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1st MEDICAL CODING AND BILLING CAREER GUIDE
Medical Coding Expert Advice and Medical Billing Business Startup Tips
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So, You Want To Be a Medical Coder or Start Your Own Medical Billing Services From Home?
This is the most trusted online resource for medical coding students and experienced professionals in the medical billing field! We provide free education and certification information, latest tips and articles, and let you explore school and job listings free.
The explosion of scientific knowledge that followed World War II brought increasingly sophisticated and complex diagnostic and treatment procedures to the science of medicine. Improvements and refinements of these procedures were constantly developed and utilized.
Development in the health care industry is moving so fast that the technology as it is known today changes completely every two or three years.
With new procedures and technology developing at an incredible pace it can be challenging to concisely describe the classification of diseases found in inpatient and outpatient records and differences, fine nuances and refinements in procedures rendered to patients and distinguish with clarity one procedure from another.
The discovery of new technology and methods in medicine quickly led to a dilemma for modern physicians. Where rural doctors in the past were commonly paid with produce, meat, quilts, or other services, modern doctors and surgeons want to get paid in cash. To get their money, they must submit a claim for professional services to health insurance companies.
Two committees within AMA worked on these issues: the CPT Committee, which updates the
Since the early 1970's, HCFA has asked the American Medical Association (AMA) to work with physicians of every specialty to determine appropriate definitions for the procedure codes and to try to determine accurate reimbursement amounts for each code.
It is only with the help of sophisticated computer programs, software, micro computers and standardized coding systems that medical coding staff are now able to describe and distinguish the enormous number and various kinds of medical and surgical procedures, complaints and diagnoses accurately in order to be compensated.
Due to the complicated nature of medical coding and billing, well trained and experienced medical coders and billers must also understand the Health Insurance Portability and Accountability Act (HIPAA), all ethical and legal implications, the inner workings of large and small medical offices, as well as the function of clearinghouses.
A survey by the Healthcare Billing and Management Association (HBMA) showed that its membership processes more than 17.6 million claims per month totaling $ 18 billion a year. Since the introduction of the HIPAA act. software companies and medical offices were forced to redesign and restructure their business procedures and in-hous methods of processing medical coding and billing claims. In many cases their software had also to be made compliant with this new act.
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