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Current Procedure Terminology (CPT®)

  Current Procedure Terminology ( CPT ® )   CPT is Clinical Coding Nomenclature used to convert all Clinical procedures and services in to numeric or alpha numeric codes. CPT is Owned by American Medical Association and an internationally recognized procedure coding system. It’s an easy to use, yet complex, capable to connect with any software platforms and interface systems and widely accepted for clinical reimbursement from most of the insurance payers.   CPT – The Background   Current Procedural Terminology, more commonly known as CPT ® , refers to a set of medical codes used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to describe the procedures and services they perform.   Specifically, CPT ®  codes are used to report procedures and services to federal and private payers for reimbursement of rendered healthcare .   In 1966, the  American Medical Association (AMA)  created CPT ®  codes to stand

Medical Coding and Billing – Is it a critical Role in Health Care Industry

    Medical Coding and Billing – Is it a critical Role in Health Care Industry   The Medical Coding Medical coding is the transformation of health care diagnosis, procedures, medical services, and equipment into universal Alpha Numeric codes. The coding process is carried out by the International Classification of Diseases (ICD) owned by the World Health Organization. Some countries have modified this ICD to suits their research, nature of disease prevalence and their statistical needs. The major modified latest versions are ICD10CM (International Classification 10 th Revision Clinical Modification) and ICD10AM (International Classification 10 th Revision Australian Modification). Medical Coders take medical documentation from clinical teams, containing patient’s condition, the diagnosis, prescriptions, and procedures the doctor performed on the patient and turn that into codes, which is crucial for medical claims. Medical coding helps in facilitating the classification o