8. Why would the medical billing specialist need to use HCPCS codes for patients other than those covered by Medicare?
Medical billers take the medical coder's information and make a bill for the insurance company, called a claim.
# Medical billing example :
- The medical biller takes the codes; the biller then sends this claim to the insurance company, evaluating and returning it.
Therefore, the medical biller acts as a type of spot between patients, healthcare providers, and insurance companies.
- Medical billing specialists use HCPCS codes for patients to represent Medical procedures to Medicare, Medicaid, and several other third-party payers.
- The Healthcare Common Procedure Coding System (HCPCS) is a set of health care procedure codes based on the American Medical Association's Current Procedural Terminology (CPT).
- Healthcare Common Procedure Coding System (HCPCS) was developed by the Centers for Medicare for reporting medical procedures and services.
The correct HCPCS code plays an essential role in patient access to new and existing technologies.
7. Explain the benefit of having HCPCS codes in addition to CPT codes.
5. Explain why a physical status modifier must be used with anesthesia codes.
6. What does the HCPCS workgroup do?
9. How does an individual or group (such as a provider) get a HCPCS code added, changed, or deleted?
2. Why is it important for WHO to standardize codes to be used worldwide?
1. Should medical insurance policies restrict certain excluded services? Why or why not?
1. Under what types of circumstances might medical insurance specialists need to utilize GEMS?
4. While on a skiing vacation, you break your leg and are treated by a local provider. Upon your return home, your PCP removes the cast. Explain why or why not to use bundled code.
2 If a patient has bunions on both feet repaired during the same operation, why must you use modifier 50?
3. Why can't the provider simply code office visits by time spent with the patient?