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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.
Procedure codes are numbers or alphanumeric codes used to identify specific health interventions taken by medical and licensed healthcare professionals.
Health Care Common Procedure Coding System (HCPCS) primarily represent items, medical equipment and supplies, prosthetics and orthotics, injectable drugs, transportation services, other services and non-physician services that are not covered by the American Medical Association's Current Procedural Terminology-4 (CPT-4) codes.
These codes consist of codes from CPT as well as Level II national codes. These codes are established by the Centers for Medicare and Medicaid Services (CMS)
Level II HCPCS codes primarily represent items and supplies and non-physician services not covered by the American Medical Association’s Current Procedural Terminology-4 (CPT-4) codes; Medicare, Medicaid and private health insurers use HCPCS procedure and modifier codes for claims processing. Level II alphanumeric procedure and modifier codes comprise the A to V range.
Medicare, Medicaid and private health insurers use HCPCS procedure and modifier codes for claims processing. With the exception of temporary codes, Level II alphanumeric procedure and modifier codes are updated annually on January 1. Temporary codes, which begin with G, K, or Q, are updated on a flow basis throughout the year. Nevertheless, the alphanumeric HCPCS file will only be uploaded to the CMS web site on an annual basis.
National Drug Codes (NDC) are used to report prescription drugs in pharmacy transactions and some claims by health care professionals. The codes are assigned when the drugs are approved or repackaged.
Current Dental Terminology (CDT) is used to report dental services. CDT codes are also included in alpha-numeric HCPCS with a first character of D. Codes are revised on a five-year cycle by the ADA through its Council on Dental Benefits Program. Meetings are not open to the public.
Relative Value Studies (RVS) assign a non-financial relative value to each different procedure. In this way the complexity of each procedure is weighed against another so an equitable reimbursement can be calculated based on such factors as the skill needed, the time involved.
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