Thursday 12 May 2016

Why We Need The Healthcare Common Procedure Coding System (HCPCS) In Medical Field?

What is Healthcare Coding?

We know that Medical coding is the utilization of standardized codes to identify the services rendered to a policyholder. Every possible complaint and diagnosis are allocated in a universal code that is readily agreed by both healthcare providers and insurance companies. This process has become particularly useful since the medical claims moved over to a largely digitized design.


Similarly, if we talk about Healthcare coding needs are based upon CPT (The Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Pane).

The Three Levels of Healthcare Coding:

1.    Coders use HCPCS codes representing the medical techniques to Medicare, Medicaid, and several other third-party payers. The code set is divided into three levels. Level one is identical to CPT. when used to bill Medicare or Medicaid, are HCPCS codes. CMS looked at the established CPT codes and decided that they didn’t need to improve upon or vary those codes, so instead they folded all of the CPT into HCPCS.

2.    Level II HCPCS codes are planned to represent the non-physician services like ambulance rides, wheelchairs, walkers, other long-lasting equipment, and medical services that don’t willingly fit into Level I. Where CPT defines the process accomplished on the patient, it doesn’t ask for many Healthcare coding needs for the product used in the process. HCPCS Level II takes care of those products and parts of medical equipment.

3.    Level III codes, also known as the local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in definite databases and influences. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to implement a customary coding system for recording medical transactions.

Thus, these Standardized code sets are necessary for Medicare and other health insurance providers to provide healthcare claims that are managed consistently and in an orderly manner. Seek help from a dexterous team of My Healthcare Coder for your medical billing and recording tasks today. Visit http://myhealthcarecoder.com/ for under budget medical coding and billing services.