Medical Ethics in Billing and Coding

Medical Ethics in billing and coding

Medical ethics is, or should be, on the minds of all of those providing or billing for medical services. For the medical biller, especially when choosing diagnostic or procedure codes, it is of the utmost importance to learn and follow the guidelines posted in the International Classification of Diseases, 10th revision as well as in the Current Procedural Terminology reference material.   There are many edits in computer based programs today used by insurers to flag improperly billed claims. This can cause post-payment review audits, resulting in a practice having to repay thousands of dollars in improperly billed claims.  Using..


Distance Education versus Blended Programs

Full distance education program

If you are considering a new career path which is leading you to furthering your education, there are many options available today. Many colleges offer full distance education programs; these programs allow you to access all of your materials online and do not require you to be present on campus during your program. Although this option allows you the freedom to create your own schedule, it does not provide the ability to receive hands on, one-on-one help with an instructor or the college experience of fellowship with your classmates.   In blended programs such as the Medical Billing and Coding..


Medical Billing and Coding Certification

Medical-Billing-and-Coding-Certification

One important reason to attend an accredited Career College like Northwest is the nationally recognized certification exam you will sit for at the completion of your program. The National Healthcareer Association’s Certified Billing and Coding Specialist Certification communicates to prospective employers that you are serious about your career. The requirement for continuing education credits to maintain your certification tells them you will take it upon yourself to stay current in the field.   Many students ask if it is necessary to become certified in Medical Billing and Coding. Quite frankly, a certification is not mandatory to obtain an entry level..


Combination Codes in ICD10

Combination Codes in ICD10

When the switch to ICD10 (International Classification of Diseases, 10th Revision) occurred officially on October 1, 2015, many changes to the way coders have been assigning codes went into place. One of the changes is the addition of combination codes. A combination code is a single code used to classify two diagnoses, a diagnosis with an associated secondary process (manifestation) or a diagnosis with an associated complication.   In the ICD10 Official Guidelines for Coding and Reporting, combination codes are identified by referring to sub term entries in the alphabetic index and by reading the notes in the tabular list...


What is an EOB?

Explanation-of-Benefits form

Medical Billers and Coders along with all Medical Insurance Specialists know what an EOB is. Actually, you probably do too! An EOB is an Explanation of Benefits, that piece of paper you receive from your insurance company after paying a visit to a health care provider. To the layman, EOB’s may as well be written in a language only understood by Martians as they can be quite confusing to the general population, and this is why as a Medical Insurance Specialist you will receive numerous calls from patients asking for an explanation of the explanation!   One of the many..


Continuing Education in the Medical Field

Continuing Education Online Student

Most careers in the medical field today require continuing education hours. This means once you start on your career path, you will continue to attend workshops, seminars and webinars in your field. Completion of continuing education hours is required by most licensures in the medical field including Medical Billing and Coding. The computer age has made fulfilling these requirements much easier and most can be accomplished from the comfort of your own home!   Requirements for these continuing education hours generally consist of a computer and internet access. Depending on your certification or license requirements, you may need to complete..


Working from home in Medical Billing and Coding

Medical billing employe working from home

Many medical billing and coding jobs today require you to be on site; however, it is possible in the field of Medical Billing and Coding to be able to work at least some of the time from home. Many businesses today have found that they can reduce overhead by having employees log in to their computers from their home-based office. It is usually required that you have a minimum of two years of experience in the field before employers consider you for this type of position, but it is definitely a possibility. The first step is to attend an accredited..


Health Insurance and Politics

Man preparing an health Insurance Claim Form

Most of us have at least heard of the Affordable Care Act, better known as “Obamacare”.  We may not understand all of the complexities of the program, but we probably are aware of some aspects that impact our own personal coverage and out of pocket expenses. In today’s world, politics has a long arm; it reaches just about every aspect of our daily living from the tax we pay on fuel every time we fill our tanks to the insurance card we carry in our wallet.   In the Medical Billing community, every election has special impact as it may..


Medical Billing and Coding Ethics

Medical Billing and Coding Ethics

What are ethics? What does the word mean when used in conjunction with a profession dealing with protected health information and millions of dollars annually? All those considering a career in the Medical Billing and Coding field should not only understand the term, but also live it. It is widely known that businesses and organizations that employ ethical practices in their every day dealings with the public are more likely to gain the trust and business of these same people. Ask yourself: wouldn’t you rather deal with a business that had a reputation of honesty and integrity? I know I..


Expected growth in Medical Billing and Coding Jobs

Female Medical Billing and Coding expert

Medical Billing and Coding is part of what the Bureau of Labor and Statistics (BLS) classifies as Medical Records and Health Information Technicians. According to BLS reports, the Bureau expects much faster than average growth. Demand for Health Information Technicians is expected to increase because of the rapid growth in the number of medical tests, treatments and procedures to be recorded. With an aging population, it only makes sense there will be an increase in contact with healthcare services. Of course, this growth will require trained technicians to enter demographics, process charges, and insure that the physicians are being properly..