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What is medical billing and coding? What do medical billers and coders do? What

ID: 2480339 • Letter: W

Question

What is medical billing and coding? What do medical billers and coders do? What are medical billing codes? What are the pros and cons of medical billing and coding? What is ICD? What is ICD-10? How do ICD-9 and ICD-10 codes differ? What do you think about the medical billing future? Name some good electronic billing software systems? What is the full form of EOR? Are you familiar with Medicare and private payer regulations? If so, which payers? How does one deal with insurance companies to resolve issues with unpaid or rejected (denied) claims? How many charts/cases does a biller/coder typically code in one day? What procedures are most often coded? How do you deal with rejected or unpaid claims? How does one run reports? Can you customize reports? Can you explain the difference between co-pays, deductibles, and co-insurance? How do you deal with difficult or angry patients? How long does it take to process a day’s charges?

Explanation / Answer

Answer:-

When Patient & Medical officer works together to achieve a successful operation need.The biller will submit and follow up on any claims in order to receive payment for services rendered by the health care provider.

They manages & being responsible for making sure medical office revenue cycles run smoothy.

ICD Codes are used to represent  represent a doctor's diagnosis and the patient's condition.

Pros:- Can work in a variety of settings, Always learning something new

Cons:- Requires proper certification, Very little patient contactto

ICD Refers to the International Classification of Diseases (ICD) is the classification used to code and classify mortality data from death certificates.

ICD-10 refers the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO).

The ICD-10 code sets are not a simple update of the ICD-9 code set. The ICD-10 code sets have fundamental changes in structure and concepts that make them very different from ICD-9. Because of these differences, it is important to develop a preliminary understanding of the changes from ICD-9 to ICD-10.

Some good billing software are:-

Insta HMS,

HPlusPro

ProviderSuite

AllegianceMD

SOS Office Manager

EOR Stands for Emergency Operations Center.

Following procedures are most often coded:-

New Patient Office Visit

Established Patient Office Visit

Initial Hospital Care for New or Established Patient

Subsequent Hospital Care

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