The Medical Billing Process

The Medical Billing Process

Similar to medical coding, medical billing process might seem complicated and large, but in reality, it’s a process that includes eight simple steps. These steps are: Registration. The setting of financial responsibility for the visit. Check-in and check-out of the patient. Ensuring coding and billing compliance. Preparing and sending claims….

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Medical Billing Certification

Medical Billing Certification

Certification isn’t a strict requirement, but many medical billing professionals find that having a certification opens up more job opportunities, promotes significant career advancement, and a higher salary. There are various certifications offered by different organizations. In this article, we will explore the two major certifying agencies in medical billing….

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CPT Modifiers

CPT Modifiers

Medical services and procedures are often complex, so there is a need for additional information when coding. CPT modifiers serve like modifiers in a language, providing additional information about the procedure. In a language, a modifier describes the who, or what, or why, or how, or where of a situation….

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Understanding Medical Bills

Understanding Medical Bills

Medical billing can be an extremely complicated process. According to a 2016 public opinion survey by Copatient, approximately 72% of Americans are confused by their medical bills, while 94% have received bills that they found “too expensive”. Even with insurance or Medicare coverage, you may find unexpected fees because of…

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Introduction to Medical Billing

Introduction to Medical Billing

Procedure and diagnosis codes are used to track the spread of diseases and the efficiency of a certain procedure. However, mainly, in the US, they are used in the reimbursement process. In other terms, codes are useful for accurate and efficient billing. Why We Bill When you go to a…

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ICD-10-CM

ICD-10-CM

ICD-10-CM is an alphanumeric code, containing seven characters. Every code starts with a letter followed by two numbers. The first three characters indicate the category, which describes the general type of disease or injury. Next, there is a decimal point and the subcategory. They are followed by one or two…

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How Do I Study for the CPC Exam?

How Do I Study for the CPC Exam?

A person shared that they completed their medical coding and billing program but never went through to take a test for certification. They have been working for a year at a doctor’s office and completed their internship there as a receptionist. The candidate said they really wanted to pursue a…

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How Long Does it Take to Complete a Billing and Coding Program?

How Long Does it Take to Complete a Billing and Coding Program?

Those who are interested in becoming a medical coder can take a look at this guide to see what coding diploma, certifications, and associate degree programs are available. You will find out about the difference between the programs, so you can pick the way most suitable to your needs and…

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Learn More About Medical Coding

Learn More About Medical Coding

Medical coding resembles translation. Coders work with doctors’ reports, which usually include the condition of a patient, diagnosis, procedures, and prescriptions, and translate that into a set of codes. In turn, they are a significant part of a medical claim. Why We Code So, why is coding necessary? Isn’t it…

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What is Medical Billing and Coding?

What is Medical Billing and Coding?

In the modern healthcare industry, medical billing and coding are two closely related aspects. They both are involved in the reimbursement cycle, which ensures that the services of health care providers are paid for. We will divide the two to take a closer look at them as parts of a…

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What is the CPC Exam?

What is the CPC Exam?

The CPC examination contains 150 multiple-choice questions. It is fairly harsh since it takes about 5to 6 hours. You have two breaks in the middle. The price of the exam is $300. However, if you are an AAPC member, you will pay only $260. Individuals pay $125 of annual dues…

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HCPCS Codes

HCPCS Codes

In this article, we will explore the third large code set, HCPCS (Health Common Procedure Coding System). It’s commonly known as hicks-picks. This code set bases on CPT and the first level of it is even identical to CPT. That might be confusing, so let’s get into more detail. The…

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Medical Coding Certification

Medical Coding Certification

There are several certification opportunities in the medical billing and coding field. They are available through medical coder classes and medical billing and coding schools. In a variety of industries, employers usually require candidates to hold medical coding certificates to prove their skills, competences, and abilities in the discipline. They…

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Learn Medical Terminology and Human Anatomy

Learn Medical Terminology and Human Anatomy

In the medical field, there are multiple complex physiology and anatomy terms you may have noticed tossed around. With our comprehensive list of medical terms, you can learn the most common surgical and anatomical terms. For a better understanding, we will explore them by suffixes, prefixes, and roots. Numbers Often,…

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Intro to CPT Coding

Intro to CPT Coding

Before, we were talking about the Current Procedural Terminology (CPT). This is an essential and expansive code set issued and maintained by the American Medical Association (AMA). Together with ICD, it is one of the most significant code sets that medical coders should know. All these codes are copyrighted by…

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What Are CPT Codes

What Are CPT Codes And Why Do They Matter

Working as a medical coding specialist, you need to know a whole variety of abbreviations used in the healthcare system. Usually, most medical assistants can be confused with a whole bunch of medical terminologies such as PERRLA, VS, HR, OD, and OS. However, administrative medical assistants should be able to deal…

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Medical Coding Practice Exam

Medical Coding Practice Exam: Get Ready for Your Medical Coding Test!

This exam consists of medical coding questions which cover all the necessary information for medical coders and medical billing specialists. The topics included in this exam are: coding by body system, coding by a procedure (CPT®) and department, ICD-9-CM, HCPCS Level II, Anatomy and Vocabulary, Practice and Evaluation and General…

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