Offshore Medical Coding Services Archives - InfoHub https://infohubservices.com/blog/category/offshore-medical-coding-services/ Fri, 14 Oct 2022 10:21:08 +0000 en-US hourly 1 https://wordpress.org/?v=6.1.1 https://infohubservices.com/wp-content/uploads/2019/10/cropped-INFO-HUB--32x32.png Offshore Medical Coding Services Archives - InfoHub https://infohubservices.com/blog/category/offshore-medical-coding-services/ 32 32 Differences Between ICD 10 CM and ICD 10 PCS Codes https://infohubservices.com/blog/differences-between-icd-10-cm-and-icd-10-pcs-codes/ Fri, 14 Oct 2022 10:13:02 +0000 https://infohubservices.com/?p=47383 Did you know? The International Classification of Diseases or ICD is being used by healthcare practices globally to classify, collect and present different healthcare statistics, including mortality. One of the primary areas in healthcare that use the ICD is the medical billing and coding sectors.

The level of specificity in ICD codes helps the healthcare providers to reduce billing errors and confusion, resulting in fewer rejected claims. It also reduces the number of claims denied due to “lack of medical necessity.” The more efficient a claims submission process is, the faster you will be paid.

All this ends up with defining ICD 10 CM as the Clinical Modification whereas ICD 10 PCS as a set of Procedure Coding Systems followed for providing medical services to inpatients. However, there is much more to this.

ICD 10 CM vs. ICD 10 PCS Codes

While coding your healthcare operations, have you ever wondered about the difference between the ICD 10, ICD 10 CM, and ICD 10 PCS?

It is important to note that there is as such no major difference between the ICD 10 and ICD 10 CM when it comes to medical billing and coding. But some difference lies when one codes under ICD 10 CM and ICD 10 PCS. 

As per the medical coding system, ICD 10 CM is used for different diagnostic coding in all healthcare services and establishments across the U.S. On the other hand, the ICD 10 PCS is a set of codes used for inpatient coding in hospital settings. However, what sets ICD 10 PCS apart from ICD 10 CM is the former offers more specific and accurate coding for the services rendered to the inpatients for medical billing.

Let’s have a look at what else accounts for ICD 10 CM, and ICD 10 PCS:

1. ICD 10 CM:

These are the set of codes in a diagnosis classification implemented across the U.S. by the Centres for Disease and Prevention. It must be used for every healthcare treatment setting, mainly in outpatient and clinical settings in the U.S. One must remember that diagnosis coding for ICD 10 CM is done using 3-7 alpha and numeric digits. In fact, it has full coding titles with an almost similar format to that of ICD 9 CM. Furthermore, there are 68,000 codes for healthcare service providers to select from in ICD 10 CM.

2. ICD-10-PCS:

This procedure classification system has been developed by the Centres for  Medicare and Medicaid Services (CMS) to be used for every hospital setting where an individual is provided an inpatient service. When using the ICD 10 PCS coding, the healthcare service provider must remember that it can only be used in inpatient hospital settings. The coding system in ICD 10 PCS has seven alpha or numeric digits.

In fact, this is one of the core differences that can decide acceptance or rejection of the claims. It differs from ICD 9 CM which uses three or four numeric digits, while ICD 10 CM uses 3 to 7 alpha and numeric digits. Furthermore, the codes in ICD 10 PCS are more detailed and cover a wider spectrum of services, which is quite evident from the fact that it has 87,000 codes available.

Another important point to be taken care of is that there are 17 sections within the ICD 10 PCS related to the different types of procedures performed on an inpatient in a hospital setting in the U.S. These sections include:

  1. Administration
  2. Chiropractic
  3. Extracorporeal assistance and performance
  4. Extracorporeal therapies
  5. Imaging
  6. Laboratory
  7. Obstetrics
  8. Measurement and monitoring
  9. Medical and Surgical
  10. Mental health
  11. Nuclear medicine
  12. Placement
  13. Physical health rehabilitation and diagnostic audiology
  14. Radiation oncology
  15. Substance abuse treatment
  16. Miscellaneous

Why do you need Professional Coding and Billing Service Providers for ICD 10 CM and ICD 10 PCS?

With HIPAA rules in place and the ever-changing coding rules and regulations, keeping up with the ICD 10 CM is quite challenging. Even the ICD 10 PCS can be extremely tricky, with more than eighty thousand codes to select from.

Furthermore, ICD 10 CM is a set of coding rules that would require the provision of additional information given within the coding system to the insurance companies and the four organizations that have approved the ICD 10 PCS guidelines. However, the instructions given in the coding system of ICD 10 PCS are to be given priority over the guidelines set in the ICD 10 CM.

Undoubtedly, the guidelines are set to help the coders and the healthcare providers with the procedures to be reported. It also gives additional instruction on the coding sequences such as indexes, tables, and definitions used in ICD 10 PCS.

When there are so many combinations and rules to be followed by the coding and the billing staff, staying on the right track can be tricky. However, when a healthcare service provider partners with an experienced medical coding and billing company such as Info Hub Services, they can assure of fewer claim denials and rejections.

Why Info Hub Services for ICD 10 CM and ICD 10 PCS?

The Info Hub Services know about the latest coding updates and have trained professionals who can handle the medical coding and billing process effectively. With the latest medical billing software and HIPAA-approved technology, Info Hub Services can ensure proper revenue cycle management where the coding is done properly and correctly for every claim to be successful.

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Why Outsource Medical Coding Services? https://infohubservices.com/blog/why-outsource-medical-coding-services/ Wed, 25 Aug 2021 07:20:20 +0000 https://infohubservices.com/?p=1352 Be it any healthcare organization, their practice reimbursement relies on the accuracy and efficiency of the medical coding, thereby submitting the clean claims. However, medical coding can be time-consuming, complex, and even expensive when you undertake it with your in-house coding team. All these challenges influence most medical practices to consider medical coding outsourcing.

Therefore, any healthcare provider needs to choose between the in-house medical coding team and outsourcing to the outside coding professionals. In the majority of the cases, working with third-party coding experts is the optimal solution as this approach provides multiple advantages. These are as follows:

1. Up-to-Date Certifications

Medical coders need to keep themselves constantly updated with the latest coding systems, best practices, certifications, and other regulatory requirements. Additionally, they need to be aware of the latest updates from the various government agencies, medical organizations, and other groups via their public forums, websites, blogs, webinars, email subscriptions, and other available resources. However, keeping up with all such updates seems easy but involves considerable time investment.

Did you know that just a single update can create a substantial change in the medical coding and the related efforts?

For instance, the introduction of ICD 10 has brought up a significant boost in the number of codes. In fact, ICD-10–PCS consists of around 19 times more procedure codes than the ICD-9-CM, volume 3. Additionally, ICD-10-CM has approximately 5 times more diagnosis codes than that of ICD-9-CM.

Therefore, if you outsource your medical coding services to third-party professionals, you don’t have to be concerned about these updates and other regulatory requirements. These experts will take care of all your concerns and assure you about the constant working on your charts with their updated skills, certifications, and knowledge.

2. Consistent Staffing Levels

Undoubtedly, you can rely on your in-house coding team for all your coding requirements. But simultaneously, you only have limited adaptability for adjusting to numerous changes happening in the medical industry. Sometimes the volume of your medical coding might exceed the capacity of your in-house coding team. Other times, your coders might be short-staffed due to long leaves, vacations, medical issues, or even quits. Thereby, this can lead to backlogs in the coding tasks and delays in the reimbursement amount.

On the coin’s other side, medical coding companies have a large number of coders to adjust to the changes in your volume of coding work without adding any extra pressure or cost. When you outsource your coding requirements to third-party outsourcing medical companies, you can be assured of getting the job done efficiently and promptly with enough coders.

3. Cost-Effectiveness

In the majority of the cases, outsourcing your coding tasks to professionals proves to be a more cost-effective solution for your practice than hiring a team of in-house coders. In fact, employing highly skilled and experienced medical coders with proper certifications and specializations can be an expensive idea. But with outsourcing, you can get access to the top-notch coders at a much lower rate.

As per the reports of AAPC, the average salary earned by a medical coder is around $52,411 per annum. Whereas coders with specializations and certifications as a Certified Documentation Expert Outpatient, Certified Professional Medical Auditor or Certified Physician Practice Manager get an average salary of around $64,000 per annum.

Of course, salary is not the only cost associated with the employment of a medical coder. There are other expenses as well that you need to bear, such as employer-paid taxes and other employee benefits like paid time off, health insurance, retirement benefits, etc. All these costs account for around 35% of a coder’s salary. You also need to account for the opportunity costs for the time you’ll be investing in hiring, managing, and training your in-house medical coding team.

With the outsourcing medical coding team, you can outsource all of such expenses to them along with the medical coding work. As they operate on a larger scale and undertake coding tasks as their primary focus, they can provide their services at a much lesser price than what it would cost you for your in-house team.

4. More Time for Core Activities

Doing medical coding in-house involves a significant investment in terms of time and resources taken away from other core activities. The provision of training and managing an in-house team seems easy but consumes many resources in reality. In fact, this investment gets multiplied when the physicians do their own medical coding. The reason is the compromise of an opportunity cost, i.e., Patient Care.

However, healthcare providers can now give more time to their core activities by outsourcing their medical coding tasks. This indicates that outsourcing will allow your employees more time to divert their focus on patients, thereby improving their quality of care. Therefore, when you partnered with an experienced coding company, you can still get accurate coding, but without compromising your time meant for your patients and their care.

Conclusion

Keeping in mind all the advantages that can be enjoyed, more and more physicians and healthcare providers are turning to reliable medical coding outsourcing companies for their coding tasks. This indicates that the entire coding services are handed over to the Info Hub – known for experienced and expert coders who eat, drink, and breathe coding. This is all that they do, and their experience and training are second to none.

 

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