Inpatient Hospital Coding Career Opportunities #career #in #medical #coding


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Inpatient Hospital Coding Career Opportunities

Medical coders who work in the inpatient hospital setting utilize a different skill set than medical coders in other healthcare settings. The rules that govern medical billing and medical coding in hospitals require that a specific skill set be practiced that is different from those used by other professional medical coders and professional medical billers. Because the financial transactions that result from the decisions that inpatient hospital coders make have a greater monetary amount than outpatient professional coders, hospital medical coders need additional training and experience to be at the top of their field.

Because the amount of money involved in each inpatient hospital claim is so much greater than claims in an outpatient setting, inpatient hospitals are subjected to greater scrutiny for accuracy of the codes reported for appropriate reimbursement. When a medical coder translates a routine follow-up visit to a doctor into code for a patient covered by Medicare Part B, the dollar amount for an average office visit is reimbursable at an average rate of about sixty dollars, according to the published Medicare Part B fee schedule. An equivalent, average inpatient stay can cost several thousand dollars, depending on the patient’s condition.

Because of the amount of money involved in inpatient reimbursement for healthcare services, audits of medical records by third-party payers is more frequent in the inpatient environment. Recovery efforts to detect fraud and abuse tend to focus on high-dollar claims, and both government healthcare programs and commercial healthcare insurers monitor inpatient claims more closely for this reason.

Hospitals Hire Quality Candidates

Medical coding in the inpatient setting falls under the field of Health Information Management (HIM). The coding departments of large hospitals fall under the larger scope of an HIM department. This makes sense, since medical coders are in the business of translating the information contained in a patient’s medical record into the language of universally standardized medical code. With legal and contractual obligations in effect to ensure correct healthcare claim submission, hospitals look for candidates who have successfully completed a formal education program to fill open positions in the coding department.

Many hospital coding positions require that a candidate possess professional credentials. They can be Certified Professional Coders-Hospital Outpatient (CPC-Hs) through the American Academy of Professional Coders (AAPC), or they can be Certified Coding Specialists (CCSs) though the American Health Information Management Association (AHIMA). Other professional bodies offer professional coding credentials, but these two bodies offer the most common credentials that employers seek.

In order to obtain these credentials, professional medical coders must pass a written examination to earn the privilege of putting these initials after their names. The examinations cover a gamut of coding and legal issues that professional medical coders are likely to encounter in the field. In addition, after passing the written exam, certified coders must complete Continuing Educational Units every year to prove that they remain conversant in the many issues and changes that effect healthcare reimbursement on an ongoing basis.

Many inpatient hospital coders possess a bachelor’s degree in HIM. While this may not be required for every position, more and more, hospitals require a bachelor’s degree or, at least, equivalent experience. Without adequate formal training, entering the rarified and well-paid world of hospital coding is difficult, at best.

Education Through Experience

While it is possible to get a masters’ degree in HIM, the truth is that this is usually reserved for management positions. After completing a program of study and obtaining certification as a professional, medical coders in the inpatient environment learn on the specific of a particular specialty on the job. Every hospital has systems and protocols in place to assign appropriate codes to describe provided services.

Each hospital also has established documentation standards that are required to be met for services to be billed accurately. Because third-party payers are active in preventing fraud and abuse of the healthcare reimbursement system, and because inpatient services are billed correctly. Professional medical coders are familiar with the ins and outs of federal regulations and commercial payers’ requirements due to their schoolroom training. Once in the field, they become familiar with how each hospital’s compliance department implements these requirements on a specific, case-by-case, basis. Through practice, inpatient medical coders become proficient in the many details that go into reporting medical information.

Other Coding Roles in the Inpatient Setting

The majority of inpatient medical coders work actively with patients’ medical records and the software designed to assign codes. Once they have proven their mastery of the system, there are opportunities for advancement. The next rung up the career ladder is for talented medical coders to enter a hospital’s compliance department, which is usually separate from the HIM department.

Medical coding and billing compliance consists of monitoring how and when codes are assigned. Compliance coders audit individual medical records for coding accuracy. The nature of an internal audit can be focused on one provider or service, or it can be a general audit in which medical claims are randomly selected over a wide range of specialities. Codes are compared to the available documentation. The purpose of these audits is not only to insure correct billing practices, but also to improve documentation on an institutional level. Compliance auditors report their findings to individual healthcare providers and department heads.

When deficiencies are uncovered, compliance auditors conduct educational sessions with healthcare providers to explain an organization’s documentation standards, and to expand a provider’s knowledge of relevant, universal coding rules.

Healthcare providers are trained to deliver medically necessary services. While they receive training in proper documentation, they rarely receive training in coding, aside from the outreach of a hospital compliance program. Healthcare providers rely on professional medical coders to be aware of the many issues involved, and to keep them abreast of changes in the industry. Accurate coding reflects the quality of available documentation, just as the quality of the documentation may reflect the quality of the care being provided.

Coding compliance audits can also be used to track the utilization of services within a healthcare facility. If certain codes are used infrequently, this will indicate that the services the codes describe, while available, may not be appropriate to a given patient population. By tracking code usage, a hospital’s finance and medical departments can conduct a cost-benefit analysis to determine if a service is vital to the hospital’s mission, or if it should be discontinued, or if it should be moved to another location. Likewise, a surge in code usage can indicate a need to expand a particular segment of the hospital’s activity to meet demand.

Because of the granularity of data represented by medical codes, they can be used for much more than reimbursement for services. This is why accurate code assignment is essential to the successful performance of a medical coder’s job. Inpatient medical coders who excel in the basics of their profession are prime candidates for promotion into hospital operations that involve more than just reimbursement issues. Since coding compliance is a discipline that performs oversight of day-to-day operations, compliance coders are usually considered to be filling a managerial-level position. The pay is generally higher than that earned by coders who do the routine work, and the positions they hold are reimbursed on a salary, rather than an hourly basis.


Billing Workers – Compensation #medical #coding #and #billing #course


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Billing Workers Compensation

Worker’s compensation, also known as workman’s compensation or workers’ comp, is a specialized type of medical insurance that covers treatment for injuries incurred on the job. Commercial workers’ comp policies may be purchased by employers, though in some states, the policies and programs are administered by the states. Professional medical billers are aware of the workers’ comp plans in their states, the requirements and guidelines necessary for billing these medical claims to these plans, and the plans limitations.

Unlike most other health insurance policies, workers’ compensation medical claims are processed manually. The industry standard for most other third-party payers is for medical claims to be processed automatically through electronic data interchange. Because of the specific nature of workers’ comp, greater oversight is administered by the plans to ensure that the treatment received is work-related and injury-specific. This article provides general information that is not exhaustive. Benefits vary by geographical location and type of coverage offered.

The Workers’ Comp Process

When an employee is injured on the job, he or she files a claim with his or her employer’s workers’ comp carrier. This is handled through the employer’s Human Resources Department, and this is usually the end of the employer’s involvement in the process, though some companies do administer their own workers’ compensation policies.

Once a claim is filed, the date of injury is established and the employee is assigned a claim number. This number acts as the equivalent of an insurance ID number when filing medical claims for reimbursement. The employee is also assigned an adjuster by the workers’ compensation carrier. An adjuster is a specialist who coordinates the employee s care, authorizes treatment, and reviews the employees progress to full restoration of their former health status.

A workers’ comp adjuster may authorize services from the employee’s regular primary care provider, or the employee may be directed to receive medically necessary services from the carrier’s own network of providers.

Workers’ Compensation Medical Claims

Once authorization is obtained, the employee becomes a healthcare provider’s patient for the course of care. The patient provides his or her claim number, the date of injury, and the information required to file a claim to the appropriate payer. The patient’s private health insurance is not billed for services that are covered by workers’ compensation, however, non-related services that are received in conjunction with authorized services are billed to the patient’s own insurance.

Armed with the required information, the provider or the provider’s staff works with the adjuster to develop an appropriate treatment plan with set goals to restore full function to the patient.

As with other healthcare claims, workers’ comp claims are submitted using the CMS-1500 claim form. Unlike other healthcare claims, workers’ comp claims do not normally have an equivalent format to allow for electronic submission. This is because workers’ comp claims are submitted with a copy of the office notes that document the treatment that is described on the healthcare claim.

When completing the CMS-1500, medical billers fill in the fields that indicate that the patient’s condition is work-related, and the date of injury is included. Instead of an insurance ID number, the patient’s claim number is supplied to the payer to ensure that the appropriate injury is being treated and paid for. When commercial or government healthcare plans receive claims that are marked as work-related, these claims are put on hold until the insurer can determine if workers’ compensation will cover the costs of services provided.

Processing Workers’ Comp Claims

When a paper CMS-1500 is received with the appropriate progress notes, the adjuster reviews the charges and supplied documentation to ensure that the services were related to the injury in question, and to ensure that the services were previously authorized as conforming to the agreed-up treatment plan. Services that are unrelated or unauthorized are denied payment, and the patient cannot be held liable for the expenses incurred. These charges cannot be billed to the patient’s personal insurance since they occurred under the jurisdiction of the workers’ comp plan.

When the charges are found to be appropriate, the adjuster reprices the charges in accordance with the carrier’s fee schedule. Like other insurance coverage, healthcare providers are not allowed to bill patients for the balance between the fee schedule and the full amount of charges submitted. Workers‘ comp insurance does not normally include co-insurance or co-payments. Instead, providers agree to accept the fee schedule rates as payment in full for services rendered.

Like other healthcare claims that are submitted on paper via the mail, claim turnaround time from submission to payment is typically forty-five days. Workers‘ comp healthcare claims require greater attention to detail than commercial claims submitted electronically. The CMS-1500 must be completely legible and all fields must be completed with the claim form aligned with the printer. Misaligned claims may prevent claims from being legibly scanned upon receipt, and correct information in the wrong fields may delay processing. Additionally, since copies of a provider’s progress notes must accompany each claim form, the copies must be legible, they must be complete, and they must pertain to the codes included on the form. Submitting claims without appropriate documentation will delay prompt payment.

Many medical practices do not encounter workers’ compensation claims due to the nature of their specialty. Other specialties, such as orthopedics or physical therapy, deal with workers’ comp companies on a regular basis. Professional medical billers have the training to deal with a wide variety of third-party payers. Even in offices that do not see a large number of workers’ comp patients, well-trained billers are prepared to deal with the contingencies and needs of workers’ comp claims, and to receive reimbursement for medically necessary services.


Medical Billing – Coding Schools in Louisiana #certified #coding #classes #online


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Medical Billing and Coding Schools in Louisiana

Medical Billing and Coding Jobs in Louisiana

Three significant employers of medical billing and coding professionals in Louisiana are:

Abbeville General Hospital

  • Address: 118 North Hospital Drive, Abbeville, LA 70510
  • Email Address: Click here to access their contact form.
  • Phone Number: 337-898-6118
  • Website: www.abbgen.net

Abbeville General opened with 40 private rooms in 1935 under the name Palms Hospital. A handful of physicians purchased the hospital in 1945 and ran it for more than 20 years. Today, Abbeville General is a 60-bed care facility, offering a variety of services such as behavioral medicine, cardiopulmonary, diagnostic imaging, 24-hour emergency care, infection control, surgical inpatient care, and obstetrics. Benefits include ten paid vacation days per year, sick leave one day per month, life insurance, group health insurance, participation in the Abbeville General Retirement Plan, and much more.

Alexandria VA Medical Center

  • Address: 2495 Shreveport Highway, Pineville, LA 71360
  • Email Address: Click here to access their contact form
  • Phone Number: 1-800-375-8387
  • Website: www.alexandria.va.gov

Alexandria VA Medical Center played a large part in assisting victims of Hurricane Katrina due to its location. They have a DIGMA (Drop In Group Medical Appointments) clinic, a Social Detoxification Residential Treatment Program (SDRT), a homeless program, community residential care, an adult day care program, and more. Benefits of working at Alexandria VA include sick time, bereavement leave, retirement plans, 12 paid vacation days per year, tuition assistance, and more.

Allen Parish Hospital

  • Address: 108 6th Avenue, Kinder, LA 70648
  • Email Address: Click here to access their contact page
  • Phone Number: 337-738-2527
  • Website: www.allenparishhospital.com

Allen Parish is a specialty and acute care facility offering a range of services: emergency, general surgery, primary care, psychiatric recovery, respiratory care, telemedicine, and specialty clinics. Benefits of working at Allen Parish, for full-time employees, include major medical insurance with prescription benefits from the first day of employment, employer paid life insurance in the amount of $10,000, dental, life, and vision insurance, AFLAC, 457b retirement plan (State of Louisiana deferred Compensation Plan) with employer match, paid time off, an extended illness bank, and more.

Medical Billing and Coding Salary in Louisiana

Louisiana s job market shows encouraging signs of recovery thanks to its position in the energy and oil business, which has consistently generated jobs in the state, according to U.S. News World Report . Also, business- and research-friendly tax credits available in Louisiana make it an attractive home base for new businesses, medical research centers, and hospitals. Significant growth in Louisiana s medical and research industry is expected, which is an exciting prospect for medical professionals at every level.

As Louisiana s medical industry grows, more opportunities in medical billing and coding should become available. Medical billing and coding is one of the fastest-growing medical industry professions with a projected growth of more than 20% over the next few years, according to the U.S. Bureau of Labor Statistics (BLS) .

Salaries for medical billing and coding professionals in Louisiana can vary widely. To be eligible for more advanced positions in the field, many professionals earn the AAPC certification for medical coding and billing. A credentialing exam is required to complete the certification and some online preparation programs include the exam as part of the course.

Top Cities in Louisiana for Medical Billing and Coding Careers

The list below is of the top Louisiana cities for medical billing and coding professionals. The information comes from the BLS .

New Orleans – Metairie – Kenner, LA

Not surprisingly, Louisiana s largest city employs the largest number of medical billers and coders, having 580 total. Their average annual wage is $32,600, or $15.67 an hour. The 10th percentile of coders earn $24,410, while the 90th percentile earns $44,660.

  • Baton Rouge, LA

    Baton Rouge employs 470 medical billers and coders, and they earn an average of $30,830 per year, or $14.82 per hour. The 10th percentile makes $19,100, which is the lowest in the state for this category of workers, but the 90th percentile makes $46,390, which is among the highest in the state.

  • Lafayette, LA

    There are 200 billers and coders in Lafayette making an average of $31,610 per year, or $14.72 per hour. The 10th percentile of workers makes $20,540, while the 90th percentile makes $45,680 per year.

  • Alexandria, LA

    Alexandria has just 100 medical billers and coders earning $14.81 per hour, or $30,810 annually. The 10th percentile earns $17,980 and the 90th percentile earns $51,360, which is one of the highest salaries for this field in the state.

  • Shreveport – Bossier City, LA

    Despite Shreveport – Bossier City having a high number of medical billers and coders, 340, workers in this area receive among the lowest wages. On average, they earn $12.54 per hour, or $30,230 annually. The 10th percentile earns $18,420 while the 90th percentile earns $47,250.

  • Houma – Bayou Cane – Thibodaux, LA

    This three-city area is home to 130 medical billers and coders that make an average of $12.74 per hour and $26,500 per year. The 10th percentile earns $18,360, while the 90th percentile earns $38,280 annually.

  • Monroe, LA

    Monroe s 90 billers and coders earn $27,910 per year, which is equivalent to $13.42 per hour, on average. The 10th percentile of workers makes $18,410 per year, while the 90th percentile earns $37,600 per year.

  • Lake Charles, LA

    The 90 medical billers and coders in Lake Charles earn $13.94 an hour, or $28,980 per year. The 10th percentile makes $19,910. The 90th percentile makes $40,510 annually.

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    Medical Billing and Coding Schools in Florida

    Medical Billing and Coding Jobs in Florida

    Four significant employers of medical billing and coding professionals in Florida are:

    Advanced Dermatology Cosmetic Surgery

    • Address: 4728 N Habana Ave #300, Tampa, Florida 33614
    • Phone Number: 866-400-3376
    • Website: www.advancedderm.com

    Dr. Matt L. Leavitt founded Advanced Dermatology Cosmetic Surgery in 1990. Today there are multiple offices throughout Florida offering expertise and quick care. Their specialties involve complete care for the skin, nails, and hair, including cosmetic procedures like collagen injections and vein therapy. In addition to experienced dermatologists and physician assistants, there are licensed aestheticians that pamper the skin.

    Mount Sinai Medical Center

    • Address: 4300 Alton Road, Miami Beach, Florida 33140
    • Phone Number: (305) 674-2121
    • Website: www.msmc.com

    Mount Sinai Medical Center (MSMC) was founded in 1949. It is the largest, private, independent, not-for-profit teaching hospital in South Florida. U.S. News World Report has named it one of America s top hospitals. MSMC has more than 3,000 employees, including more than 700 physicians. MSMC is proud to offer a competitive salary and benefits for employees.

    Tallahassee Primary Care Associates

    • Address: 1803 Miccosukee Commons Drive, Tallahassee, Florida 32308
    • Email Address: R a a s e i r a . m
    • Phone Number: (850) 942-6624
    • Website: www.tpcadocs.com

    Tallahassee Primary Care Associates is a physician-owned group medical practice that was formed in 1997. Physicians still have individual offices, but they also have the added benefit of ancillary programs and services. Today, Tallahassee Primary Care Associates has 40 physicians and caregivers and 250 staff members who care for more than 80,000 patients.

    Boca Raton Regional Hospital

    • Address: 800 Meadows Road, Boca Raton, Florida 33486
    • Phone Number: (561) 955-7100
    • Website: www.brrh.com

    Founded in 1967, Boca Raton Regional Hospital has grown to include 800 physicians, 2,000 nursing and support staff employees, and 1,200 volunteers. Its mission is to provide the community with high quality and cost effective healthcare. Accredited by the Joint Commission on Accreditation of Healthcare Organizations, this not-for-profit hospital is set in the heart of the community just minutes from the beach.

    Top Cities in Florida for Medical Billing and Coding Careers

    Below is a list of the top cities in Florida for medical billing and coding professionals. It includes data provided by the BLS .

    Lakeland-Winter Haven, FL

    There are only about 440 medical billers and coders in the Lakeland-Winter Haven metropolitan area, but they earn high hourly and annual wages at $21.06 and $43,810, respectively. The lowest 10% of wage earners only earns an average of $20,370 annually, while the top 10% of earners makes $70,900 annually.

  • Crestview-Fort Walton Beach-Destin, FL

    The Crestview-Fort Walton Beach-Destin metropolitan area employs 90 medical billing and coding professionals, who average hourly and annual salaries of $17.01 and $35,380, respectively. The top 10% of earners makes an average of $54,400 annually, while the lower 10% makes about $20,950 annually.

  • Gainesville, FL

    The 270 medical billers and coders in Gainesville make, on average, about $18.30 an hour or $38,070 annually. The lowest 10% of earners makes $23,970 annually, while the top 10% brings in $54,410.

  • Tallahassee, FL

    The 130 Tallahassee medical billers and coders make around $33,800 annually or $16.25 an hour. The lowest 10% earns $20,930, while the top 10% makes $52,670.

  • Naples-Marco Island, FL

    The Naples-Marco Island metropolitan area employs 80 medical billers and coders. The highest 10% makes $50,050 per year, while the lowest 10% earns $24,600 per year. The average worker makes an annual wage of $36,150 or an hourly wage of $17.38

  • Miami-Fort Lauderdale-Miami Beach, FL

    The Miami-Fort Lauderdale-Miami Beach metropolitan area employs the most medical billers and coders in the state: 3,480. The average worker s hourly wage is approximately $17.29, and the average annual wage is $35,950. The highest 10% of earners makes $59,390, while the lowest 10% of earners brings in $21,120 annually.

  • Jacksonville, FL

    The city of Jacksonville is home to 750 medical billers and coders who make an average hourly wage of $16.04 or an annual wage of $33,360. The lowest 10% of workers makes $20,760 annually, while the top 10% makes $48,920 annually.

  • Pensacola-Ferry Pass-Brent, FL

    There are about 230 medical billers and coders in the Pensacola-Ferry Pass-Brent metropolitan area. The average earner makes $15.67 per hour or $32,590 annually. The lowest 10% of earners makes $18,820 annually, while the highest bracket of earners makes $52,050 annually, which is third highest in the state.

  • Tampa-St. Petersburg-Clearwater, FL

    The Tampa-St. Petersburg-Clearwater metropolitan area houses 2,020 medical billing and coding professionals. They make an average of $16.40 hourly or $34,100 annually. Those in the top 10% of wage earners make $53,730 annually, while those in the lower 10% make $20,110 annually.

  • Orlando-Kissimmee, FL

    About 1,320 medical billers and coders can be found in the Orlando-Kissimmee metropolitan area. They average $16.43 hourly or $34,170 annually. The top 10% earns $50,960 and the bottom 10% earns $22,070 annually.

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    Medical Billing Coding Specialist
    Online Program

    Looking for Medical Billing and Coding Courses that You can take Online? Our Schools Combine Virtual Classroom Experiences With the Convenience You Need

    Southern Careers Institute s online medical billing and coding courses are available to you anywhere with an internet connection! In true SCI fashion, this campus keeps you close to the things that matter to you; your family and your home.

    While this campus is digital in nature, it still has the supportive, family-like environment that Southern Careers Institute is known for. The bottom line is that SCI’s Medical Billing Coding online schools offer the same level of training, and assistance, as you d receive inside a classroom.

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    1.02: What is Medical Billing and Coding?

    Medical billing and coding are two closely related aspects of the modern health care industry. Both practices are involved in the immensely important reimbursement cycle, which ensures that health care providers are paid for the services they perform.

    For the sake of simplicity, let’s divide the two at the moment and look at them as separate pieces of a larger process.

    We’ll begin with medical coding.

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    Keiser University

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    At Keiser University, you can schedule classes at your convenience to account for your busy schedule. Degrees are completed 100% online in practical, hands on format to give you the best education for your field. Prepare to begin your career in today’s health care billing and coding systems with the Associate of Science degree in Medical Administrative Billing and Coding from Keiser University.

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    Video: What is Medical Billing and Coding

    In this video we’ll look at the most basic elements of the billing and coding process and show how to interact with healthcare providers patients and insurance payers

    1.02: What is Medical Billing and Coding?

    In this video, we’ll look at the most basic elements of the billing and coding process, and show how to interact with healthcare providers, patients, and insurance payers.

    Expand your medical billing and coding education with the MB CC E-book.

    Find the program for you

    Search our directory of all medical billing and coding schools

    Medical Coding

    Medical coding, at it’s most basic, is a little like translation. It’s the coder’s job to take something that’s written one way (a doctor’s diagnosis, for example, or a prescription for a certain medication) and translate it as accurately as possible into a numeric or alphanumeric code. For every injury, diagnosis, and medical procedure, there is a corresponding code.

    There are thousands and thousands of codes for medical procedures, outpatient procedures, and diagnoses. Let’s start with a quick example of medical coding in action.

    A patient walks into a doctor’s office with a hacking cough, high production of mucus or sputum, and a fever. A nurse asks the patient their symptoms and performs some initial tests, and then the doctor examines the patient and diagnoses bronchitis. The doctor then prescribes medication to the patient.

    Every part of this visit is recorded by the doctor or someone in the healthcare provider’s office. It’s the medical coder’s job to translate every bit of relevant information in that patient’s visit into numeric and alphanumeric codes, which can then be used in the billing process.

    There are a number of sets and subsets of code that a medical coder must be familiar with, but for this example we’ll focus on two: the International Classification of Diseases. or ICD, codes, which correspond to a patient’s injury or sickness, and Current Procedure Terminology. or CPT, codes, which relate to what functions and services the healthcare provider performed on or for the patient. These codes act as the universal language between doctors, hospitals, insurance companies, insurance clearinghouses, government agencies, and other health-specific organizations.

    The coder reads the healthcare provider’s report of the patient’s visit and then translates each bit of information into a code. There’s a specific code for what kind of visit this is, the symptoms that patient is showing, what tests the doctor does, and what the doctor diagnoses the patient with.

    Every code set has its own set of guidelines and rules. Certain codes, like ones that signify a pre-existing condition, need to be placed in a very particular order. Coding accurately and within the specific guidelines for each code will affect the status of a claim.

    The coding process ends when the medical coder enters the appropriate codes into a form or software program. Once the report is coded, it’s passed on to the medical biller.

    Medical Billing

    On one level, medical billing is as simple as it sounds: medical billers take the information from the medical coder and make a bill for the insurance company, called a claim.

    Of course, as with everything related to the health care system, this process isn’t as simple as it seems.

    To get a better look at medical billing, let’s rewind the example we used earlier. Our same patient has a cough, a fever, and is producing lots of mucus. This patient calls the doctor and schedules an appointment. It’s here that the medical billing process begins.

    The medical biller takes the codes, which show what kind of visit this is, what symptoms the patient shows, what the doctor’s diagnosis is, and what the doctor prescribes, and creates a claim out of these using a form or a type of software. The biller then sends this claim to the insurance company, which evaluates and returns it. The biller then evaluates this returned claim and figures out how much of the bill the patient owes, after the insurance is taken out.

    If our bronchitis-afflicted patient has an insurance plan that covers this type of visit and the treatment for this condition, their bill will be relatively low. The patient may have a co-pay, or have some other form of arrangement with their insurance company. The biller takes all of this into account and creates an accurate bill, which is then passed on to the patient.

    In the case of a patient being delinquent or unwilling to pay the bill, the medical biller may have to hire a collections agency in order to ensure that the healthcare provider is properly compensated.

    The medical biller, therefore, acts as a sort of waypoint between patients, healthcare providers, and insurance companies. You can think of the biller, like the coder, as a sort of translator—where the coder translates medical procedures into code, the biller translates codes into a financial report. The biller has a number of other responsibilities, but for now you should simply know that the biller is in charge of making sure the healthcare provider is properly reimbursed for their services.

    Video: What is Medical Billing and Coding

    In this video we’ll look at the most basic elements of the billing and coding process and show how to interact with healthcare providers patients and insurance payers

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    Are you ready for the new ICD-10 codes, which take effect on October 1, 2014?

    Medisoft v19 is only version of Medisoft that is ICD-10 READY!

    ICD-10 Readiness and More The transition from ICD-9 to ICD-10 will significantly impact your practice’s workflow, and Medisoft can help you manage the changes. With Medisoft v19, you can take advantage of several features that are designed to reduce manual entry and minimize the complexity of ICD-9 to ICD-10 mapping. With this release, you will be able to: Enter ICD-10 codes on your diagnosis list Set the code version by insurance carrier so you can continue to use ICD-9 codes for carriers who will not have transitioned by October 1, 2014 Receive a notification if the wrong code is used for a carrier Use a mapping tool based on CMS’s General Equivalent Mappings (GEM) to translate some ICD-9 codes to ICD-10

    In addition to ICD-10 readiness, when you purchase today you get all the billing, scheduling and patient accounting enhancements currently available in Medisoft v19. With Medisoft v19 network pro you be Medisoft Mobile – this no-fee application for the iPad� and iPhone�, you can use your phone or tablet to view your schedule and to transmit charges, diagnosis codes and notes to your front desk or biller.

    Call SLC Software Services for more information special offers, at (513) 922-4303

    Click on orders for order form and pricing.

    SLC Software Services offers McKesson’sMedisoft Clinical EHR Software, training and support.Training is one of the Most Important parts of your Medisoft Software system.Trained and skilled personnel can get insurance claims paid inas little as 15 days rather than a few months.Let SLC Software Services help train your staff.We offer a wide range of reasonably priced training option’s.Internet based training with hands on help and support,On-site training, telephone training support, interactive training CD’s.===============================================Medisoft Clinical EMR/EHR Software and Medisoft Patient Accounting softwareis affordable and meets the needs of small to medium size practices.===============================================Medisoft Practice Choice EHR (Software as a Services) Cloud based EHR

    SLC Software Services is a Cincinnati, Ohio based consulting firm that has served our clients since 1985 and as a Medisoft Preferred Dealer since 1991. SLC Software Services was a Medisoft 5 Star Dealer/Reseller from 1995 through 2000. In November of 2000 SLC Software Services was one of the first ten dealers/Resellers to be Certified as Medisoft Certified Platinum Dealer MCPD. NDC Health purchased the Medisoft company and its products. SLC Software Services is now approved as an NDC Health Platinum Certified Reseller. In 2006 SLC Software was Certified by Per-Se technology’s as Gold Reseller. In 2007 SLC Software Services became a PerSe Certified Platinum VAR/Reseller. SLC Software Services is a Certified McKesson/Medisoft VAR Mar. 2009.

    As a Medisoft Certified Reseller/VAR, we are committed to providing viable, cost conscious solutions for Practice Management Systems. SLC Software Services sells, services and support the full line of Medisoft Software. SLC Software Services has programmers than can offer our customers custom report development and addition program development when needed.

    Our business is rooted in service – our customers are our business. SLC Software Services has provided our customers with support on Medisoft products for many years. Our service area consist of Ohio, Kentucky, Indiana, and many other parts of the US. We can provide telephone support, Web base support via WebEx and/or on-site training and support.

    We have chosen to support, train and sell Medisoft products for the following reasons:

    • Medisoft offers our customers the best value in practice management solutions.
    • Medisoft is everything you need to manage your physician practice more effectively
    • Medisoft is one of the easiest to use medical billing systems around

    Check out our Order from Page for COMPLETE DETAILS AND SPECIALS ON Medisoft version 16 Pricing specials.If you need a quote call 513-922-4303.We will offer all the same special pricing as McKesson (Medisoft) Corp. Special.Call us to check on NON-PROFIT PRICING 501 3c – proof of 501 3c required in order to receive quote.

    For support click here

    McKesson determines pricing, trade-in policies and values for all McKesson Medisoft Products. McKesson requires a valid Medisoft Serial Number at time of trade-in in order to receive Trade-in credit. Serial numbers are retired at time of trade-in. (Retired Serial DOS Serial numbers are not valid for trade-in promotions.) Price is subject to change with out notice. The software is usually upgraded once a year. New version come out normally at the end of March, or beginning of April each year, but this to is controlled by the Manufacture who is McKesson. All Brands and product names are registered trademarks of their respective companies. McKesson is the manufacturer of the Medisoft product lines and is solely responsible for all the software s content and performance, of their products. McKesson controls when and if upgrades and updates will be offered and released.

    All Software Sales are Final. Returns of software are NOT accepted. In keeping with industry standards, we will not accept returns on software. However, if your product is damaged, we will replace it at no charge. Contact SLC Software Services for more information.

    PRICES ARE SUBJECT TO CHANGE WITH OUT NOTICE OR OBLIGATION.

    * Advantage user Licenses are required for Medisoft Network Professional – New or Upgraded

    McKesson completed acquisition of Per-Se Technologies who completed Acquisition of NDCHealth Corporation who completed acquisition of Medisoft corp. http://www.per-se.com/ www.Mckesson.com. www.Medisoft.com

    Find a Medisoft Dealer who is Certified. Medisoft Patient Account software the best value for your dollar. SLC Software Services Medisoft Certified Dealer \ VAR – best prices on Medisoft – Local support training – Cincinnati Medisoft Dealer – Kentucky Medisoft Dealer – Indiana Medisoft Dealer – NDC Health Medisoft Certified Reseller. Ohio Medisoft Dealer – Great prices on Medisoft – Discounts On special services.