What are Modifiers in Medical Coding and Billing?
In medical coding and billing, modifiers play a significant role in providing additional information about a procedure or service rendered to a patient. Modifiers in medical coding are two-character codes that are added to a Current Procedural Terminology (CPT) code or Healthcare Common Procedure Coding System (HCPCS) code to provide further clarification or specificity. These […]
What is Deep Learning in Medical Coding?
Deep learning is a subfield of machine learning that uses artificial neural networks to learn and extract meaningful patterns and features from large amounts of data. Deep learning algorithms learn from large amounts of labeled data. These algorithms are capable of processing vast amounts of information and can identify intricate patterns that may not be […]
How is AI Quickly Taking Medical Coding to the Next Level?
Do you know that around 30% of healthcare institutions and ambulatory surgery centers (ASCs) still use a manual medical coding approach? Yes, that’s astonishing, especially in today’s AI-driven world. No wonder, the hospital claim denial rates are spiking up, with the most recent increase being 23 percent in 2020. There are several medical coders still stuck with outdated and inefficient […]
Top 3 trends in the Medical coding industry you need to know right now
Covid-19 brought about a 360-degree change in the medical coding industry. Hospital administrators are having a difficult time managing and accommodating the changes. Medical coding space is one department to see a massive transformation – a higher number of charts, new codes, and digitization- all happening at the same time. All of these, point to […]
How to Choose Appropriate Medical Codes?
Are your medical coders finding it hard to predict medical codes that are outside of their specialties? Choosing accurate medical codes for various procedures and treatments can be a daunting task for medical coders. The major challenge is identifying appropriate medical codes immediately from hundreds of unique codes from unstructured clinical notes. If coders have […]
Opening the Door to Data Analytics in Medical Coding
Medical codes are not just alphanumeric codes that are used in reimbursement and claims activities. They in fact tell the story of a claim. Let us take an example: a 42-year old woman presents to the emergency department with an open fracture to her right toe. She was checking inventory boxes in a large supermarket […]
Medical Coding Best Practices to Improve Accuracy
When it comes to medical coding, accuracy is everything. Even the smallest error can lead to a huge loss. Medical coding requirements change often, and with denials totaling a big chunk of the amount per year, one can’t afford to risk under or over-coding, not to mention relying on obsolete codes. As per the Centers for […]
AI and Medical Coding: The Future of Medical Billing
The medical coding and billing industry is prone to time-consuming manual processes, a high risk of human error, and a lack of scalability and efficiency. In traditional medical billing and coding, healthcare providers input data. With more than 70,000 codes today, it becomes difficult for coders to process charts with the speed that the healthcare […]
