What Is Medical coding? What are the type of departments in Medical Coding?

Medical coding : Medical coding is the gold standard in the healthcare industry. Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.

Departments in Medical Coding?

A person who has ever taken a trip in to the doctor’s office or hospital has likely seen medical codes. The numbers are used to assign charges to a medical diagnosis, service or procedure. IF the medical code is not checked correctly then you may not be aware that there are different types of medical codes are using today.

ICD codes are alphanumeric designations given to every diagnosis, description of symptoms and caused as death attribute to human beings. These classifications are developed, monitored and copyrighted by the WHO and NCHS to oversees all changes and modifications to the ICD codes, in cooperation with WHO.

On oct. 1, 2014, ICD-10 was implemented and it replaced predecessor, ICD-9-CM as the standard coding system for U.S. The 11th process is currently under way, and ICD-11 will be finalized in 2018.

Types of departments in Medical Coding?

1. ICD-10 :
2. CPT :
3. HCPCS Level II

What Is ICD-10 :

The International Classification of Diseases, Tenth Edition ( ICD-10 ) is a clinical cataloging system that went into effect for the U.S. Accounting for modern advances in clinical treatment and medical devices, ICD-10 codes are having options compared to those found in its predecessor, ICD-9.

What is the importance of ICD-10 :

ICD-10 codes provide more detailed information for measuring healthcare service quality, safety and efficacy.

• Value-based reimbursement
• Outcome measurements
• Clinical, financial and administrative performance measurement
• The design of payment systems and claims processing
• Reporting on new medical technology
• Improving reimbursement systems
• Disease and care process Management

What is CPT :

Current Procedural Terminology ( CPT® ) codes were first published in 1966 and are developed, maintained, and copyrighted by the American Medical Association ( AMA ). Thousands of CPT® codes are in use, and they are updated annually. They fall into three categories.

Mostly used CPT codes for medical coding and medical billing :

• new patient office visit number codes : codes used to bill for patients that have never been seen by any physician in the same specialty within the same group in the last three years ;
• established patient office visit codes : used to bill for patients that have been seen by a physician in the same specialty within the same group before last three years ;

What is HCPCS Level II :

HCPCS is an acronym for Healthcare Common procedure Coding System ( HCPCS ). Standardized code sets are necessary for Medicare and other health insurance providers to provide healthcare claims that are managed consistently and in an orderly manner.

How it is used :

HCPCS LEVEL II are alphanumeric codes, primarly for non-physician services.They represent items, supplies and non-physician services not covered by CPT-4codes.Level II codes are maintained for the US centers for Medicare Medicaid Services( CMS ).