What is Medical Coding? – AAPC

Medical coding is the transformation of diagnoses, procedures, medical services, and healthcare equipment into universal medical alphanumeric codes. Diagnosis and procedure codes are taken from medical record documentation, such as transcripts of physician notes, laboratory and radiological results, etc. Medical coding professionals help ensure codes are applied correctly during the medical billing process, which includes extracting information from the documentation by assigning the appropriate codes and creating a claim for insurance companies to pay.

Medical coding occurs every time you see a health care provider. The health care provider reviews your complaint and medical history, makes an expert assessment of what is wrong and how to treat it, and documents your visit. That documentation isn’t just the patient’s ongoing record, it’s how the health care provider gets paid.

medical codes translate that documentation into standardized codes that tell payers the following:

  • patient diagnosis
  • medical necessity of treatment, services or supplies received by the patient
  • treatments, services and supplies provided to the patient
  • any unusual circumstances or medical conditions that have affected those treatments and services
  • Like a musician who performs written music and uses his instrument to produce what is intended, medical coding requires the ability to understand the anatomy, physiology, and details of services, and payer rules and regulations to have success.

    medical coding is derived from public mortality bills published in london in the eighteenth century. it was through the correlation of these that doctors determined the cause of a cholera epidemic. it is even more vital now that the data collected through medical coding is being used to improve healthcare overall. the results are sent to payers for reimbursement, but the data derived from the codes is also used to determine utilization, manage risk, identify resource use, create actuarial tables, and support public health and actions.

    The medical coder and biller process a variety of services and claims on a daily basis. Medical codes should tell the full story of the patient’s encounter with the doctor and should be as specific as possible in capturing reimbursement for services rendered. To better understand what a coding transaction looks like, read the article “what does a medical coder do?”

    the primary task of a medical coder is to review clinical statements and assign standard codes using the cpt®, icd-10-cm, and hcpcs level ii classification systems. Medical billers, on the other hand, process and track claims submitted to health insurance companies for reimbursement for services provided by a health care provider. The medical coder and medical biller may be the same person or they may work together to ensure that bills are paid correctly. To help promote a smooth coding and billing process, the coder checks the patient’s medical record (i.e., transcript of doctor’s notes, lab tests ordered, imaging studies ordered, and other sources) to verify the work done. both work together to avoid insurance payment denials.

Content Creator Zaid Butt joined Silsala-e-Azeemia in 2004 as student of spirituality. Mr. Zahid Butt is an IT professional, his expertise include “Web/Graphic Designer, GUI, Visualizer and Web Developer” PH: +92-3217244554

Related Posts

What Is an MBA Degree? MBA Programs and What MBA Stands For

· MBA stands for Master of Business Administration. First introduced by Harvard University Graduate School of Administration in 1908 (now Harvard 

Diclofenac – StatPearls – NCBI Bookshelf

· Diclofenac is a medication used in the management and treatment of inflammatory conditions and pain. It is in the class of non-steroidal 

What are the most common types of felonies and their penalties?

A felony is a crime of high seriousness, compared to less serious misdemeanor offenses. In the United States, felonies are generally crimes that have a 

Stem Player: everything you need to know about Kanye West’s portable music player | What Hi-Fi?

· The Stem Player is a pebble-sized MP3 player that doubles as a portable remixer. That means that as well as loading it up with your own tracks, 

What To Do When Your Car Overheats | Jiffy Lube

Here are four of the signs: A strange, sweet smell coming from the engine area (this could be the scent of leaking radiator fluid, otherwise known as coolant 

Impact of Family Engagement | Youth.gov

Family engagement in schools contributes to positive student outcomes, including improved child and student achievement, decreased disciplinary issues, improved