Importance of Medical Coding for Insurance

With health and diseases becoming a major issue these days around the world, it has become A LOT more important to have more and more coders involved in the medical field for insurance. But what is medical coding? A medical coder, clinical coding officer, or diagnostic coder are professionals involved in the health care sector who analyze clinical documents and using proper classification systems, assign standard codes to them. They provide medical coding guidelines and suggestions to help regulate the ways doctors, nurses, and other medical staff provide care for their patients. There are three main types of medical coding:

1) ICD (International Classification of Diseases): These are codes used for describing the cause of illness, injury, or death.

2) CPT (Current Procedural Terminology): These deal with anesthesia, surgery, pathology, radiology, measurement procedures, and new technological changes in the medical field.

3) HCPCS Healthcare Common Procedure Coding System): These include outpatient hospital care, medical aid, and Medicare.

Let us look at some points as to why coding is necessary for the medical field.

DATA SYSTEMS
When the coding is paired with the data systems of the hospitals, a powerful tool is made. By doing so, a large number of data from various hospitals, clinics, and other sources are stored, accessed, and used from one large online data system. This implementation helps in the transfer of any patient’s data from any hospital to another for any medical purpose. This information helps doctors to be more connected and make wiser decisions, especially in cases involving the life and death situation of the patient.

PATIENT CARE

Coding is very much required for reimbursements, which include submitting medical claims with insurance companies and bills between insurers and patients. The transfer of information for bill related purposes requires medical records, patient’s medical needs, lab results, pathology records (if any), and any other related documents. Appropriate payment is possible only when the required diagnostic codes are put in place, which also means to verify in case the medical claim is denied by the insurance company.

REGULATIONS

Medical billing and coding fall under the rules and guidelines of many countries and states. Coders in this field are also responsible for protecting the privacy of the patients and their families. They are supposed to take safeguards to preserve the confidential details concerning the patient and his/her medical background in a safe place. Electronic medical records fall under the International Classification of Diseases (ICD-10) codes issued by the World Health Organization (WHO).

Medical coding analysts are in the front line in healthcare data analytics. They work in many types of healthcare setups and not necessarily in hospitals and clinics. Their valuable service is very functional for research and development in the medical field.

Medical coders are in high demand, with an average growth rate of 20% over 10 years. The training imparted to become a medical coder can be offline and online. Many institutes provide Online Medical Coding Training globally that are reasonably priced and provide proper teaching. Medical training may seem hard, but with many jobs being created in this field, this is the first option chosen by many coders who wish to work in the medical field. Of course, with the ongoing pandemic, it is best to have Medical coding training online.

The Best Books on Cryptocurrency

The Sovereign Individual ~ by James Dale Davidson and William Rees Morg

The Sovereign Individual is one of those books that forever changes how you see the world. It was published in 1997 but the degree to which it anticipates the impact of blockchain technology will give you chills. We’re entering the fourth stage of human society, shifting from the industrial to an information age. You need to read this book to understand the scope and scale of how things are going to change.

As it becomes easier to live comfortably and earn an income anywhere, we already know that those who truly thrive in the new information age will be workers who are not tethered to a single job or career and are location independent. The pull to choose where to live based on price savings is already more appealing, but this goes beyond digital nomadism and freelance gigs; the foundations of democracy, government and money are shifting.

The authors predicted Black Tuesday and the collapse of the Soviet Union, and here they foresee that the rising power of individuals will coincide with decentralized technology nibbling away at the power of governments. The death toll for the nation states, they predicted with extraordinary prescience, will be private, digital cash. When that happens, the dynamic of governments as stationary bandits robbing hard-working citizens with taxation will change. If you’ve become someone who can solve problems for people anywhere in the world, then you’re about to enter the new cognitive elite. Don’t miss this one.

Choice Quotation: “When technology is mobile, and transactions occur in cyberspace, as they increasingly will do, governments will no longer be able to charge more for their services than they are worth to the people who pay for them.”

Sapiens: A Brief History of Humankind ~ by Yuval Noah Harari

Whenever I want to impress on someone how good this book is, I ask: “Do you want to know the fundamental difference between humans and monkeys? A monkey can jump up and down on a rock and wave a stick around and screech to his friends that he’s seen a threat coming their way. ‘Danger! Danger! Lion!’ A monkey can also lie. It can jump up and down on the rock and wave a stick around and screech about a lion when there is, in fact, no lion. He’s just fooling around. But what a monkey cannot do is jump up and down and wave a stick around and screech, ‘Danger! Danger! Dragon!’”

Why is this? Because dragons aren’t real. As Harari explains, it is human imagination, our ability to believe in and talk about things we have never seen or touched that has elevated the species to cooperate in large numbers with strangers. There are no gods in the universe, no nations, no money, no human rights, no laws, no religions and no justice outside the common imagination of human beings. It is us that makes them so.

All of which is a rather magnificent preamble to where we are today. After the Cognitive Revolution and the Agricultural Revolution, Harari guides you into The Scientific Revolution, which got underway only 500 years ago and which may start something completely different for humankind. Money, however, will remain. Read this book to understand that money is the greatest story ever told and that trust is the raw material from which all types of money are minted.

Choice Quotation: “Sapiens, in contrast, live in triple-layered reality. In addition to trees, rivers, fears and desires, the Sapiens world also contains stories about money, gods, nations and corporations.”

The Internet of Money ~ by Andreas M. Antonopoulos

If the two books mentioned above help us to understand the historical context in which Bitcoin first appeared, then this book expands on the ‘why’ with infectious enthusiasm. Andreas Antonopolous is perhaps the most respected voice in the crypto space. He’s been traveling the world as a Bitcoin evangelist since 2010 and this book is a summary of talks he gave on the circuit between 2013 and 2016, all tightened up for publication.

His first book, Mastering Bitcoin, is a technical deep-dive into the technology, aimed more specifically at developers, engineers, and software and systems architects. But this book uses some choice metaphors to explain why you can’t ban Bitcoin or turn it off, how the scaling debate doesn’t really matter and why Bitcoin needs the help of designers to lock in mass adoption.

“When you first ride your brand new automobile in a city,” he writes, “you are riding on roads used by horses with infrastructures designed and used for horses. There are no light signals. There are no road rules. There are no paved roads. And what happened? The cars got stuck because they didn’t have balance and four feet.” But fast forward one hundred years and the cars that were once ridiculed are absolutely the norm. If you want to swim around in the philosophical, social and historical implications of Bitcoin, this is your starting point.

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