Medical coding is the process of
assigning codes to a patient’s medical diagnosis and procedure descriptions.
Collecting and reporting aggregate information through codes allows the medical
community a simplified way to provide information quickly and easily.
Reimbursement
Reimbursement
Medical codes have
associated reimbursement values, so they are submitted on a billing claim to
the insurance company for reimbursement of services.
Data Gathering
Medical codes allow for
gathering of important data on a variety of topics. For example, a code for an
infection due to a needle stick may be tracked over a period of time for risk
and quality management purposes.
Research
Medical codes are often
tracked for research purposes. For example, cancer-related codes are reported
regularly in order to determine the funding and resources needed for research.
Statistics
Because each code relates
to a diagnosis or procedure, it allows the medical community to provide
statistical information on specific diseases and injuries. For example,
statistics on children’s head injuries while riding bicycles without wearing
helmets are provided through medical codes.
Resource Use
Because medical codes have
associated reimbursement, many hospital administrators and managers use coding
reports to ensure that resources are being utilized properly and to make
further decisions about the most cost-effective services to offer patients.
These diagnosis
and procedure codes are used by government health programs, private health
insurance companies, workers' compensation carriers and others. But by using
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