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Medical Coding

Medical Coding I #2

answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be four (4) pages in length; refer to the “Assignment Format” page for specific format requirements.

For this writing assignment, please explain why the following course objectives are important for medical billers and coders to understand:

Explain the steps for accurate surgical and procedural coding in a hospital setting using ICD-10-PCS
Explain E/M services and codes, assign CPT codes correctly, and use the CPT index
Explain coding with HCPCS and describe federal laws, regulations, and penalties relating to coding compliance
Explain how to review and analyze medical records and the importance of audits
Please include at least three scholarly articles within your response. The overall response will be formatted according to APA style and the total assignment should be between 3–4 pages, not including the title page and reference page.

Steps for accurate surgical and procedural coding 

Current procedural terminology is one of the most commonly adopted methods of medical coding. The code was developed and published by the American Medical Association. The code is essential in assisting the medical practitioners to describe the tests, surgical procedures and experiments carried out within a healthcare setting. The codes are also an integral part of the billing process. It can be used by insurance companies to tell the amount of capital and money spent on medical services. The idea is to ensure that the insurance company gets track of all the billing made on behalf of its clients.

Federal Laws, regulations and penalties relating to coding compliance 

CPT codes are a critical part of the hospital billing process. CPT codes are essential in telling the insurance firm on which processes and procedures the healthcare organizations should adopt. The codes in conjunction with ICD codes focus on the creation of a full picture and view of the medical process.  The codes are able to tell the insurance firm the conditions that the patients suffered from, the nature of the treatment they received and the cost of the treatment charged by the healthcare organization.

Different laws and regulations have been put forth to control and regulated the codes used in the healthcare system. According to the various authorities charged with the duty of controlling and managing the application of the codes, it is mandatory that the organization comply with the set laws and regulations. Various codes of practice and ethical policies and principles have been put forth to control the use of the codes in informing various bodies. The goal of the use of such codes is to ensure that there is maximum compliance from the users.

Importance of medical audits 

Audits are important in ensuring that patients get quality care from healthcare organizations. The audits made are essential in enabling the healthcare organization to identify various areas requiring improvements or changes. As a result, such changes and improvements enhance of the services to be delivered to the patients.