Essential Qualities of a Medical Coding Professional
Entry of technology in the health care industry has ensured that automation and digitization are the order of the day in medical practices regardless of size or specialty. Accuracy of coding has been remarkably improved and the practice revenue cycle been found to improve as well. The demand for quality and accuracy has resulted in practices seeking efficient and reliable medical coders.
Why is Medical Coding Considered Crucial?
One of the critical elements of the medical revenue cycle processes, medical coding needs to be handled by qualified and experienced professionals. As the medical coding process plays a vital role in the success of medical billing and subsequently influences the revenue generation of a medical practice, it is imperative that practices pay close attention and dedicated effort toward this process.
How Does Efficient Medical Coding Affect Medical Practices?
Coding and billing professionals are expected to be efficient and familiar with the nuances of health insurance contracts and medical terminology. Since incorrect coding is one of the major reasons for claims denial, coding personnel must be vigilant; they must adhere to compliance needs and have experience in patient inquiries and claim appeals.
Coding professionals must be capable of listening efficiently and thinking contextually. Keeping updated about insurance requirements and changes thereof, coders are needed to be competent in composing relevant data without ambiguity.
Requirements of Modern Medical Coding Professionals
Coders are required to have the ability of accurately interpreting physicians’ notes, assigning codes appropriately, and be able to apply modifiers whenever needed. Familiarity with the most modern processes and procedures in the medical industry is essential. An eager mind to learn the constant changes and updates in the health care environment is a must. Medical coders need to have an eye for detail and they must be capable of adapting the changes.
Numinatrans is the market leader in providing medical billing and coding solutions to health care facilities spread across the world. We have regular training and development programs that keep our coding professionals up-to-date with the most recent changes in the regulatory standards and legal requirements.
If you are looking for accurate medical coding and billing services, you need to look no further – approach us for reliable and efficient medical coding services. Visit our website www.numinatrans.com for more details.
Understanding the Fundamentals of MIPS and APM
MACRA has made three significant changes to the way physicians are being paid by CMS. The changes have created a quality payment program. With the recent changes in physician reimbursement model, physicians are allowed to choose one of the two paths in which payment is linked with quality.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has suggested two types of payment models for health care providers. The focus is transition from the volume-based payment model to a value-based model. Eligible clinicians (ECs) will either participate in the MIPS or an APM model. These two are collectively known as the quality payment program for which the initial performance period starts from the year 2017.
The Two Paths of Payment
The two paths, namely, merit-based incentive payment system (MIPS) and advanced alternative models (APMs) are the new payment models. The general assumption of CMS happens to be that a large number of health care providers will be choosing MIPS during the current year.
APM Model
This is one of the new approaches of payment for medical care provided that incentivizes quality and value. APMs provide high-quality care in economical manner.
MIPS
This program combines the value modifier (VM), physician quality reporting system (PQRS), and the electronic health record (EHR) incentive program into one. Eligible professionals (EPs) will be measured using this metric.
Numinatrans has been providing efficient and reliable medical billing services to physicians and medical practices across the world. Our revenue cycle management services include medical coding and billing, patient eligibility verification, AR follow-up, Provider credentialing, payment posting, and charge entry.
Numinatrans is the market leader in medical billing services. You are welcome to approach us; our endeavor is providing accurate medical billing and coding solutions. Visit our website www.numinatrans.com for further details.