Scribd Logo
Upload

Welcome to Scribd!

  • 16 views

    Medical Coding

    Uploaded by

    shamlee P
    HCC

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Medical Coding

    Uploaded by

    shamlee P
    16 views18 pages
    HCC

    Original Title

    Medical Coding Ppt (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    HCC

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    16 views18 pages

    Medical Coding

    Uploaded by

    shamlee P
    HCC

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    MEDICAL

    CODING

    PRESENTED BY
    CPC CODE
    EASY
    Consultation Vs
    Documentation
    Consultation Documentation
    • A thorough medical review by • A report that is a compilation
    asking questions to the and result o consultation
    patient. It includes symptoms, process is documentation.
    general condition or feelings of
    the patient, health concerns
    and the results o previous
    medical tests.
    What is medical coding?

    • Medical Coding is the transformation of


    healthcare diagnosis,procedures,medical
    services and equipment into universal
    medical alphanumerical codes.
    Why medical code is
    required?
    Analyzing and processing of a patient’s
    medical record is difficult when it is in the
    form of data summary.
    So uniform codes are created to specify data
    in short and precise form.
    TYPES OF MEDICAL
    CODING
    ICD-INTERNATIONAL
    CLASSIFICATION OF DISEASES

    • This code set was established by


    World Health Organization (WHO)
    • These are diagnosis codes describing
    the cause o injury, illness and death.
    • The code that is currently in use is
    ICD 10CM.The 10 indicates that it is
    the 10th revision of ICD Codes. The
    CM in the end stands for Clinical
    Modification.
    ICD -10 CM CODE
    STRUCTURE
    CPT-CURRENT PROCEDURE
    TERMINOLOGY
    • This code is published and
    maintained by American Medical
    Association (AMA).
    • This medical code set used to
    report medical, surgical and
    diagnosis procedures and services.
    • CPT codes are used to document
    the majority of the medical
    procedures performed in a
    physician’s office.
    • CPT Codes are five-digit numerical codes.
    • The first category is divided into six ranges which
    corresponds to six major medical fields:

     Evaluation and management


     Anesthesia
     Radiology
     Surgery
     Medicine
     Pathology and Laboratory
    HCPCS-HEALTHCARE COMMON
    PROCEDURE CODING SYSTEM

     These codes are developed by Centre


    for Medicare and Medicaid
    services(CMS) and maintained by
    American Medical Association(AMA).
     HCPCS codes corresponds to services,
    procedures and equipment not
    covered by CPT codes.
     This includes medical
    equipment,prosthetics,ambulance
    rides and certain drugs and medicine.
    MEDICAL BILLING

    • Medical Billing is the process of handling


    and transferring patient information,
    submission of claims to insurance
    companies.
    • Billers ensure that the healthcare provider is
    compensated for their services by billing both
    patients and payers.
    • Billers collect all of the information about the
    patient and patient’s procedure through a
    medical code and compiles into a bill. This bill is
    called a claim.
    • This claim contains patient medical information,
    medical history and insurance coverage in
    addition to report on procedures performed.
    Health Insurance is defined as coverage that provides
    for the payment for benefits as a result of sickness or
    injury.
    It includes insurance for losses from accident, medical
    expense, disability or accidental death.
    A health insurance is like any other policies is a
    contract between an insurer and an individual/group
    in which the insurer agrees to provide a specific
    health insurance cover at a particular “premium”
    subject to terms and conditions specified in the policy.
    REVENUE CYCLE MANAGEMENT

    • Revenue Cycle Management is the financial


    process, utilizing medical billing
    software ,that healthcare facilities used to
    track patient care episodes from registration
    and appointment scheduling to the final
    payment of a balance.
    … .
    k y ou
    Th an

    You might also like