Why Medical Billing

Improved Essays
If I could have any career in the world, it would be a Medical Billing and Coder. I like to help people. I would like to work, at Memorial University in Savannah Georgia. Medical Coding and Billing can help doctors by handling all the paperwork that should be submitted to the insurance companies. They can also help by sending medical bills out to all the patients that have been seen by the doctor.
Medical billing and coding is the act of coding the diagnosis and procedures for the healthcare provider. The doctor gives the specialist the documentation of all the procedures they performed on a specific patient and the specialist then translates it into a specific code for that procedure. When one is a medical coder they spend their day taking procedure documentation as well as looking up the proper codes, and entering that information into their claims software which takes time and most of the paperwork off the doctor’s hands. It also helps the doctor in absences because the medical biller and coder would know the information as well as the procedure.
…show more content…
For example, if one was to get a mole removed, after the procedure is done the doctor will transmit the I formation to the coder and they will put it in a specific cod and then translate it into the insurance code. When that is done the insurance will have no problem obtaining information or payments for the procedure, operation, etc. Furthermore, with each claim that is made there is a diagnosis code which will then eliminate any questions about the medical necessity. Once this is finished each of the forms then will identify the payer and will include the right payer identification number and payer mailing address. This will all eliminate problems on the insurance

Related Documents

  • Improved Essays

    Hcr 220 Week 9 Rcm

    • 443 Words
    • 2 Pages

    RCM unifies the clinical and business side of healthcare using both primary and secondary patient data, insurance, and provider and the revenue cycle is vital in creating compliant and efficient reimbursement processes. The revenue cycle is divided into four which are preclaims activities, claims processing, account receivable and claims reconciliation and collection. The preclaims submission is the first process in the cycle which begins with patient case management and preregistration such as collection insurance information before patient arrives then collecting subsequent patient information to create a medical record number to meet financial, clinical and regulatory requirement and Medicare patient are advised on financial responsibilities if…

    • 443 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    ICD-10 (Icd-9)

    • 715 Words
    • 3 Pages

    Only a portion of those codes affect any given specialty. Identifying and documenting the GEMs that affect the practice will save time and effort. Tie the codes with the published guidelines. Each code, or section of codes, has certain guidelines the provider and coder must follow as far as documentation. No one is going to memorize all the guidelines for every code.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    CAT Scans, ultrasounds, mammograms and regular x-rays are common in the healthcare system. To a patient, these are normal tests that one may experience during their life. However, in the world of medical billing and coding, these are not any regular test. These and other tests completed by the radiology department are coded unlike most treatments. Radiology coding is often billed by technical and professional components.…

    • 477 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Discuss the CPT guidelines, modifiers, and add-on codes. Reviewing and understanding the basic of the CPT manual is the first step to becoming an effective medical biller and coder. And guidelines are the rules for CPT coding and give the biller and coder useful information on how to select and apply codes. Coders should always read the guidelines for proper coding selection. The guideline contains definitions of terms, applicable modifiers, explanation of notes, subsections information, unlisted services, special reports information, and clinical examples.…

    • 564 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Medical Biller Role

    • 62 Words
    • 1 Pages

    I didn't realize how big of a role the medical biller played in the medical field until I was able to read a little more the jobs that they perform. There are so many things that can go wrong if a facility didn't have a medical biller. They play a big role in the interaction between the healthcare providers and insurance companies.…

    • 62 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    I want to be a well-payed surgeon. This is what I would do if I became a surgeon, I would treat diseases, injuries, minimally-invasive, or non-invasive surgical methods, such as using instruments, appliances, or by manual manipulation. This career is part of the Health Science cluster Therapeutic Services pathway. A person in this career follows established surgical techniques during the operation, they also examine the patient to gather information on their medical condition and surgical risk, they operate on patients to correct deformities, repairs injuries, prevents and treat diseases, or improves or restores patients functions, as well as analyzing patient's medical history, medication allergies, physical condition, examinations results…

    • 288 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    After college I hope to work in behavioral hospitals because, your caring for patients with mental And physical health and hopefully, I can make an impact on someone’s…

    • 469 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Family Theory Analysis

    • 715 Words
    • 3 Pages

    The CPT or Current Procedural Terminology reference book includes a set of codes, descriptions, and guidelines determined by the American Medical Association, used to describe procedures performed by health care providers for billing purposes (Smiley, 2015). The tenth edition of the International Classification of Diseases (ICD-10) reference book provides a system of codes that classifies every disease and health finding identified by the provider, providing more than 68,000 different diagnosis codes (Smiley, 2015). The Healthcare Common Procedure Coding System (HCPCS), is a two-level coding system that identifies health care procedures, equipment, supplies, and to identify various items or services not included in the CPT medical code set (Center for Medicare & Medicaid Services, 2013). For example, if a patient come to the clinic only to receive a vaccine administered by a nurse, the vaccine administration would be the only reportable service (Smiley, 2015). For procedures such as vaccinations, an HCPCS code must be utilized for billing while an evaluation and management code would not be necessary (Smiley,…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    If I could have any career in the world I would be a forensic medical examiner. I remember being in pre-school or kindergarten and so on teachers and parents would ask what we wanted to be when we grew up, being kids everybody would most likely say famous, or president of the United states but as long as I can remember I have always wanted to work in the medical field. Many of my family members worked or, still work in the medical field, I have always looked up to them as a kid. Later, in life I found something else I was interested in. When I started high school I began to enjoy forensics and criminal justice.…

    • 618 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In the future, I would like to become a certified clinical medical assistant. I have always been fascinated by the medical field and knew somehow, I wanted to be a part of it. I love the concept of people helping one another in times of need. When I was younger, I always looked up to the doctors and nurses that have helped me along the way. I was appreciative of the people who were kind and showed compassion towards me when I felt scared or sick.…

    • 753 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    For me nothing would be more rewarding than becoming a physician assistant and providing care to patients so that they may live their lives to the fullest, just like the young boy in…

    • 348 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Medical Assistant The career in healthcare that I’m interested in pursuing will be Medical assistant. This career is really interesting to me because being a medical assistant is being able to help people that need special care and support, also I will be able to work duties at medical offices and clinics. Medical assistants perform a clinical routine and duties under the direct supervision of a physician or other health care professional. They are mainly in outpatient or ambulatory care facilities, such as medical offices and clinics.…

    • 906 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction One thing that is consistent in healthcare is that healthcare is forever evolving. With the concept of evolution one particular area that plays a major role in how healthcare system evolves is revenue and the other is how the healthcare facilities get payment for the services provided. When exploring healthcare services reimbursement there are checks and balances that must take place. The healthcare provider orders services such as radiology and laboratory services just to name a few of the services that can be provided to a patient. Next the facility, whether it being the hospital or doctor’s office sends a claim to the insurance company and depending upon how the healthcare facility has coded the service and the documentation…

    • 1059 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    CPT Procedural Codes

    • 314 Words
    • 2 Pages

    Part 1: Discuss the necessity of understanding the interaction of the CPT procedural codes and the ICD diagnostic codes. Let’s start with the CPT (Current Procedural Terminologies) codes. These (usually) five digit codes are used for reimbursement of medical services and for procedures performed so the facility will get paid by the insurance company (if there is one involved). CPT works hand-in-hand with the ICD-10 diagnostic codes (can be up to seven digits long) which are specific numbers to describe why the patient was seen- diseases, accidents (where and why they happened), pregnancy and possible complications, etc. ICD-10 has a code for practically anything that causes the body harm.…

    • 314 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    My Discourse Community

    • 1352 Words
    • 6 Pages

    My discourse community is a group of scientists who understand a basic set of values and assumptions, and ways of communicating about the goals of being a Medical Laboratory Scientist (MLS). MLS like every healthcare profession requires someone with a big heart who not only shares in interest in the career, but whose main goal is to help people. There are specific fields related to a medical laboratory technician, such as, hematologist, immunologist, microbiologist, and blood banking. The healthcare system is an extremely large field with doctors, nurses and other medical staff.…

    • 1352 Words
    • 6 Pages
    Great Essays