Question

explain how understanding medical terminology and anatomy and physiology can assist you and increasing your employer's reimbursement from insurance companies

Answer 1

If we talk about the medical coding professionals who are mostly aware of the universal medical alphanumeric codes used for healthcare diagnosis, related services or procedures which comes from the medical records, and they apply these codes during any medical billing inclusive of information abstraction, right code assignments and claim creation for the insurance carriers. Generally the clinical statements are reviewed through the entire process based on the HCPCS, ICD-10-CM and CPT standards. Thus, the medical billing professionals processes the same and send the claims to the health insurance companies for reimbursement of services extracted by a healthcare provider. Therefore, the understanding medical terminology and anatomy and physiology can assist and increase employer's reimbursement from insurance companies. This results in the smooth coding and billing process by understanding the patient related transcription or lab test reports or any other sources and most importantly it becomes effortless process to avoid the denials from the insurance companies. Understanding of the medical codes generally offers a clear picture about the patient’s story and dealings with a physician, helps to capture the reimbursement for extracted services. Hence, all of this helps in to be with in-compliant with the regulations.