Codes And Coding : Analysis Essay

In the health care system, there are a lot of codes that help diagnose, treat, and discharge patients daily. Codes help nurses

As viewed by many HIM professionals Computer-assisted coding is a valuable tool for enhancing the effectiveness of coding and billing. CAC software scans medical documentation in the electronic health record (EHRs) using a natural language processing (NLP) engine, identifying key terminology and proposing codes for that specific treatment or service. Human coder then revised these codes. CAC can also investigate the background of key words to conclude whether they need coding.

Computer assisted coding has been adopted by most healthcare organizations in order for their overall applications to have enhanced production. This would improve the coding accuracy, Consistency, Transparency, and Compliance to create a smoother transition towards using CAC technology on a regular basis. Computer assisted coding provides a natural-language processing (NLP) that is used as a software scan towards medical documentation in the electronic health record (EHR) system. This can become an identifying key terminology that suggests certain codes for that particular treatment or service. The natural-language processing focuses on interpreting unstructured records by using special algorithms to support the codes. These unstructured applications

I love coding in my free time and I do truly believe that I flourish when I find myself coding. The limits of what you can do with coding are next to non-existent, and the idea of a platform with infinite possibilities engrosses me and leads to me to work as efficiently as possible towards the end goal of creating a product in which I see infinite possibilities. On top of that, another possible contributing reason for why I think coding may allow me to flourish is that with the infinite possibilities (as I stated before) comes curiosity, a curiosity that has no conclusion. The feeling of curiosity I feel as I code has a cause and effect relationship with me in that it turns me onto new methods of coding or new languages of coding which then

Uninformative codes can create confusion to what the code details. This language needs to be clear and detailed so that the health care organizations can provide the best health care as possible. When codes are

Medical coding, on the other hand, deals more closely with patient medical records. Medical coders work in the billing office, or “back office” of medical practices or hospitals. Alphanumeric codes are assigned to all illnesses, injuries and treatments. Medical procedures are coded for the purpose of classifying diseases in numerical sequences for identification and data collection purposes, similar to the Dewey Decimal System in libraries. Coding specialists review medical records and assign numeric codes for the diagnoses identified and procedures performed. Each medical procedure and patient encounter has a number (CPT code) associated with it which corresponds to an ICD code. These

Level of Service: the length of service or the complexity based on the following key components.

There was a strength in the study from the use of qualitative methodology and thematic analysis to code the interviews of the participants.

In order for a patient’s insurance claim to go through correctly, you (as a medical assistant) need to code correctly. In the medical field coding is used to identify diagnoses patient’s have and services provided for them. The codes are then submitted to the patient’s insurance company, so the patient does not have to pay full price for services.

Use the following table to identify and list at least five structured coding systems. Additionally, include a 50- to 100-word description of each system. Support your descriptions using your assigned readings.

Studies have found that coded data collected with a sole focus on reimbursement can poorly affect the use of the data for other purposes. Coded data goes farther and does more than ever before, making it imperative that professionals stay up to date of many rapid changes. One of the biggest changes is the expansion of coding from its traditional role of translating narrative clinical text into diagnosis and procedure codes. Coded data are now used for purposes such as severity adjustment, quality of care assessment, patient safety evaluation, public health surveillance, and decision support process development. Coding must meet an emerging need to capture healthcare data in a standard format that has universal meaning and can be applied both at the individual and aggregate levels. With this expansion come additional new responsibilities, such as entry of health information into a database and the need to understand how the quality and accuracy of the data are

Diagnostic coding is one of the most critical parts of medical coding. If the correct diagnostic code is not selected, a claim may be denied (Deborah Vines, 2013, pp. 88-125). Using the ICD-9-CM, diagnosis coding became mandatory for Medicare claims since the Medicare Catastrophic Coverage Act of 1988. In 1948, the ICD came under the direction of the World Health Organization, which assisted in tracking deaths and sicknesses to help make statistical assessments of international health and disease trends (Deborah Vines, 2013, pp. 88-125). Medical terminology plays a key role in proper diagnosis coding. You must be able to read and understand the physician’s documentation to identify the appropriate codes for medical conditions that pertain

The article Alternate Health Care Coding Systems gave brief descriptions and examples of alternate coding systems. All the alternative coding systems and medical nomenclatures are used as another way to properly diagnose patients, and proper billing and reimbursement. Although, I was a bit confused retaining all the information but in my take away from the readings is that nomenclatures and coding systems are used to allow medical terminology, codes, procedures, and diagnoses to be more descriptive. Two patients could have the same exact tumor but depending on size and where the tumor originated from could be the difference in coding that certain patient.

First, I like how it explains the use of outpatient coding by describing the patient’s condition such as symptoms, problems, and reasons for visiting the hospital facility. Second, I like how it distinguishes inpatient and outpatient coding by listing different sets of clinical documentations. For instance, inpatient coding includes face sheet, progress notes, history and physical and discharge summary; meanwhile, outpatient coding includes an authenticated physician order for services, clinician visit notes, a diagnosis, therapies, and the medication

Computer-assisted coding is defined as the “use of computer software that automatically generates a set of medical codes for review, validation, and use based upon clinical documentation provided by healthcare practitioners”