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| Medical Coding |
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| The Process of communicating to the third party payers the services performed (CPT-4) and the diagnostic conditions (ICD-9 CM) treated using a standardized listing of alphanumeric codes.
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| After a patient's visit to a physician, a chart is prepared and given to our Medical Coders, whose job is to read the chart, match the problem, its corresponding numerical code from the most current ICD-9 (International Classifications of Diseases) Book and assign the proper diagnosis code with its numerical code from the CPT (Current Procedural Terminology) 4 Book. These two codes and any modifier codes that may be needed to better describe the problem and its treatment are placed on a patient encounter form or super bill. The patient's chart is then re-filed and the encounter form/ super bill is given to a medical billing team. For the billing purposes, GuruCare uses ICD codes, when juxtaposed to CPT codes, tells the payer not only about services provided but also lists the diagnosis, symptoms, complaint, condition or problem (e.g., the reason for performing the service). |
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| Our Medical Coding Services include the following: |
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- Using relevant ICD does coding, CPT & HCPCS codes.
- Coders use latest coding decision support system like "ENCODER
PRO" to reduce coding errors.
- Mappers providing supporting role to coders. Verifiers verify the codes
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