Under the Health Insurance Portability and Accountability Act (HIPAA), this is an organization that creates and maintains the code sets adopted by the Secretary for use in the transactions for which standards are adopted.
Tag: USA
Coder
Trained individual who has obtained a skill in classifying medical data from patient records. A coder translates the written diagnoses, treatments, and procedures into numeric and alphanumeric codes for submission on insurance claims to insurance carriers for reimbursement. In medical office settings, the coder may extract these data from patient encounter forms and patient records.
Codicil
Separate document that is an addition to a will that may modify, add to, subtract from, or revoke certain provisions of a will.
Coding
1. Process of translating written descriptions into numerical and alphanumerical codes. 2. Choosing codes from numerical and alphanumerical systems that identify and describe a patient’s diagnosis, as well as medical, surgical, and diagnostic procedures and services such as ICD-9-CM, CPT, and HCPCS.
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A method of putting information into a numerical form for statistical us. Most information on policies is coded and then put into reports.
Coding conventions
Rules or principles for determining a diagnostic code when using diagnostic code books such as each space, typefaces, indentations, punctuation marks, instructional notes, abbreviations, cross-reference notes, and specific usage of the words and, with, and due to. These rules assist in the selection of correct codes for the diagnoses encountered. Also see conventions.
Coding creep
See: diagnostic creep.
Coding guidelines
1. Official policies published by the Centers for Medicare and Medicaid Services (CMS) that tell how procedure codes are to be assigned by providers when submitting insurance claims for patients who have received medical services. 2. Official rules for assigning ICD-9-CM diagnostic codes to patients’ conditions of illnesses, injuries, and diseases.
Coding rules
Official code conventions used when selecting diagnostic and procedural code numbers for a patient who has received medical services by a provider.
Coding specialist
Expert in coding diagnoses and procedures using diagnostic and procedural code books.
Coding specialist for payers (CSP) / Physician Coding Specialist (PCS) / Facility Coding Specialist (FCS)
One type of certification earned by meeting the requirements of the American College of Medical Coding Specialists (ACMCS).