Medical coding refers to the act of translating information about a patient encounter from the healthcare information system to create a universal medical alphanumeric code. This code is then sent to the insurance for payment processing. The codes entail details on procedures, diagnosis, equipment and medical services the patient receives during a particular visit. Offshore medical coding refers to medical coding that is not done at the medical facility but rather outsourced to an external offshore service provider.
To ensure that proper coding is done, there should be random medical coding audits periodically of a set number of chartes. Your system must have the right codes assigned to the corresponding services, procedures and commodities. The various types of codes that exist are:
- Current Procedural Terminology (CPT) –Describes medical procedures such as surgeries, tests and other evaluations
- International Classification of Diseases (ICD) – Describes diseases, external causes of illnesses and signs and symptoms patients present with
- Healthcare Common Procedure Coding System (HCPCS) – A code for describing procedures, products, supplies and services offered to Medicare and Medicaid patients
- Diagnosis Related System (DRG) – Used to classify patient cases according to similar use of hospital resources
A medical coding audit will check if all the above codes and their modifiers are being used properly by your hospital or clinic. All codes must be filled appropriately in the billing information sent to insurance companies so as to get payment. There are many other reasons why you should initiate a medical coding audit in your facility including optimized revenues and improved legal compliance.
The success of your healthcare business is tied to the medical coding and billing. You must get it right and the easiest way to do this is through offshore medical coding. Outsource all the coding and billing aspects of the business to professionals who understand all the jargon. This way you can concentrate on what you do best, helping sick people recover! Contact GeBBS Healthcare Solutions and let them handle all your medical billing and coding needs.
