Medical
coding is like translation. People behind medical coding take medical
reports and convert them into a set of codes. In a medical claim, these
codes play a great role. In this article, we are going to take a look at
medical coding and the relevant statistics. Read on to know more.
The Reason to Code Medical Reports
You
may be wondering why we need to code medical reports. Isn't it enough
to just describe the diagnoses, symptoms, and procedures? After all,
these reports can be sent to an insurance company.
According to
the reports released by the Centers for Disease Control (CDC), over the
past 12 months, there were more than 1.4 billion patients who visited
hospitals. This includes patients who visit emergency rooms, outpatient
facilities, and physician offices.
Suppose there are only 5 pieces
of coded info against each visit. It would be a whopping 6 billion
pieces of info that the professional would need to transfer each year.
This estimate is unrealistically low, though. So, medical coding helps
make it easier to transfer a lot of data.
Aside from this, coding
helps you distribute the same documents between different medical
facilities. For instance, the code of strep throat is the same whether
you are in Hawaii or Arkansas. With the help of uniform data, you can
perform research and analysis in an efficient manner. Health and
government agencies make use of the info in order to keep an eye on
health trends. For instance, if the CDC needs to analyze the spread of
viral pneumonia, the ICD-10-CM code can help them.
Lastly, coding
helps you find out if a treatment is effective. As a matter of fact,
this is a lot more important for large facilities, such as hospitals.
Now,
we should go ahead and find out more about 3 types of code. If you are a
medical coder, you will find this information pretty useful.
Three Types of Code
ICD
ICD
is short for the International Classification of Diseases. These
diagnostic codes provide a uniform vocabulary to describe the possible
causes of death, illness or injury. In the 1940s, the World Health
Organization (WHO) established this code. Over the past 60 years, it's
has been revised many times.
These codes help represent the
diagnosis and the condition of the patient. As far as the billing
process goes, these codes help professionals determine the necessity of
medical treatment.
CPT
CPT is short for
Current Procedure Terminology. These codes are used in order to document
most of the medical procedures at a doctor's office. The American
Medical Association (AMA) published and maintained this code. So, AMA
reserves the copyrights and updates the codes on a yearly basis.
HCPCS
HCPCS
refers to the Healthcare Common Procedure Coding System. It's also
known as "hick picks". Primarily, HCPCS codes correspond to equipment,
procedures, and services that CPT codes don't cover, which includes
medicines, drugs, ambulance rides, prosthetics, and medical equipment.
So, this was an introduction to medical coding. Hope you will find this guide helpful.
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