As you know, people get a medical insurance to reduce the cost of medical expenses. Mostly, people get a family insurance to prevent medical sufferings overnight or at any time. But, you think how the insurance companies recognize the expenses for particular treatments. They provide the claim as per medical codes.
Medical coding is the right process in which all the numerical codes are mentioned to represent the medical diagnosis or procedure in the bill. For the purpose of medical coding or billing, there are three kinds of coding manuals are used. It contains the list of codes that are mentioned by the medical coder. As well, the medical coder can claim the bills. Particularly, all these mentioned below codes are applied to the medical coding. It is the right systematic approach of medical coding to get the claim.
The use of ICD 9 diagnosis codes
These codes are represented by the patient come for the health services. Code 462 represents for the diagnosis services. This code applies to the medical bill then it tells the insurance company about the patient was seen for this particular complaint.
CPT or procedure codes
These codes are used to tell the insurance company the procedures performed on the patient. As per medical coding rules, code 99213 is used to mention the office visit in a typical way. When the Coder mentions the 99213 on a claim then it goes to the insurance company and the medical provider gets the office visit of mid-range.
Supply or HCPCS codes
These codes are mentioned about the miscellaneous services or supplies given to the patient on the day of treatment. These codes are not included in the claim because it includes supplies or other services. Even so, it is not mentioned in the CPT book including ambulance transportation or other medical equipment. The medical providers get the bill for CPT codes because they want to represent the right services or supplies provided to the patient. In the coding, each code mentions the individual charge. These codes are separated by the insurance company to check out which services are provided to the patient. It means the provider who doesn’t pay a bill for diagnosis.
Are insurance companies making payments as per medical codes?
Do you want to know what a medical coder does? As well, you have to know about the right process of medical coding when you visit the website. The medical codes tell about the insurance company. Even so, it’s told on which date it is performed. As per insurance reviews a home, tell about the patient benefits for the amount of payment. Reported codes also help the insurance company to deny the payment based on the treatment that is not valid.
Additionally, the insurance company will also deny the claims that are not right coded. Make sure, codes are perfectly mentioned as per the rules of CPT, ICD 9 or HCPCS. It is the responsibility of medical coders to mention or apply are the right codes.