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Most Acclaimed Methods of Medical Treatment

Medical treatment in the twenty first century has become extremely diverse and multidimensional. The reason of this great diversity is not only the development in the modern medical science of allopathic tradition but rather a lot of contributing factors like the emergence of various life style oriented diseases and the constant increase of the reach and expanse of these diseases in reaching almost to the epidemic proportion, the transformation of health care sector into a professional and business focused sector instead of its previous status as a welfare sector for people, global consciousness on the importance of addressing health care concerns and environmental and pollution oriented problems becoming a key concern area for numerous health hazards. The diversity of the medical practice and treatment which provides the backdrop for the most acclaimed methods of medical treatment in the present scenario of medical practice, presents a great range of doctrines and procedures of treatment several of that have
been recovered from the oblivion and obscurity of historical traditions or from the peripheral stream of their practice as marginal treatment in various aboriginal and backward social classes. Many of the most acclaimed methods of medical treatment have been basically recovered from the almost fossil stage or from extinct state of marginal existence. Acupuncture, Chinese herbal treatment, tradition of various ancient home remedies, etc., are some of the examples that have been incorporated in many of the most acclaimed methods of medical treatment in the modern age. Here we would briefly introduce some of the most acclaimed medical treatment.

Allopathic Treatment
Medical treatment in the allopathic tradition is undoubtedly the most acclaimed method of medical treatment as allopathic treatment covers the entire body of diseases and disorders and the research in the modern medical practice. As the mainstream of medical care its growth, expanse, acceptance and popularity outnumbers any other form of medical treatment. Any research in any dimension of health care and diseases is dominantly led by allopathic method of treatment and in many respects it is considered as almost synonymous to the modern medical science.

Ayurvedic Treatment
Though allopathic treatment is still the most dominant form of medication, Ayurvedic treatment has gained immense popularity as one of the most viable option in treating various life style oriented diseases like obesity, diabetes, arthritis, liver and diabolic disorders, kidney problems, hypertension and high blood pressure, etc. As the treatment is focused to a holistic approach in assisting the body’s innate immune and healing potential for the treatment of a disease, Ayurvedic treatment is considered as almost harmless and with a great track record of treating many life style oriented diseases successfully this treatment can be regarded as one of the most acclaimed method of medical treatment after the mainstream treatment method of allopathic tradition.

Homeopathy
Homeopathy is relatively a new discovery in the history of medical science. Homeopathy believes not in different medicinal treatment for different diseases, rather this method of treatment is focused on the diagnosis of the central root of all symptoms relating to physical malfunction and medicinal treatment for the whole lot of these symptoms is followed thereafter. The treatment is less expensive and is considered as almost devoid of any side effects and this explains the basis for its popularity as one of the most acclaimed methods of medical treatment.

There are numerous other methods of medical treatment that are popular for their healing effects in relation to many diseases but either these methods of treatments are regularly incorporated in the major forms of treatment or practiced beside the other methods of treatment. Some of these treatments that are well known for their healing effects include nutritional treatment, yoga and meditation, acupuncture, Chinese herbal treatment, Unani treatment, etc.

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All about Medical Billing and Coding Career

Medical billing and coding is one of those professions which is completely focused on the emergence of new technologies in the industry and plays a crucial role in the health care facilities to settle the medical claim of the diseased patients and also to serve the insurance companies in following the claim process in a trustworthy manner. In the medical facilities of present world and also in the gigantic medical insurance enterprise of present scenario, without the professional position of medical biller and coder, medical claim cannot anyway be settled for billions and trillions of medical insurance claimants. With the emergence of medical facilities as one of the growth propelling sectors of the country and its consequent outcome in the growth of the medical insurance sector, medical billing and coding has become one of the prime career areas in the medical care facilities and insurance companies all across the country. Here below, as various aspects of medical billing and coding career, we are introducing some of the job profiles of this profession and the gross salary and remuneration of professional medical biller and coder.

Job Responsibility of Medical Billing and Coding Professional
The basic job responsibility of medical billing and coding professional is to process the medical as well as personal information of the patients for the determination and reimbursement of medical insurance claim. Alpha numeric medical codes are used to denote the health and treatment related information of the patient which is sent to the insurance company by the professional medical coder for the reimbursement of the medical insurance claim. This one of the most crucial aspects of the medical billing and coding career as this determines several corresponding factors related with the overall growth and accuracy of medical insurance, reputation of health care facilities and medical care of the patients.

Various job areas of medical billing and coding career
Among the various medical, public health and insurance establishments where professional medical billing and coding has a significant role to play include, medical insurance companies, hospitals, clinics, old age home care facilities, family care facilities, nursing homes, etc.

Salary of Medical Billing and coding professional
According to bureau of labor statistics the average medical billing and coding salary varies from $25000 to $42000, which does not depict the lucrative earning aspect of the profession correctly. For a much experienced and more focused as well as higher degree holder in the discipline can earn much more than what has been estimated above.

The above aspects of medical billing and coding career are sure to provide better guidance to an aspirant of medical billing and coding profession. Apart from the necessary training and education a medical biller and coder is supposed to have genuine interest in the medical sector and its working principles to further excel in the profession.

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Clean Claims: The Gold Star of Medical Billing

Possibly the most important task for a medical biller or coder working in the claims billing process is to send clean claims. Clean claims are error free claims that pass through payer filters without raising flags. Clean claims support a faster collection cycle, reduce denials and avoid unnecessary payer audits.

Faster Medical Billing Cycles

Many payers use automated processing systems for a majority of claims. Claims that are below utilization guidelines and free of errors route through systemic payment processing. This means payment on a clean claim can be received in less than 14 days. Faster collection time means better cash flow and reduced accounts receivable.

Avoid Denials and Payer Audits

Claims with errors result in payment denial. When a claim is denied, it takes time and resources to refile the claim or appeal the denial. Payments on many denied claims are never recovered. Even if the claim is later paid, the amount of money spent working the issue reduces the profit for the order or service.

Additionally, too many denials can result in unnecessary payer audits. Payer audits due to claim errors can take several forms, all of them bad for business. Some examples of denial related audits include:

  • Prepaid claims reviews where payers request detailed medical records prior to processing any claims;
  • Prepaid claims reviews where payers choose random claims and request records before processing for payment;
  • Postpaid claims reviews where payers ask for supporting documentation after the claims are paid and take money back if documentation is not provided.

If providers perform poorly in audits after receiving numerous denials, payers may decide to revoke the provider’s ability to submit claims. This is especially true of managed care, federal and state payers.

Tips for Clean Claims

Once you understand the importance of clean claims to the sustainability of a medical facility or provider, you will want to do everything you can to ensure claims are accurate. Each provider will have different processes and software to ensure quality claims. Regardless of the software or size of the provider, there are some things every medical biller and coder can do to help increase clean claim rates.

  • Check your work. Ever since second grade math teachers started telling students to look over their problems before turning in assignments, there have been people who refuse to check their work. Giving a claim the once over before sticking it in an envelope or pressing the submit button can save hundreds of lost dollars over simple mistakes.
  • Pay attention to decimal points! Check diagnosis codes, quantities and dollars to ensure you have not moved the decimal point.
  • Make sure diagnosis codes and procedure codes match, especially if the codes were provided by the system or someone else. Insurance companies will not pay for heart procedures on a claim that only shows diabetes as a diagnosis, for example.
  • Double check the insurance subscriber ID and group number. A single letter or number error can cause a claim to drop from the system. Whenever possible, compare insurance information on the claim to a copy of the insurance card.
  • Compare the patient name to the insurance card as well. No matter which spelling is actually correct, bill with the name as it appears on the insurance card.
  • Follow payer guidelines for information that must accompany claims. Common documents that are required with certain claims include letters or certificates of medical necessity, doctor’s orders or prescriptions, referrals from primary care physicians, lab results or copies of medical records.

Providing accurate, complete claims submission is an essential skill set for any medical biller or coder. Accuracy does not only increase the cash flow for your employer. Medical billers who consistently provide accurate, efficient billing are more likely to keep their job and move up in an organization.

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Medical billing and coding is one of the areas of expertise in the last few decades in the health care sector that continued to grow in various dimensions. We have to understand the scope and career exposure of online medical billing and coding degree in relation to this tremendous demand of the profession. Presently online education for professional degree and expertise based qualification is much preferred and online education is considered at par with the traditional classroom based education in many respects. Similarly in the profession of medical billing and coding also online education came in a big way to produce huge number of qualified career aspirants for the profession on regular basis. In relation to our discussion of the career exposure of online medical billing and coding degree here we would exemplify the benefits of online education for the profession, career opportunity and growth in the profession and finally the earning potential and salary of medical billing and coding professional.

Career benefit of online medical billing and coding degree
Online education is the buzzword of the day for the professional aspirants of all segments. Just consider the huge career benefit of completing your medical billing and coding education online on your spare time besides your regular education in higher discipline. Apart from this benefit of simultaneously completing your course in medical billing and coding along with regular curriculum there are other benefits like your chances of getting introduced to the professional challenges and career opportunities through the global interactive cyber space. Presently online education in medical billing and coding is considered at par with regular classroom based curriculum and this is the reason why online education in regard to obtaining a qualification in the profession is increasingly becoming popular.

Job responsibilities of medical billing and coding
In relation to career exposure of online medical billing and coding degree job responsibilities is one of the most important areas of consideration. A medical biller or coder is expected to translate the medical information and transmit them in alpha-numeric codes for the crucial purpose of medical insurance companies who on the basis of that body of data would settle the medical insurance claim for the claimant patient. This crucial attribute of the profession made it one of the most confidential task oriented profession on which the gross standard of insurance and medical care depends to a great extent.

Salary of medical billing and coding professional
According to latest information provided by US Bureau of Labor Statistics medical coding specialists earn an average mean annual salary of $40,000, while the figure for the specialists working for federal executive branch is slightly higher and the figure stands at $43,000 per annum. The annual average salary of a medical biller is $30,000, though the figure is much higher in some states. Some of the higher paying states in regard to the average salary of medical billers include Mississippi with $38,000, New York with $37,000, Washington DC with $36,000, Massachusetts with $36,000 and California with $34,000.

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Tips for Accurate Diagnosis Coding

Medical coders are responsible for ensuring proper diagnosis coding for each procedure billed to an insurance company. Although most claims billers do not actually code diagnosis, they are often responsible for choosing the correct code for each claim. This article provides tips for accurate coding as well as information regarding diagnosis codes on claims.

Accurate Diagnosis Coding

In order to provide the most accurate diagnosis code, you may have to review several documents in the patient’s medical record. As a medical coder, it is not your job to diagnose the patient, but to code the decision made by doctors or other medical staff. In other words, you are not reading a list of symptoms to find the best code. You should be able to locate a diagnosis provided by a doctor and then pair that diagnosis with a numerical code. Some tips for accurate diagnosis coding include:

  • Locate the most specific, clear diagnosis. These can often be located on lab reports, history and physical reports and physicians notes.
  • Code to the highest level of specificity as possible. For example, the code 250 is for diabetes. However, 250.01 indicates Type 1 diabetes, which requires insulin. Failure to code to the appropriate level on a claim can result in denial of certain items.
  • Diagnosis codes can include up to five digits. Whenever possible, you should code to the full five digits.
  • Do not include unconfirmed diagnosis for billing purposes.

Selecting Diagnosis Codes for Claims Billing

By the time a claim for medical services reaches the billing department, a diagnosis should have been confirmed and coded in the medical records. Most facilities use technology that delivers a claim with information included. If there are diagnosis codes in the medical records, they are systemically slotted into the claim. The problem with this is that it is also likely that a patient may have received multiple diagnoses during treatment. A claims biller must associate each line or service charge with the appropriate diagnosis in order to ensure claims payment.

For example, consider the Type 1 diabetes diagnosis above. It is possible that the patient sees a physician for maintenance of his or her diabetes. It is also possible that the patient develops strep throat. The patient schedules an appointment to be treated for strep throat. The physician writes a prescription. In this case, two entities will generate a bill. The doctor’s office will bill for the visit and a pharmacy will issue a drug card claim for the medication. Although the patient does have diabetes, coding either claim with the diagnosis for diabetes will likely result in denial. Just because a patient has diabetes does not mean there is any reason to treat them for strep throat. In this case, the proper diagnosis would be strep throat, and diabetes does not even have to appear on the claim.

If the same patient were to be admitted to a hospital and treated for heart problems, the diabetic diagnosis may come into play as a supporting or secondary diagnosis on the claim. In some situations, treatment for a heart condition may be different for a patient with diabetes than for others. In these cases, adding the diabetic code on the claim supports the necessity of the billed treatment. The code would be secondary to the heart diagnosis, however.

Coding and choosing diagnosis codes for claims can be a complicated process. There are multiple resources available to assist coders, including various ICD-9 coding manuals. Insurance companies and federal payers also provide information about proper coding on their websites, and many software companies now provide programs that make accurate coding easier. Despite these resources, medical billing and coding still requires attention to detail and the ability, the ability to think logically and the intervention of a human in the claims process.

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