What are steps in the medical coding process?
6 Key Steps in the Medical Coding Process
- Action 1. Abstract the documentation.
- Action 2. Query, if necessary.
- Action 3. Code the diagnosis or diagnoses.
- Action 4. Code the procedure or procedures.
- Action 5. Confirm medical necessity.
- Action 6. Double-check your codes.
What is the first step of the coding process?
Identify the Problem
- Requirements. The first step is to examine the problem carefully to try to identify what qualifies as a solution.
- Specification. The second step is to then look at the list of requirements and to decide exactly what your solution should do to fulfil them.
What is the first step in ICD-10 coding?
To determine the correct International Classification of Diseases, 10 Edition, Clinical Modification (ICD-10-CM) code, follow these two steps: • Step 1: Look up the term in the Alphabetic Index (an alphabetical list of terms and their corresponding code); and • Step 2: Verify the code in the Tabular List (a …
What are the basics of medical coding?
Medical coding involves extracting billable information from the medical record and clinical documentation, while medical billing uses those codes to create insurance claims and bills for patients. Creating claims is where medical billing and coding intersect to form the backbone of the healthcare revenue cycle.
What are the 5 steps to correct code?
A Five-Step Process
- Step 1: Search the Alphabetical Index for a diagnostic term.
- Step 2: Check the Tabular List.
- Step 3: Read the code’s instructions.
- Step 4: If it is an injury or trauma, add a seventh character.
- Step 5: If glaucoma, you may need to add a seventh character.
What are the 7 steps in coding?
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