E/M Code Research Paper

properly documented and can be billed to you in the correct manner. Also, another use for medical codes is to protect yourself from false

"Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician’s office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS." (Aapccom, 2015) It is very important that billing coders have a full understanding of how to properly use medical codes to prevent denial of claims submitted.

Read the article Diagnosis Coding and Medical Necessity: Rules and Reimbursement by Janis Cogley located on the AHIMA Body of Knowledge (BOK) at http://www.ahima.org.

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

You may find some of your patients have a non-HIPAA-covered payer (worker’s compensation) as their primary payer and a commercial insurance provider like Blue Cross Blue Shield as a secondary payer. So essentially you will have to first submit using ICD-9 codes, and then submit to secondary payers using ICD-10 codes.

I am very familiar with medical coding and understand how it is used because I worked in the medical field for many years, and I used those codes for much of that time. At my last job, I helped with the billing for some time, did the insurance referrals for several years and got the insurance pre-authorizations/pre-approvals

I am choosing ICD-10 Codes. The reason I have chosen ICD-10 codes is because every medical facility uses the ICD-10 codes for the billing and coding. That is the only way they get paid is by using ICD-10 codes. They will all receive adequate payments using the updated codes and the right type of billing.

The Uniform Commercial Code is a comprehensive code necessary that throughout the United States of America, states abide by in order to mandate the interaction of sales between buyers and seller. The Uniform Commercial code would be nothing without commercial law. Commercial law applies to the rights, relations, and conduct of persons and businesses committed in commerce, merchandising, trade, and sales. These laws have evolved sufficiently throughout the years. The Uniform Commercial Code and Commercial law have created a rule-book so that problems that would delay interpretation and efficiency of trade would not occur.

The key elements to a healthy and successful medical practice are a reliable and properly trained staff and a sound revenue cycle that produces satisfactory reimbursement. Revenue cycle management starts at the front-end with pre-registration of the patient. Complete and accurate recording of patient insurance and billing information is imperative. Insurance verification plays a major role in the assurance of reimbursement. The front desk should counsel and confirm financial responsibility with the patient during the registration process. Patient encounter is equally as important. Correct coding of patient diagnosis and procedures minimizes the likelihood of claim rejection. The next step in the revenue cycle is claim submission. The claims process begins with the provider treating the patient then sending a bill to the designated payer. Before the bill is sent, a certified coding specialist or medical billing specialist prepares and reviews the claim for any inaccuracies. There are a few ways the claim is submitted, either manually or electronically. Once the claim is submitted, follow-up with third party payers is a necessary step in the

The topic of transitioning to the ICD-10 coding system has become a very big issue within the medical practice field. In fact, as of October 1, 2015, all physicians, hospitals, and medical providers are required by the federal government to be in full compliance using ICD-10 coding. ICD-10-CM codes allow for medical providers to provide as much information as possible about the patients state of health and all treatment provided as such. In addition, "The CPT coding system offers doctors across the country a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency (Ama-assnorg, 2015)."

E codes represent an external cause that made a patient’s condition such as a motor vehicle accident or accidental overdose of a prescribed medication. E codes are assigned in addition to the diagnosis for the patient’s condition. E codes are never the first-listed diagnosis. Superficial or surface injuries include cuts, insect bites, blisters, and scratches. List separate codes for each kind of injury, unless there is a combination code that describes all of the injuries. Sequence the code for the most serious injury first. Don’t assign injury codes for normal, healing surgical wounds or surgical wound complications. A burn is an injury on the body that results from exposure to heat, electricity, or some types of radiation. ICD-9-CM classifies

The E/M codes just like any other codes that a billing and coding specialist use is extremely important in receiving the proper reimbursement. Its it very vital to always cross reference your codes in order to get the proper information. The negative impact that processing an incorrect code can be an extreme issue for that medical office. The insurance can see that as fraud and can cause some lawsuits if the code does not get fixed to the proper issue. As a billing and coding specialist knowing how to properly code and with no faults is the difference between fraud and receiving a full reimbursement. There needs to be little to no fault when processing the proper codes.

The way we plan on eliminate the supply of methamphetamine in the US is by Med Code. Med Code is a data base program that tracks every time someone buys any over the counter medicine that has the ingredients of Pseudoephedrine or Ephedrine in it. The reasoning for tracking these to ingredients is because they are two of the most common ingredients used to make meth. How Med Code works is ever store will be equipped with an ID scanner. Every time someone buys any over the counter medicine they will have to get there ID scan. If the medicine they are buying has the ingredients of Pseudoephedrine or Ephedrine in it there name will go into the data base program Med Code and will be logged. This data base program Med Code will flag anyone that has

As of now, CPT Evaluation and Management (E/M) codes are better. This is because it is very detailed, scrutinizes to a greater extent and is an effective way of maintaining accountability. I also believe that the way it takes into account the level of history, examination and decision making seems reasonable. Though there are challenges attached such as complexity to have consistent accuracy and many more, it must be kept in mind that our system of medical practice is very diverse/complicated and bringing accuracy (100%), standardization, uniformity may take due course of time.

According to Saldana (2016), coding in qualitative analysis frequently refers to a word or a passage of text that symbolically attributes essence- capturing, salient, summative, and / or evocative attribute for a passage of text or visual information (p. 4).