In: Nursing
In general, describe the purpose and benefit of clinical coding. What are ICD/10 and CPT/4 coding structures?
Benifits of clinical coding:
*Healthcare center can reduce and avoid the cost of operating systems.
*Complete and better fcus on healthcare as it is quick and accurate.
*Overall coding productivity and outcome can be increased as it provide value added services.
*Minimised claim denials as it bare minimum error.
Purposes of clinical coding:
As data representation is a vital part of health system it is applied in various areas like
Health service planing and casemix management
medical billing
allocation of health resources
statistics
Research , studies and clinical audits.
clinical benchmarking.
cost analysis
Aetiological and epidermological studies.
ICD/10 coding structure - it is a standard transaction code for diagnostic purposes under HIPAA.
It is a seven character alphanumeric code begins with a letter followed by two numbers. The first three characters of the ICD -10 are category which describes the general type of injury or disease.This category is followed by a decimal point and subcategorywhich is followed by two subclassifications explaing the cause,manifestation,location,severity and type of injury or disease. The last character is extension describing the tpye of encounter.
Ex
A24 .411 D
CPT/4 coding structure are uniform coding system used to identify the medical procedures and services done by healthcare proffesionals.It is five-digit numerical code without decimal marks but sone have four- digit and a number. EX
The doctor for performing a physical checkup(99396)