Hospital Coding Essay

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

The new job title could be a medical coder 1. I choose this new title because the medical coder is a health care professional who analyzes the medical records, medical charts and assigns the appropriate codes. Most of the job’s responsibilities of a medical coder are required for the inpatient and the outpatient coder’s jobs. For example, medical coder’s responsibilities are: reading and analyzing patient records, determining the correct codes for patient records, interacting with physicians and assistants to ensure accuracy, using codes to bill insurance providers, and maintaining patient confidentiality and information security. In addition, the minimum required certification of this job is CPC or CCS and RHIT with at least 4 years of experience. Those certifications are given to a Coder who can read and assign correct diagnosis International Classification of Diseases or ICD-10-CM, Current Procedural Terminology or CPT, supply Healthcare Common Procedure Coding System or HCPCS code for a wide variety of clinical cases and services, and read and assign PCS codes. The skills of this job are same as the skills of the

The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

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.

Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.

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

Medical codes are assigned to procedures and diagnoses to bill insurance companies for the services doctors and other health care workers provide to patients. Diagnosis codes must be correctly linked to procedures to establish medical necessity.

An accurate and specific documentation of universally accepted set of codes are important for the protection of healthcare providers as well as increased reimbursement for services received. These codes are for the validation of which services the patient received from their health care provider ( (Page, 2009). Having the correct codes in place insures the provider with the information needed by the health insurance carrier. Maintained by the AMA (American Medical Association), this universal numeric assignment is also used for developing guidelines for medical care review as well as data collection for medical education and research (Scott, 2013).

The correct coding of claims is vital for informing the insurance payer of what exactly the patient is being treated for as well as the method of treatment the patient is undergoing. Be sure to use the correct diagnosis codes to describe the patient's symptoms or illnesses and the correct procedure codes to describe the patient's method of treatment. Use accurate CPT and HCPCS code modifiers to provide additional information about the service or procedure performed. The insurance payer can only make an accurate

Many people get confused when they hear the terms inpatient and outpatient. An inpatient is a patient hospitalized for more than 24 hours, but the stay can be less, depending on doctor’s orders. An outpatient is a patient that does not stay overnight in a medical facility and goes home. ICD-9-CM diagnosis codes are 3 to 5 digits long (numeric) or can be a letter followed by up to 4 digits (alphanumeric). For example, the code for Hypertension is (401.9), examination of the breast is (V76.10), and struck accidentally by a falling object is (E916). ICD-10-CM diagnosis codes are three to seven digits or characters long. The first character is a letter, and the second to seventh characters are letters or numbers. For example, sprain of unspecified

She or he also needs to be familiar with how to use the International Classification of Disease (ICD) codes, the Current Procedural Terminology (CPT) codes, and the Diagnosis Related Group (DRG), which is used to reimburse hospitals for inpatient stays. These stays are for patients who may have severe injuries, might need more extensive care, or may require admission for twenty four hours, or longer depending on how severe the severity of his or her diagnosis. The in-patient coder will then assign the accurate codes to the medical diagnoses and treatment plans for the in-patient facilities. Next, the coder will then continue to monitor the inpatient stay and must perform coding services for every day that the patient is in the hospital until being

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.

A Hospital approve head covers should be wore at all times by personnel in the restricted and semi restricted area. These head covers should be lint free and cover all head and facial hair, mail personnel with excessive facial hair should wear a beard covers, to prevent bacteria from falling from the personnel onto

Services are provided by highly qualified, cooperating with each other, mutually respectful and stable staff,