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Category Archives: Coding Audit

Certified medical coders are an asset to your practice!

Change is constant in medical coding due to medical and technological breakthroughs, evolving health insurance legislation and changes in codes on account of other factors. Hence a healthcare facility is always in need of experienced coders with the required certification. When an employer hires a coder with a professional certification, they can be confident the candidate has the required knowledge and skills proficiency.

Medical coding is not a straightforward process and nearly 8.5 percent of total claims in a multispecialty facility are denied the first time. Re-working claims are expensive. Coders are required to be knowledgeable in their specialties as well as keep up with the constant changes in the codes and payor guidelines. (more…)

5 podiatry coding mistakes that impact your cash flow!

Podiatry as a specialty is quite different and coding professionals need to be aware of the complexities in this specialty to reduce denial of claims. Medicare and commercial payors insist on medical necessity for foot care and thus, podiatry coding and revenue cycle management (RCM) is an area where confusion reigns. Most of the payors will reimburse if there is a foot condition but not for its preventive care. Hence podiatry coding procedures need to be dealt with carefully. (more…)

MEDICAL CODING SERVICES

What is Medical Coding?

The AAPC defines medical coding as “the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.” The codes for recording diagnoses and procedures are decided based on medical records, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding services are carried out by professional coders who are certified.

Why is coding needed?

Even for a simple visit to the doctor, symptoms are recorded, procedures are performed and prescriptions for medicines are made out. All of this information is coded by professional coders. As illnesses get more complicated, the amount of data to be conveyed to payors is much more. Medical coding enables the efficient transmission of vast amounts of data. Moreover, it allows for uniform documentation of illnesses and treatments between medical facilities. Federal agencies use coding to track the prevalence of diseases. (more…)