How important it is to have proper billing and coding

How important it is to have proper billing and coding
Anatomy and Physiology I and Anatomy and Physiology II
The process of learning about anatomy and physiology has been important. Not only have I learned new things, but I can also use what I’ve learned in my everyday life. In Anatomy & Physiology I, I learn about the parts of the human body and how they work. This includes all of the body’s cells, tissues, and functions. The neural, musculoskeletal, and integumentary systems are all part of these. The nerve system is the one that I was most interested in. The fact that brain skills and processes are so complicated made me want to learn more about them. In Anatomy and Physiology II, I learned more about the different organ systems, how they are built, and how they work together. I learned how these organ systems are supposed to work. This information was helpful in figuring out what was wrong with an organ system, which led to the discovery of a disease process. Any change from the normal way the body works is a sign of an abnormality that should be dealt with as such.

ICD-10 Codes

The ICD-10 is a list of medical classifications made by the World Health Organization (WHO). It has codes for “illnesses, clinical manifestations, abnormal findings, complaints, social circumstances, and external causes of injury or disease.” (Medical Billing and Coding, 2020). The WHO puts out the standard form of the ICD. The individual states can make changes, though, so that it fits their needs. There are codes for more than 14,000 different diseases, and there is also a way to keep track of new findings. “The ICD-10 is a useful tool because it lets you be specific about the cause, symptom, location, severity, and type of injury or illness” (Medical Billing and Coding, 2020).

ICD-10 is a seven-character code with both letters and numbers. Every code starts with a letter, and then two numbers come next. The first three letters are the category, which tells what kind of illness or accident it is.The number point and the subcategory come after the category. The subcategory is followed by subclassifications that explain the “cause, manifestation, location, severity, and type of injury or disease.” The extension is the last letter in this code. It says what kind of meeting it is, like if it’s the first or second time they’ve met. The word “sequela” is used to describe patient visits related to the effects of an accident or illness that happened in the past. (Medical Billing and Coding, 2020)

In addition to the format, there are other rules that help the coder find the right diagnosis numbers. The “excludes” and “includes” are two of these rules. “Excludes 1” and “Excludes 2” are two more ways to describe the “excludes.” “Excludes 1” has a list of codes that shouldn’t be written in the way described above. (Medical Billing and Coding, 2020). “Excludes 2” has a list of codes for diseases or injuries that may be part of the identified condition but are not included in the code. (Medical Billing and Coding, 2020).

How coding and billing affect hospitals and their patients

Coding and billing are important parts of any medical business and must be done in healthcare facilities. It is very important to be accurate in both areas because it has a big effect on patient safety, getting paid quickly, and making processes more efficient. To do these things correctly and quickly while paying attention to details, you need people with a lot of training. Medical billing directly affects how much hospitals and clinics get paid by insurance companies. (Casto & Forrestal, 2013). It is an important step in sending medical claims and bills to insurance companies. More attention is paid to making sure that patient treatments are coded correctly 100% of the time, since mistakes can cause insurance to be denied and billing to take longer. (Casto & Forrestal, 2013). This makes both patients and health care workers have to do more work and feel more frustrated.

References

Casto, A. B., & Forrestal, E. (2013). Principles of healthcare reimbursement. American Health Information Management Association.

Medical Billing and Coding. (2020). Everything you Need To get started in Medical Billing and Coding. Retrieved from https://www.medicalbillingandcoding.org/icd-10-cm/

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