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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…)

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4 smart ways of billing to increase revenue for Pediatricians

The American Academy of Pediatrics (AAP) has defined pediatrics as “the specialty of medical science concerned with children’s physical, mental, and social health from birth to young adulthood.

“Pediatric care encompasses a broad spectrum of health services ranging from preventive health care to the diagnosis and treatment of acute and chronic diseases. Pediatrics is a discipline that deals with biological, social, and environmental influences on the developing child and with the impact of disease and dysfunction on development”.

Hence pediatricians deal with numerous conditions, procedures, treatments, and preventive healthcare. Pediatrics is a high volume specialty, with pediatricians seeing 30-40 patients per day during the flu season. As the profit margins are thin, pediatrics billing mistakes can cost the practice dearly. (more…)

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How payment posting is an analytical tool in medical billing

The medical revenue cycle is a long and complex process. At the end of a medical billing cycle, a patient’s payment records are posted in the patient’s account. Payments can be from both patient and payor. This stage of the billing cycle is called payment posting. Although appearing to be a simple task, accuracy and attention to detail are required besides being time-consuming.

Payment posting will reveal if there are under-payments by payors. Payment for every line item should be closely monitored for issues. Appropriate and immediate action should be taken to resolve the problems. (more…)

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