MEDICAL CODING

Medical Coding is the process of converting verbal diagnosis and procedures to a standardized Universal numerical code. The details of the Medical diagnosis and procedures are usually acquired from the Medical record or generally said Health record of a patient.

International Classification of Diseases

Current Procedural Terminology

Types of medical insurance

 

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  • WHAT IS MEDICAL CODING?

    Medical Coding is the process of converting verbal diagnosis and procedures to a standardized Universal numerical code. The details of the Medical diagnosis and procedures...

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MEDICAL BILLING FUNCTION

People from US normally acquire their medical insurance through their employer. An employer /company signs up for a particular health insurance plan..

 

 

MEDICAL CODING

 

 

Medical Coding is the process of converting verbal diagnosis and procedures to a standardized Universal numerical code. The details of the Medical diagnosis and procedures are usually acquired from the Medical record or generally said Health record of a patient. A medical record is an organized and methodical documentation of a patient’s medical biography.


The Medical record contains the review of the nature of illness, medical tests performed, laboratory results, medication lists, diagnoses, the procedures performed to analyze these diagnoses ,the  suggested treatment and other sources related to the treatment along with the patient’s personal information. Based on the intensity of the medical examination and the intricacy involved in the medical conception, the summary of service and diagnosis is evaluated.

 

After the summing up process, once the level of service and diagnosis is estimated , it is then converted to a 5 digit alpha numeric standardized Universal code, In U.S., the diagnoses used to track the diseases and its type are coded using the International Classification of Diseases (ICD-9-CM) manual (will be replaced by ICD-10-CM from 10/1/2013) and the procedures performed to analyze the diagnoses  are given a code drawn from the Current Procedural Terminology (CPT) Database. These codes are put together to form the medical claim either to the insurance provider or the government agency.

 

Now a day’s some electronic medical programs consign these universal codes automatically without human intervention by detecting the required information from the medical / health records ,however the medical claim or bill needs to be checked manually by a qualified staff to guarantee the accuracy , also since medical procedures are mostly a complex series of actions with similarities in diagnosis and treatments involved , these codes are to be extracted precisely to describe the medical history of the diagnosis and procedures in an universally acceptable form.

 


These universal medical codes