Emergency Department training in Hyderabad

1
Medical Coding And Departments
WWW.CLINIZEN.COM
2
Medical Coding

• Medical coding is a little bit like a
  translation. Coders take medical reports from
  doctors, which may include
• a patients condition, the doctors diagnosis, a
  prescription, and whatever procedures the doctor
  or healthcare provider performed on the patient,
  and turn that into a set of codes, which make up
  a crucial part of the medical claim. Medical
  Coding Training Hyderabad

WWW.CLINIZEN.COM
3
Requirements To Become Medical Coder

• Earning a bachelors degree or masters degree
  can strengthen a medical coder's career however,
  it's not required to show proficiency.
• Employers know CPCs are individuals who can
  perform medical coding tasks with the utmost
  proficiency and excellence.

WWW.CLINIZEN.COM
4
Departments In Medical Coding

• ICD
• CPT
• HCPCS

WWW.CLINIZEN.COM
5
ICD

• The first of these is the International
  Classification of Diseases or ICD codes.
• This code set was established by the World Health
  Organization (WHO) in the late 1940s. Its been
  updated several times in the 60-plus years since
  its inception. The number following ICD
  represents which revision of the code is in use.

WWW.CLINIZEN.COM
6
ICD

• ICD codes are used to represent a doctors
  diagnosis and the patients condition. In the
  billing process, these codes are used to
  determine medical necessity.
• Coders must make sure the procedure they are
  billing for makes sense with the diagnosis given.
• To return to our strep throat example, if a coder
  listed a strep throat diagnosis as the medical
  justification for an x-ray, that claim would
  likely be rejected.

WWW.CLINIZEN.COM
7
CPT

• Current Procedure Terminology or CPT codes are
  used to document the majority of the medical
  procedures performed in the physician office.
• This code set is published and maintained by the
  American Medical Association (AMA). These codes
  are copyrighted by the AMA and updated manually.

WWW.CLINIZEN.COM
8
CPT

• The first category is used most often, and it is
  divided into six ranges. These ranges correspond
  to six major medical fields Evaluation and
  Management, Anesthesia, Surgery, Radiology,
  Pathology and Laboratory, and Medicine.

WWW.CLINIZEN.COM
9
HCPCS

• Healthcare Common Procedure coding
  system (HCPCS), commonly known as hick picks
  are a set of codes based on CPT codes. Developed
  by the CMS (the same organization that developed
  CPT), and maintained by the AMA, HCPCS codes
  primarily correspond to services, procedures, and
  equipment not covered by CPT codes.
• HCPCS is the official code set for outpatient
  hospital care, Medicaid, chemotherapy drugs, and
  Medicare, among other services.

WWW.CLINIZEN.COM
10
WWW.CLINIZEN.COM
11
WWW.CLINIZEN.COM