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MEDESUN HEALTHCARE SOLUTIONS DR SANTOSH GUPTHA World Record Holder 45 Certifications 15 years Experience

Mede Sun, Hyderabad - School / College / Coaching / Tuition ...

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Medical coding  is the transformation of healthcare  diagnosis, procedures,  medical  services, and equipment  into universal  medical  alphanumeric codes.  The diagnoses and procedure codes are taken from  medical  record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Assume Physician provides treatment for 20 patients/per day 20 Medical Records has to be generated and submitted to insurance for payment Insurance needs-Medical Codes- based on Medical Codes, payment is provided to Physician/Hospital. No Coding-No Payment Every Event Must be documented and Coded as per Law, for payment and statistics. Every Physician needs one Medical Coder.

Medical Coding Services | Specialized Healthcare Coding for Doctors

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Patient In Front Office Patient Registration Patient Portal Front Office Appointment Scheduling Insurance Nurse Medical History and Vital Input Physician MEDICAL RECORD HL7 e-Rx e-Lab Therapist/Nurse Procedures Lab Technician Lab Tests In House Lab Pharmacist Prescription Orders In-House Pharmacy MEDICAL CODING VALIDATION Patient Out

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01
Insurance Eligibility
Verification
10
Patient
Scheduling
09
Reporting
08
Patient
Statement
07
Medical
Billing
Process
A/R Follow-up
Denial Management
& Appeals
02
Patient
Demographics
Entry
03
IICD, CPT &
HCPCS Coding
04
Charge Posting
05
Claims Submission
Electronic Billing &
Paper Billing
06
Payment Posting

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Patient Clinical Workflows Nurse Rx RADIOLOGY	 PHYSICIAN SURGERY PATHOLOGY Labs Critical Results Nurse Call, Alarms & Alerts EVERY EVENT MUST BE CODED MEDICAL CODING IS MANDATORY S TATISTICS REASEARCH PAYMENT

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Medical Codes are collated and used for research and disease management purpose Every patient will have health insurance- Payment is done By the insurance The revenue of the clinic or hospital depends on the Medical Codes assigned-as payment is based on coding E very event must be recorded on paper and coded like surgery, lab tests, radiological tests, transfers etc. Medical Codes assigned by the Coder will be audited by Payer for accuracy.  R ESEARCH INSURANCE R EVENUE E VENTS A UDITING

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Submission of Coded Chart Accessing Patient Charts Pre-Coding Pre-Coding CPT & ICD-10 Coding Quality Audit

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Receive feedback from the client on any nuances Retrieve medical records or access the client’s EHR or PMS through a secured connection or cloud Pre-coding to check and validate the correctness of the information Review the record and assign appropriate Procedure (CPT) and Diagnosis codes (ICD) Complete audit of the coded documents by our QA team Batch completion report sent to the client Medical Coding Process Flow

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Inpatient Outpatient Ambulatory Surgery Interventional Radiology  Morphology Coding etc. Hierarchical Clinical Code Specialities

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Medical codes use standardized codes to accurately report medical services and facilitate payment. Diagnosis Code International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-Cm), Volumes 1 and 2. Procedure Code Current Procedural Terminology (CPT), Level1, ICD-9-CM Volumes 3 Facility Procedures Supplies Healthcare Common Procedure Coding System(HCPCS), Level II.

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Internal and external quality mgmt. And more! Statistical analysis of diseases & therapeutic actions Reimbursement  Knowledge-based and decision support systems Surveillance of epidemic or pandemic outbreaks Evaluate processes and outcomes in healthcare 01 02 03 04 05 06

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Correct code assignment is important & plays a significant role in: Resource utilization Reimbursement Correct code assignment permits access to medical records by diagnoses & procedures for use in: Clinical care  Research  Education Correct code assignment is beneficial to health policy development and planning Insurance Premiums Disease Management Quality Care

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The views expressed are solely of the author and shall not be responsible for any damage caused to any person/organization directly or indirectly.

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MEDESUN CEO Dr Santosh  Guptha 45 Certifications World Record Holder HIMAA – Australia Certified AHIMA ICD-10 Approved Trainer *Rep for HIM Canadian University MEDESUN HEALTHCARE SOLUTIONS WWW.MEDESUNGLOBAL.COM INFO@MEDESUN.COM Whatsapp-9966933693

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You have excellent career-DON’T worry, learn more, ensure compliance, Apply guidelines, Be Ethical in coding and billing-Update your knowledge-Upgrade your skills as per market demands. www.medesunglobal.com All the best.

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Email info@medesun.com www.medesunglobal.com Whatsapp-9966933693

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What is Medical Coding

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 MEDESUN CEO Dr Santosh  Guptha 45 Certifications World Record Holder HIMAA – Australia Certified AHIMA ICD-10 Approved Trainer *Rep for HIM Canadian University MEDESUN HEALTHCARE SOLUTIONS WWW.MEDESUNGLOBAL.COM INFO@MEDESUN.COM Whatsapp-9966933693

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 Email info@medesun.com www.medesunglobal.com Whatsapp-9966933693

What is Medical Coding

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