Tuesday, May 26, 2015

What is ICD?

ICD means International Statistical Classifications of Diseases. ICD codes are alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings. These classifications are developed, monitored and copyrighted by the World Health Organization (WHO). In the United States, the NCHS (National Center for Health Statistics), part of CMS (Centers for Medicare and Medicaid Services) oversees all changes and modifications to the ICD codes, in cooperation with WHO




What Do the Numbers Mean? ICD-09, ICD-10 and Others


 ICD codes were first developed in 1893 in France by a physician, Jacques Bertillion. They were called the Bertillon Classification of Causes of Death. In 1898, they were adopted in the United States, and were considered, in effect, ICD-1 because that was the first version of code numbers. Most of the codes we see in the United States today are version 9, called ICD-9-CM codes. With few exceptions, the paperwork we receive when we leave a doctors office will contain both CPT codes (Current Procedural Terminology) to describe the service that was rendered for billing purposes, and ICD-9-CM codes to describe why that service was provided. Further, most death certificates filed since 1977 will have an ICD-9 code on them.




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Wednesday, May 20, 2015

Healthcare Billing Cycle


The medical billing process in simple words can be described as interaction between health care provider (doctor, nurse, hospital, etc.,) and the insurance company (payer). This process is termed as billing cycle.

The cycle starts when a patient meets the Doctor.. Lets understand the details of each of the steps in the process:

Roles and Responsibilities: