Best medical coding training in Trivandrum

 AN INTRODUCTION TO MEDICAL CODING

Medical coding is the process of assigning numeric or alphanumeric codes to the diseases, injuries, treatments, and procedures that healthcare providers perform to record each encounter accurately and correctly bill the patient.

Here is an introduction to medical terminology for medical coding and the different categories of medical codes that coders use:

Current Procedural Terminology (CPT): CPT codes encompass the wide range of services performed by physicians, such as surgeries, tests, and evaluations. The American Medical Association (AMA) maintains the CPT code set, and constantly updates it to reflect the changes in the medical and healthcare field (AMA, 2020). There are three categories of CPT codes, plus the Proprietary Laboratory Analyses (PLA) set.

International Classification of Diseases (ICD): ICD is the “international standard for defining and reporting diseases and health conditions,” according to the World Health Organization (WHO), which uses the code set to identify health trends and statistics worldwide (2020).

Healthcare Common Procedure Coding (HCPCS): HCPC consists of two code set levels that cover “ambulance services, durable medical equipment, prosthetics, supplies, outpatient hospital care, chemotherapy drugs, and more” (Healthcare Business & Technology, 2019). The set undergoes quarterly changes that take into account public feedback on the codes.

International Classification of Functioning, Disability, and Health (ICF): ICF focuses on body functions and structure, disabilities, the effects on a patient’s activities and participation, and information on the severity and environmental factors (CDC, 2015).

Diagnosis Related Groups (DRG): DRG codes pertain to Medicare patients, whose information and ailments are segmented into categories. Based on the previously established classifications on these categories, Medicare assumes the same care is needed and issues a reimbursement based on that level of care.

Medical coding is an important necessity in every healthcare setting, but the type of practice can help determine the code set – and coder – that will be more frequently used.

 

5 Benefits of Medical Coding 

• Reduce and control operating costs. Today there are several coding and IT tools that are available to increase the speed, cost and accuracy of medical coding. 
• Better focus on healthcare. 
• Value-add services. 
• Minimized claim denials. 
• Scalability

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