Reference no: EM133531412

Question: Medical coding and billing specialists need to have knowledge about the cardiovascular system because it is one of the most common areas of medical billing and coding. Aside from that cardiology billing and coding are complex. This specialty experiences regular amendments of key procedure rules, complex contractual adjustments, and codes, and that is the reason while using the modifiers requires attention. Medical coding staff needs to understand anatomy, physiology, and pharmacology so that they can accurately enter the codes that apply to specific procedures, diagnoses, and treatments. The codes used in billing and coding identify the diagnosis, symptoms, and cause of death. The cardiovascular system transports oxygen, nutrition, hormones, and other vital chemicals throughout the body to cells and organs. Therefore, it is important for medical coding and billing specialists to understand the cardiovascular system so that they can accurately code procedures and diagnoses related to this system. This will help ensure that patients receive appropriate care and that healthcare providers are reimbursed correctly for their services. In medical classification, diagnosis codes are used as part of the medical coding process along with intervention codes. Diagnosis coding seizes the patient's illness and chronic disease details during outpatient care and at the time of inpatient admission. This essential information explains the patient's health to other healthcare providers, specialists, insurance payers, and data registries. Cardiology CPT codes have lots of combination codes which should be used correctly in order to accurately report the patient's conditions. Using the correct combination of cardiology codes will help your cardiology practice to avoid under-coding or miscoding certain conditions.

Ella, you mentioned the use of modifiers, is this something you are familiar with currently or was this new information to you? Yes, modifiers are used on professional claims to provide more information on a code. They are 2 letter or number combinations that explain more about what the procedure code was used. If there are multiple of the same type of code a modifier might be used to explain the reason why they were used.