How the Internet is Reshaping Medical Coding and Billing

Since the Internet is affecting (usually for better) every industry, why should it come as a surprise that Medical Billing and Coding Library is now heavily dependent on the Internet? Actually, a number of important challenges and changes in the healthcare industry, and in technology as a whole, are pushing medical coders and billers against a wall. The internet, as it turns out, may be just what the doctor ordered in terms of a practical, long-term solution.

There is a move, for example, to go from paper to electronic medical records. Printed material, for one thing, is getting more expensive to produce, thus prompting the use of electronic documents and mobile electronic devices (i.e., digital pads, smart phones, etc.). Most importantly, the ICD-9-CM (International Classification of Diseases) will soon be replaced by the substantially different and larger ICD-10-CM/PCS.

As a general rule, medical coders and billers have had to utilize, on a daily basis, several cumbersome, heavy coding volumes in order to do their job. Needless to say, this has been expensive and inefficient, considering the huge number of codes (different for each code book) coders are forced to use and the fact that the codes keep changing and increasing in number.

With ICD9 to ICD10 Translator , the codes will increase from 17,000 to possibly as high as 155,000 and will include extensive revisions including:

  • Codes will be more specific and will cover new diseases and procedures.
  • The new system will bring about more efficient payment for services provided.
  • Medical outcomes/processes should be easier to evaluate.
  • More detailed records will be created.
  • Codes will go from numeric (usually 5 digits) to alphanumeric (7 characters).
  • Coders/billers will also have to start complying with HIPAA 5010 (related to electronic records).

Due to these extensive changes to the code sets used to report diagnoses, coders and billers will need better coding tools made available to assist in the code selection process. Coding search organizations and software tool builders will be creating programs that will aid the medical coder and biller in performing their tasks.

One such organization, FindACode.com, for example, has created a number of very useful tools that can help coders/billers perform their jobs more efficiently. Some of the tools available to coders through FindACode.com include:

  • Extensive and detailed search
  • Medical Codes Index Searching  and search capability
  • Detailed code descriptions and layman descriptions
  • Code building
  • Code list building
  • Additional personalization tools like code-specific notes and fee schedules
  • Industry-leading validation tools
  • Fee schedules
  • NCCI validation and more

In addition to conducting real-time, as-needed, on-the-move (if necessary), code searches (faster and much more conveniently than through the use of code books), the average online medical coding tool includes benefits such as the following:

1. Medical terminology (anatomy and physiology) refreshers, tutorials and lookups.
2. Electronic versions of most popular coding texts:
a) Current Procedural Terminology (CPT)     b) Healthcare Common Procedure Coding System (HCPSC)     c) International Classification of Diseases (ICD), etc.
3. Governmental guidelines on how to best comply with the Health Insurance Portability and Accountability Act (HIPAA), especially in reference to version 5010.
4. Opportunity to download or purchase new software that can help coders do their job better or more easily.
5. Guidance in how to best comply with Medicare provisions and specifications.
6. Opportunity to renew or seek new certification in order to comply with legal and employer requirements.
7. Staying in touch with the latest news in the industry through special newsletters, blogs, professional discussion forums, and conferences.
8. Opportunity to be informed of most current code changes.
9. Receiving “coding alerts” that can prevent payment problems and billing denials.
10. Chance to use industry trademarked systems like Build-A-Code, Click-A-Dex, and NCCI Edit Validator.
11. Staying in touch with sensitive, constantly-changing malpractice issues, procedures and guidelines.
12. Staying abreast of the latest demands in such special categories as:     a) Diagnosis Related Groups (DRGs)     b) Ambulatory Payment Classifications (APCs)     c) Provider Taxonomy Codes

Notwithstanding all the benefits that can be derived from the average online medical coding tool, the fact remains that medical coding and billing as a profession has some great challenges ahead of it. Not only will new healthcare laws change the playing field, but the massive changes that American society is undergoing will also bring about tremendous challenges.

Will the government, for example, be able to continue to properly fund Medicare? How will the growing number of uninsured Americans affect the healthcare industry? What about fraudulent healthcare claims—how will this affect the medical coding/billing profession? How will the new Healthcare Reform Law play out in the future or will it be repealed?

After all, over five billion claims for payment are processed in the US each year. This massive amount of paperwork demands a medical coding workforce that is not only conscientious but competent and well-prepared for the many changes coming.

To that end, you, the professional coder and biller, need to avail yourself of all the tools available (especially online) in order to maximize your efforts. By doing the best possible job, you can help society keep healthcare costs low, prevent costly foul-ups, help reduce fraud, and make sure patients get well-orchestrated, fair, and cost-effective medical care.


David Berky is CIO of Find A Code, LLC. For more information about ICD-10-CM, ICD-10-PCS, and medical coding and billing please visit FindACode.com where you will find the ICD-10 code sets and the current ICD-9-CM, CPT, and HCPCS code sets plus a wealth of additional information related to medical billing and coding.

Get A Ganglion Cyst Treatment For Your Own Good!

There are many kinds of diseases that you can find today. Even there are many diseases that are found these past few years that did not exist before. This shows that people tend to live unhealthy and the lifestyle of people also have changed, and it seems worse. The diseases vary from the light one to severe ones. When it comes to severe ones, it is usually life-threatening and needs immediate treatment. Severe diseases really should not be underestimated under any circumstances. You don’t want to do that.

However, there are also light diseases that are not threatening yet they are annoying. Some of them are not even a disease but people think that they are. For example, a ganglion cyst is a swelling that has some liquids inside it. Well, for some people, ganglion cyst is not dangerous and they will go away after some time. It is not necessarily something that we have to take just like that. When it comes to gangalion cyst, you should get a ganglion cyst treatment that can make it healed even faster. You would not want any trouble regarding your body that you would regret just because you don’t get any treatments.

If you want to know h how to treat a ganglion cyst, you can read thoroughly on the website,

i-amperfectlyhealthy.com/GanglionCyst.html. Here you will find many things about ganglion cyst that you can see how it actually works and whether theare people that were sucessfully treated. One of the ways that is recommended is by consuming premium calcium drink that is recommended by the website. there are people that have consumed the calcium and they felt the difference. You can read the testimonials on the website as well. A ganglion cyst wrist treatment is simple If only people want to know about it and get themselves treated.

Do Not Underestimate And Treat Your Acne!

Nobody likes having acnes on their face. This is due to the fact that acnes are dirty and it really makes one feel uncomfortable, whether when they touch or see their own face. Therefore, many people try to find ways to make the acnes on their face go away. Not just for women, men also do not like having acnes and feel annoyed with acnes on their face. In other words, both women and men want to look good and have soft and clean skin that make them feel comfortable with. There are many causes of acne and for you who have experienced it must know why. You can get acnes from not washing your face routinely and thouroughly, so that dirts that are sticked on your face are not really cleansed so that they grow on your face becoming acnes. Also, acnes can show up if you get lack of sleep for many days or routinely. Even there are people that can get acnes easily when they don’t get enough sleep in one night. Food is also one thing that can affect your body to grow acnes. This usually happens when you eat something that your body should not eat. To know this, you can consult a doctor.

Beside all the reasons mentioned before, you should know that what actually causes acne as well. So, for you who like to wear hat daily and have sensitive skin, it would be easier that you get acnes than people who don’t. This is due to the fact that when you wear hat, the front side touches your forehead, and your hat must be not always clean as you wear it. Also, sweat that comes from wearing hat can cause very severe acne. Acnes should not be underestimated. The cause of acne should be taken seriously.

Start Protecting Your Car Now!

Today, if you notice, there are more accidents that have happened recently. Of course, there are many different reasons behind it. There are those whose cars were sabotaged, there are pure accidents because of carless driving acts, drunk people driving around and so on. Despite the causes, accidents are accidents and when it happens it must cause a damage, big or small.  That also means that it causes you money. Imagine if your car is damaged. That means you have to fix it using your money. Well, it must be really not nice to fix something that is damaged, whether it is caused by yourself or someone else. After you experience something like that, you probably would care for your car even more.  Well, why start then? You can start caring for your car by using car cover right now. This is one of the ways to protect your cars from dirt and stain so that your car always look in its best shape and color. Cars are purchased with a lot of money so that we should take care of it and not waste our money for something that we do not take care of. So, if you have a car or even more, you should make sure that you use car cover to protect your car and to make your car always shines as it should be. You can get high quality car covers easily buy purchasing on ormcarcover.com. What are you waiting for? Visit website and get yours now!

 

Get Your Family Protected Financially With Life Insurance

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Today, it is important to have a life insurance. This is due to the fact that having one can help you financially when there are inevitable things that happen. For example, let’s say that you pass away all of the sudden and you have a family that counts on you. Of course, you don’t want them to be left financially insecure. However, nobody knows when they are going to pass away, so that it could be considered wise to prepare long before it happens to make sure that your family is financially secure. This is important especially if you are a husband and father or a single parent. Not only that, if you have elders or other people that you want to protect financially, you can also use this insurance.

The policy based on the insurance company and the agreements made on the date you buy the insurance. So, before you decide to buy a life insurance, you should know your reason why you are going to get one and what you want to cover with the insurance. You can consult with the life insurance consultant provided by the company and ask the details about the life insurance quotes that you are interested in.