Trusted Solution Providers:
Companies like DocVaz.com specialize in real-time insurance verification and pre-certification, which streamlines the process for busy practices and reduces administrative overhead.
Step 3: Patient Visit and Documentation
The healthcare provider sees the patient and documents the visit thoroughly. This documentation is vital because it forms the basis for medical coding.
Key Components:
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Symptoms, diagnoses, and treatment
Procedures performed
Prescriptions, labs, or imaging ordered
Clear and accurate documentation ensures that coders and billers can translate services correctly for reimbursement.
Step 4: Medical Coding
Medical coding is the transformation of the healthcare provider's notes into standardized codes. These include:
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ICD-10 for diagnoses
CPT/HCPCS for procedures and services
Accurate coding is essential for proper reimbursement. Misused or incorrect codes can result in claim denials or audits.
