Medical billing and coding are two sharply interconnected domains of the modern healthcare system. Both domains are involving an exceptionally important reimbursement cycle that provides security to the healthcare providers in terms of payment they are getting, as a reward of services performed by them.
Medical billing, the meaning of this term is as simple as indicated by the name. Hands-on practice of paying in the United States as well as across the world in the healthcare unit is called medical billing. This job comprises of taking information from the medical coder and issuance of a bill to the insurance corporation that is called a claim.
Let’s have an example to understand the procedure of medical billing. A patient is feeling symptoms like severe headache, fatigue, vision problem, chest pain, etc. He calls a doctor and asks for an appointment, it is here the medical billing procedure beings. The medical biller will take a code that evaluates the patient previous symptoms and physician's diagnosis in past and creates a claim using any software provided. The claim is forwarded to the insurance company by the biller and the job of the company is to evaluate how much money the patient owes and how much the insurance is taken out. That's how the medical biller serves as a link between patients, doctors, and insurance companies.
Medical coding, medical coding is simple like translation. Coder takes medical reports that might include prescriptions, laboratory diagnostic reports, and surgical procedures performed on patients, and transform them into a set of codes, which make compulsory part of the medical report.
- There are three types of coding used in healthcare setups.
- Medical coding, medical coding is simple like translation. Coder takes medical reports that might include prescriptions, laboratory diagnostic reports, and surgical procedures performed on patients, and transform them into a set of codes, which make compulsory part of the medical report.
- HCPSC (healthcare common procedure coding system) it's the official code used for the department of outpatient as well as for chemotherapy.
- ICD (international classification of disease). It was established by the world health organization. It is used to provide information about the modification of clinical data and it provides more flexibility to the medical coder that is essential for their job.
Translation of a prescription accurately into alphanumerical and numerical figures is called medical coding. There is code specified for every injury, diagnostic test so it’s just like translation. Codes are taken from medical record documentation. The basic purpose of coding is to allow invariable documentation. Moreover, coding permits organizations to take knowledge about the prevalence and effectiveness of the pharmacotherapy plan offered by their facility members.