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HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.
ICD has a hierarchical structure, and coding in this context, is the term applied when representations are assigned to the words they represent. [30] Coding diagnoses and procedures is the assignment of codes from a code set that follows the rules of the underlying classification or other coding guidelines.
Most practice management/EM software will automate this transmission, hiding the process from the user. [18] This first transaction for a claim for services is known technically as X12-837 or ANSI-837. This contains a large amount of data regarding the provider interaction, as well as reference information about the practice and the patient.
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American Family Physician—a journal by the AAFP; Family Practice Management—a journal by the AAFP; Annals of Family Medicine—a collaborative journal of the six family medicine organizations; familydoctor.org—The AAFP's patient education site. Includes handouts, brochures, flowcharts and other resources for patients
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