So, one of the most important key aspects of hospital coding and billing process is to identify whether the patient is an outpatient or an inpatient. And it’s the role of a certified coder to review medical records of patients and then assign codes to their diagnoses.Ĭoding basically involves assigning numeric or alphanumeric codes to all healthcare data elements of outpatient and inpatient care. Based on whether a patient is an outpatient or an inpatient, the medical codes vary differently. It’s a term used to describe information regarding the patient’s condition, treatment, and response to treatment. And the golden rule of coding is proper documentation. The patient’s medical record is the foundation for coding. More complex is the documentation that it follows. However, coding involves much more than just the systematic assignment of codes. It’s a challenge in itself making sure patient billing process is done and successful reimbursement is claimed at a timely manner.Ĭoding serves a number of purposes including retrieving and reporting information on the basis of diagnosis and procedure. Thousands of individuals are employed at a hospital facility to make sure everything at the facility is well organized and systematic – staring from patient billing process to the reimbursement process. The hospital coding and billing is indeed a complex system considering the complexity of the hospital environment.
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