essay on medical billing and coding

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Example Of Medical Billing And Coding Essay

Type of paper: Essay

Topic: Health , Health Care , Medicine , Nursing , Skills , Information , Billing , Organization

Published: 11/18/2021

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Introduction

Medical billing and coding is an important job as it helps facilitate the delivery of healthcare services to patients (“What Is Medical Billing and Coding?”). It also ensures the efficient processing of patient and healthcare facility information. In this regard, I believe I am highly qualified to hold a position in this capacity because, aside from having completed an education and training in medical billing and coding, I have great organization skills that would enable me to perform the tasks efficiently, correctly, and accurately. The medical billing and coding job involves working with various types of information where accuracy, completeness, and timeliness are important. In this regard, I believe that my organization skills would enable me to efficiently handle all of the information that I am given in my everyday tasks. I am very systematic in my work, which allows me to maximize the use of time. I am also very diligent. I make sure that I stay focused on the task at hand and that I avoid any distractions, which can cause me to make mistakes. I also make sure that my work is of high quality, as this prevents errors from being made. These in turn ensure that everything is done properly and on time. Because of my excellent organization skills, all of the patient information will be properly managed and stored so that they can easily be accessed when needed. This ensures that patients get the healthcare services that they need on time. This will also improve my response time when doctors or healthcare facilities request for patient information. In turn, this enhances my and my organization’s relationship with these doctors and healthcare facilities.

I am confident that I can be a great asset to an organization that would hire me as a medical billing and coding personnel. Not only do I have adequate training for performing the tasks that this job entails; I also have many skills that make me fit for this job. Among these are my organizational skills, which enable me to get the work done accurately, efficiently, and on time. These skills enable me to help the healthcare professionals get the information that they need and the patients to get the healthcare services that they need with no delays.

Works Cited

“What Is Medical Billing and Coding?” medicalbillingcareer.org. Medicalbillingcareer.org, 2016. Web. 14 January 2016 < http://www.medicalbillingcareer.org/

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Medical Billing and Coding Essay Outline

Medical billing and coding remains to be a dynamic specialty area, with frequent changes and regulations. Coding is an important step required to submit any medical claims for patients, and these codes are required for insurance payments and reimbursements for the providers. These code sets have their own set of rules and procedures that perform as a universal language among medical providers, medical facilities, insurance companies, and multiple government agencies. Acknowledgement of (HIPPA) Health Insurance Portability and Accountability Act is a requirement to understand the rules for this job because it protects the patient's health information from being distributed without the consent of the patient. The World Health Organization (WHO) authorizes the publication of any updates on the ICD-10 code sets of 68,000 diagnostic (ICD-10-CM) and 79,000 procedure codes (ICD-10-PCS). The (ICD-10) International Classification of Diseases codes describes a patient’s condition or injury as well as social determinants of health. CPT (current procedural terminology) is used to report medical procedures and services for processing insurance claims, conducting research, and evaluating health care utilization. This was established by the AMA (American Medical Association). HCPCS (healthcare common procedure coding system) is a standardized code system necessary for medical providers to submit health care claims to Medicare and other health insurances for medical devices, supplies, medications, transportation services, and other procedure related services.

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Coding and Billing Errors in Healthcare Essay

Introduction.

It is important to note that billing and coding errors have major effects on the healthcare system, which can have implications regarding financial issues, operational effectiveness, and medical complications. Therefore, the healthcare system can be heavily affected by these error-based factors, where the outcome can range from minor to heavy disruption in the process of healthcare delivery as well as lead to noticeable losses for the facilities and organizations.

One of the main effects of incorrect insurance coding and billing on the healthcare system is a financial one. It is stated that errors in clinical coding can result in the potential loss of income and revenue due to incorrect assignment of appropriate diagnosis and treatment procedures (Zafirah et al., 2018). In other words, these errors come at a cost, which can be evidently traced and indicated by the financial performance of an organization. Therefore, a medical facility or any healthcare unit needs to ensure that the processes of coding and billing are as precise as possible in order to integrate sustainable and accurate strategies. For example, a medical facility, which systematically makes insurance coding and billing errors, can spend more resources on the correction of the mistakes and suffer from reduced patient satisfaction levels.

Another major effect of the insurance coding and billing errors is manifested in the fact the overall operational effectiveness can be hindered by the given occurrences. A healthcare organization needs to operate with a high degree of effectiveness and efficiency by ensuring that each patient is accepted, diagnosed, treated, and billed in a steady order, which creates a manageable flow of the processes. However, if such a facility makes coding and billing errors on a regular basis, then patients need to undergo the same process in order to acquire proper coding for their issue, which generates delays and disruptions in the overall procedural flow.

It should also be noted that one of the most important and damaging effects of insurance coding and billing error is rooted in the fact that it leads to medical complications. It is stated that insurance coding might “overestimate the actual effect of obesity on complications after arthroplasty” (George et al., 2017, p. 86). In other words, errors in coding can lead to either underestimation or overestimation of a health issue, where the latter can result in an excessive burden on the healthcare system. In addition, the former form of error can lead to an inappropriate diagnosis of a patient, where his or her disease is not treated in a sufficient manner. These incidents might become a reason for patients developing avoidable complications, which require more extensive resources and procedures.

Therefore, a healthcare unit or facility needs to ensure that coding and billing errors do not take place, especially systematically, because the healthcare system will inevitably become ineffective at treating preventable illnesses and will constantly need to work on more challenging cases. In addition, such errors can also result in an increase in death rates due to a delayed diagnosis and treatment since correcting these mistakes requires an additional time and waiting period for reassessment.

In conclusion, the effects of incorrect insurance coding and billing on the healthcare system are manifested in three areas which are financial issues, operational effectiveness, and medical complications. A healthcare organization will inevitably suffer from revenue and income losses due to these coding and billing errors. The operational flow of patients can also be disrupted by the fact that some patients will need to undergo the procedures repeatedly. In addition, these errors can result in inappropriate diagnosis and treatment, which can lead to health complications and even death due to delays.

George, J., Newman, J. M., Ramanathan, D., Klika, A. K., Higuera, C. A., & Barsoum, W. K. (2017). Administrative databases can yield false conclusions—An example of obesity in total joint arthroplasty . The Journal of Arthroplasty, 32 (9), 86–90. Web.

Zafirah, S. A., Nur, A. M., Puteh, S. E. W., & Aljunid, S. M. (2018). Potential loss of revenue due to errors in clinical coding during the implementation of the Malaysia diagnosis related group (MY-DRG®) Casemix system in a teaching hospital in Malaysia. BMC Health Services Research, 18 (1), 1-11. Web.

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IvyPanda. (2022, August 4). Coding and Billing Errors in Healthcare. https://ivypanda.com/essays/coding-and-billing-errors-in-healthcare/

"Coding and Billing Errors in Healthcare." IvyPanda , 4 Aug. 2022, ivypanda.com/essays/coding-and-billing-errors-in-healthcare/.

IvyPanda . (2022) 'Coding and Billing Errors in Healthcare'. 4 August.

IvyPanda . 2022. "Coding and Billing Errors in Healthcare." August 4, 2022. https://ivypanda.com/essays/coding-and-billing-errors-in-healthcare/.

1. IvyPanda . "Coding and Billing Errors in Healthcare." August 4, 2022. https://ivypanda.com/essays/coding-and-billing-errors-in-healthcare/.

Bibliography

IvyPanda . "Coding and Billing Errors in Healthcare." August 4, 2022. https://ivypanda.com/essays/coding-and-billing-errors-in-healthcare/.

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