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That's really interesting, because I had a customer that did nothing but provide medical billing services, and about 15 years ago when the industry was moving f
by marcus0x62 3y ago
That's really interesting, because I had a customer that did nothing but provide medical billing services, and about 15 years ago when the industry was moving from ICD-9 to ICD-10, that customer seemed really focused on their billing coders learning ICD-10.
- chimeracoder 3y ago> That's really interesting, because I had a customer that did nothing but provide medical billing services, and about 15 years ago when the industry was moving from ICD-9 to ICD-10, that customer seemed really focused on their billing coders learning ICD-10. I mean, sure? You can't bill for a service without a diagnosis code that justifies the service. Anyone who does medical billing is going to need to be able to format that data. But ICD codes are not the codes that insurers are billed for - billing codes are completely separate and not even determined by the same party.
- baishtar 3y agoThat's to ensure that the service provided (procedure code) matches the diagnosis. For example, the procedure (HCPCS) code "71045" corresponds with the procedure "RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW" for billing purposes. If you were to match that up with the diagnosis code (ICD10) S80.211 for "Abrasion, right knee" there would be a mismatch between the diagnosis and the procedure. This happens all the time due to human error and often results in insurance denials, which sadly take a long time to fix since now you have to get MORE HUMANS involved.