Medical Coding
It is said that medicine is a “calling,” but healthcare is a “business.”
Module 6: Coding and Reimbursement
Abstracting
Chart abstraction is the process of collecting important information.
Code Sets
Here are the types of coding sets.
Evaluation and Management Codes (E/M)
Patient visits are the foundation of most physician practices.
Categories of E/M
Some categories (such as Office Visits) also have subsections.
Evaluation and Management Codes (Key Components)
Three components determine the appropriate billing level.
Importance of Good Documentation for Reimbursement
Good documentation should include answers to the following questions.
E/M Coding and EHR
Electronic health record (EHR) systems can help doctors improve their documentation and coding.
Coding Fraud and Abuse
Be careful of two issues that can be viewed as coding fraud or abuse.
Medical Necessity
In order to be reimbursed by an insurer.