Friday, June 3, 2011

What is Medical Coding

Medical Coding is all about determining what services are provided and what the charge for the service is hooked to the service. Every healthcare provider that delivers a service receives money for these services by filing a claim with the patient's health insurance provider or managed care organization. This is also referred to as an encounter. An encounter is defined as "a face-to-face contact between a health care professional and an eligible beneficiary."
Medical Coding
Codes exist for all types of encounters, services, tests, treatments, and procedures provided in a medical office, clinic, or hospital. Even patient complaints such as headache, upset stomach, etc., have codes which consist of a set of numbers and combinations of sets of numbers. The combination of these codes tells the payer (health insurance companies or government entities) what was wrong with the patient and what services were performed. This makes it easier to handle these claims and to identify the provider on a predetermined basis. In addition, the services rendered (CPT) codes have to match the diagnosis (ICD) codes to justify medical necessity.
To do this correctly for each third party payer choices have to be made from a combination of 3 coding systems totaling over 10000 codes, and which change annually. In addition, a completely new coding system, ICD-10, is proposed for reimbursement purposes in the near future.

medical billing training

Why earn your nationally recognized CMBP (Certified Medical Billing Professional) designation?  No other Medical Billing Course or designation available can prepare you for a career in Medical Billing or Medical Billing Business Ownership like we can. Why? Because your instruction comes from Medical Billing Professionals and Business Owners. Other courses hire staff, train them on the material and send them off tomedical billing employee instruct you! Not us.
We not only teach you medical billing, we provide you with actual hands on experience by having you use what you have learned and apply it in a fully functional medical billing software. You will be entering patient data, posting charges and payments, running reports and creating CMS 1500 forms. No other course provides this level of instruction.
Our students love our course because they actually apply what they learn, allowing the student to understand and retain the material.  This method of training provides the student with the confidence they need to be successful in this field.

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"Chapter 7 taught me a lot. It glued all the information together from Chapters 1-6. There's no better way learning medical billing other than hands-on training. I now have a better and clearer understanding of entering data, generating claims, posting payments & running reports!"
-Romika Perez
Medical Billing Course Student