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A Professional Medical Billing Company Needs To Know ICD-10

By Lonnie Greenfield


If you know anything about medical billing, you may agree that ICD-10 is difficult to master. Men and women from all over the world ask the question, "How am I ever going to learn all of these codes? You may not know it now, but there are around 69,000 codes used. In ICD-9, there were around 14,000. You must have a good mental outlook for how these codes have changed. It is important to think about getting certified in ICD-10. Your employer is going to look at what you know about the new coding and if you can get them a high return from the insurance companies.

For starters, doctors want to know that you are certified or educated in a way that makes sense to them. They want to see that you can get them a higher return on their investment. A lot of medical doctors today believe in outsourcing their billing because they cannot find a qualified in house billing expert. It is hard to find a medical billing expert that knows a lot about ICD-10. These new codes were released on October 1, 2015 and was one of the biggest updates that ever happened.

It is important to see why so many people look the necessary skills to be in medical billing anymore. For starters, the new codes require a good education and possibly certification. Many men and women are finding out that they have to go back to school. It is important to note that the new codes are often hard for people to do correctly because there are so many of them. Can you believe that there are over 69,000 codes now? That is almost 5 times as much information.

The important functions of a medical biller today are that you need to be open to change. It is important for a medical biller to know a lot about anatomy and working directly with a medical doctor. Those that choose not to work alongside of a doctor say that they have no idea what is going on. This is mainly because you need to explain in detail why you are billing the insurance company to begin with. Under ICD-10, you must document as much information as you possibly can so that everyone is on the same page. The insurance companies want to know what the status is of the patient. Is there health improving or are they having to get more treatments. The important question that insurance companies are now asking is why? Why should I write your medical practice a check for $20,000? Why shouldn't it be $5,000? Does the patient really need all of the services that you are giving to them? Are you just trying to make more money off the insurance company? These are serious questions that insurance companies are asking today.

It is important to take each step with the insurance company lightly. Remember, it is a step by step process. Many countries are saying that they are not receiving checks from insurance companies sometimes for 90 days. There is a huge slowdown of payments going to hospitals and physician's offices.




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