ORIGINAL RESEARCH ARTICLE ©American College of Medical Genetics "What does it mean?": Uncertainties in understanding results of chromosomal microarray testing Marian Reiff, PhD, MSc1, Barbara A. Bernhardt, MS, CGC1, Surabhi Mulchandani, MS, CGC2, Danielle Soucier, MBE1, Diana Cornell, BA1,...
Medical Coding: What It Is And How It Works, 1st EditionPatricia T. Aalseth
Medical coding is essential to ensuring that medical procedures and diagnoses are properly classified. Medical coders, who have specialized training and a firm grasp of medical terminology, are responsible for entering the correct codes onto insurance claim forms, Medicare and Medicaid claim forms and ...
Medical coding is essential to ensuring that medical procedures and diagnoses are properly classified. Medical coders, who have specialized training and a firm grasp of medical terminology, are responsible for entering the correct codes onto insurance claim forms, Medicare and Medicaid claim forms and ...
So what does this mean for coverage of the COVID vaccines? An announcement by HHS stated (emphasis added) that “Vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) are a preventive health service for most private insurance plans and will be fully covered without a co...
In some cases, the claim will have been denied simply because the code was incorrect. At other times, a dispute may arise when the ICD-10 code (which classifies diagnosis) does not align with the CPT code (which classifies procedures) or HCPSC code (which classifies drugs, supplies, and ...
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 ...
Dashed arrows between clinical coders and the automated coding system suggest potential interactions between them, while this is yet to be considered in many clinical coding systems. Note that the format of data and clinical codes does not reflect the situation of other regions in the world—for ...
Upcoding is fraudulent medical billing in which a bill sent for a health service is more expensive than it should have been based on the service that was performed. A upcoded bill can be sent to any payer—whether a private health insurer,Medicaid,Medicare, or the patient.1 ...
Text Analytics for health now allows extraction of Social Determinants of Health (SDOH) and ethnicity mentions in text. This capability may not cover all potential SDOH and does not derive inferences based on SDOH or ethnicity (for example, substance use information is surfaced, but substance...