Medical Billing and Coding: the Significance of Proficiency

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Medical Billing and Coding: The Significance of Proficiency Kaplan University Crystalynn Murphy Professor Bradford CM107-97 July 1, 2014 A patient is not one whom actually pays attention to the back end of medical operations when visiting a doctor or hospital. Their main goal is to be seen, treated, and released. Their visits are expected to be swift, even though sometimes they are not. Even when the visit is over, documentation is not. However, a medical biller and coder will be aware of what goes on inside of the office or hospital room, just not hands on. Their job is just as important as the doctor's because it includes analyzing the operations to relay to the insurance companies in a form of codes (Infotech, 2014). A medical biller and coder has a job that leaves no room for error, and organization is the key for maintaining a successful and efficient work environment. When a patient visits the doctor, emergency room, clinic, or hospital, their visit is recorded from the time they check in until even after they leave. Vitals, symptoms, diagnosis, prescription, and post care are all significant information that must be noted to ensure that the patient’s insurance company know what they are paying the doctor for. This information is documented in a form of codes that are transported to the insurance company for payment. It is important to make sure that the proper code are recorded to avoid confusion on both ends. Inaccurately coding can lead to false claims which can eventually result in non-payment from the insurance companies. To ensure there are no errors, remaining organized and up to date on coding information is expected. What is also expected from a medical professional is overall organization. Medical records are kept on paper, electronically, or a combination of both (hybrid). Paper records are still used as the primary source of

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