Medical Coding is the process of converting diagnosis codes to ICD-9 codes and procedure codes to CPT codes. It also involves HCPC (pronounced Hick-pick) codes that identified supplies and drugs for correct billing. Modifiers are used to support and additional services or procedures that is rendered to receive additional reimbursement for services provided.WHAT IS REVENUE CYCLE MANAGEMENT (RCM)?
Revenue cycle management (RCM) is the process that manages claims processing, payment and revenue generation. It entails using technology to keep track of the claims process at every point of its life, so the healthcare provider doing the billing can follow the process and address any issues, allowing for a steady stream of revenue.
The process includes keeping track of claims in the system, making sure payments are collected and addressing denied claims, which can cause up to 90 percent of missed revenue opportunity. RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly coding claims using ICD-10. Time management and efficiency play large elements in RCM.
The CPC examination consists of questions regarding the correct application of CPT®, HCPCS Level IIprocedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules.Mode of Medical Coding Training- Classroom/Online