So, You Want To Be a Medical Coder And Start Your Own Services From Home?

Reimbursement Process

Medicare, Medicaid and 3rd party insurance companies have strict compensation guidelines, which must be followed. All types of encounters, services, tests, treatments, supplies and procedures provided to a patient have a code which consists of a set of numbers and combinations of sets of numbers.

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Diagnosis and Service Codes

Medical coders analyze the healthcare provider's documentation to assign universal alphanumeric codes that are vital to medical billing, medical research and healthcare statistics, as well as the reimbursement process for the provider. Furthermore, accurate coding makes the medical record keeping and practice management processes more cost-effective and reliable.

Medical coders do not make up the codes as they go along, nor do they code from memory. The coder selects appropriate codes from different existing coding systems for different purposes. The combination of these codes tells the payer what was wrong with the patient, whether treatment was necessary and what services were performed. This makes it easier to handle these claims and to identify and reimburse the provider on a predetermined basis.

Diagnosis Codes:

In medicine, diagnostic codes are used to group and identify diseases, disorders, symptoms, and medical signs, and are used to measure morbidity and mortality.

 

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