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  2. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions. The use of Level III codes was discontinued on December 31, 2003, in order to adhere to consistent coding standards.

  3. Diagnosis code - Wikipedia

    en.wikipedia.org/wiki/Diagnosis_code

    The accurate assignment of diagnoses codes in clinical coding is essential in order to effectively depict a patient's stay within a typical health service area. A number of factors can contribute to the overall accuracy coding which includes medical record legibility, physician documentation, clinical coder experience, financial decision making ...

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Achieving a high clean claims rate is a key metric for measuring the efficiency of the billing cycle. Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4]

  5. ICD-10 Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/ICD-10_Procedure_Coding_System

    The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.

  6. Medical Priority Dispatch System - Wikipedia

    en.wikipedia.org/wiki/Medical_Priority_Dispatch...

    The exact nature of the response sent may vary slightly between Ambulance Trusts. Following a Category 2, 3, or 5 telephone triage, the patient may receive an ambulance response (which could be Category 1-4 depending on the outcome of the triage), may be referred to another service or provider, or treatment may be completed over the phone.

  7. Evaluation and Management Coding - Wikipedia

    en.wikipedia.org/wiki/Evaluation_and_Management...

    Evaluation and management coding (commonly known as E/M coding or E&M coding) is a medical coding process in support of medical billing. Practicing health care providers in the United States must use E/M coding to be reimbursed by Medicare , Medicaid programs, or private insurance for patient encounters.

  8. Medical classification - Wikipedia

    en.wikipedia.org/wiki/Medical_classification

    The first release of MED-RT was in the spring of 2018. [ 25 ] The United States Food and Drug Administration requires in its Manual of Policies and Procedures (MaPP) 7400.13 dated July 18, 2013 and updated on July 25, 2018, that MED-RT be used for selecting an established pharmacologic class (EPC) for the Highlights of Prescribing Information ...

  9. Emergency service response codes - Wikipedia

    en.wikipedia.org/wiki/Emergency_service_response...

    Emergency service response codes are predefined systems used by emergency services to describe the priority and response assigned to calls for service. Response codes vary from country to country, jurisdiction to jurisdiction, and even agency to agency, with different methods used to categorize responses to reported events.