Where can i find out about the importance of medical billing and coding?

Purpose and Importance of Medical Coding and Billing - Medical Reimbursement





Physicians provide services to patients and want reimbursement for what they do. An industry journal recently reported a nationwide shortage of medical coders. Why? The healthcare system has become complicated. Knowledge is more important than ever. Medical office personnel years ago could simply open a code book, place a code on an insurance form and submit it for payment. Now we see more HMOs and private carriers and we hear about medical institutions being fined or put out of business due to incorrect or fraudulent medical billing practices. New coding and billing positions have opened up and still more are expected. In addition to medical reimbursement, coding is used for planning and research. Investigators may track diseases. Administrators may determine if a hospital’s facilities are being used effectively and if they are adequate for the needs of the community.





The medical reimbursement process includes descriptions of procedures and services the physician provides. As you can imagine, these would be terribly long and confusing left in narrative form. Someone was wise enough to realize that. They devised a system of code numbers representing each procedure and service a physician is likely to provide and another to represent each disease, disorder or injury. The physician’s computerized billing software sends information showing what was done and the insurance company’s software interprets it accurately, since they use the same coding system. This speeds up the reimbursement process so doctors are paid faster and better - IF the medical coding and billing is done correctly. The Office of the Inspector General may review medical coding of evaluation and management services, physician credit balances and correct use of diagnosis codes (ICD-9-CM). Doctors may be fined up to $10,000 for each item or service incorrectly billed. Is it any wonder they want to make sure that the person doing their medical billing, CPT-4 and ICD-9-CM coding knows how to do it accurately and effectively?





Physicians entrust their medical reimbursement responsibilities to medical coders and billers who can speak their language - medical terminology, anatomy %26amp; physiology and disease processes. They want medical coders who understand CPT-4, ICD-9-CM, Evaluation %26amp; Management, HCPCS and much more. They want someone they can depend on for knowledge, high quality of skills and excellence of work habits.








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