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Optimizing coding to maximize income is a major consultancy in the industry. The key is knowing what an Insurance company will accept without questions otherwis
by coldcode 10y ago
Optimizing coding to maximize income is a major consultancy in the industry. The key is knowing what an Insurance company will accept without questions otherwise there will be a delay in getting your money or maybe you get nothing. Recently the coding system changed to a much more detailed version (which I think was in use internationally long before the US adopted it). I don't know if it's better but there are way more ways to code things today.
- awongh 10y agoI never realized all this existed! I'm still not clear from the article why the codes used inside the hospital are proprietary. copyrighted information- what kind of legal hoop jumping allows them to claim this? What kind of domain knowledge do you need to be able to code a procedure? Is it knowledge just of the insurance system, or is it also deeper medical knowledge / cultural knowledge of how doctors perceive / deal with one procedure over another?
- coldcode 10y agoThe codes are standardized but the interpretation by insurance companies isn't so clear. For the coding look at http://www.medicalbillingandcoding.org/qnas/what-are-the-different-types-of-medical-coding-classification-systems/ http://www.medicalbillingandcoding.org/qnas/what-are-the-dif...