and HCPCS coding came into existence during the 1980s. Both CPT and HCPCS are subject to plant revision.
ICD is an acronym of International Classification of Diseases; it’s the process of converting the medical condition, disease and deterrent measure into a maximum concerning 5 digit beginning numeric code, having decimal on or after 3 digits. 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 degree 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 Healing Billing?
Medical Billing is the process of submitting and following up claims to health care insurances for the services delivered apart the health care professional, emerging from disease conditions or preventive care of the patient.
Billing and coding has been in practice for several decades from now. This industry is ever changing due to perennial changes in the health safekeeping industry. With constant reforms and implementations, physician practices are moving towards outsourcing billing and coding to concentrate on service delivery rather than having to deal with day to day superintendence issues.