Health Insurance Companies Process 1 in 5 Claims Wrong.

Medical Billers and Coders: An Integral Part of the Healthcare Industry

The Behind-The-Scenes Medical Professionals

Doctors and nurses often receive most of the attention in healthcare, but behind the scenes, many other professionals work hard to provide the best patient experience possible. Medical billers and coders are particularly important, and yet, few people understand the crucial role they play.

My friend Monica over at Carrington College made an infographic that I found very interesting and wanted to share with you all. She points out that medical billers and coders do their part to ensure that physicians and other healthcare professionals can pay attention to providing care rather than stress about insurance payments.

Medical Billing vs Medical Coding Infographic

Simplifying the Payment Process

Without medical billers and coders, the payment process would be far less efficient. Their efforts allow doctors to concentrate on treatment and patients to focus on recovery.

Medical billers and coders make payments easier to understand. Coders translate each diagnosis and treatment to one of over 140,000 ICD-10 codes. Billers then use this code to create an appropriate medical bill.

Billers and coders ought to receive a lot of credit for making the healthcare system work. They are an integral part of the healthcare industry, and their services help both doctors and patients.

So are you a coder or a medical biller? I would love to know.  Leave me a comment below.


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12 thoughts on “Medical Billers and Coders: An Integral Part of the Healthcare Industry”

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    Angela Waterford

    It was interesting to learn about medical billers and how they make the payment process much more efficient which helps the medical professionals to focus on their practice instead of worrying about payment arrangements. I didn’t previously know that this kind of job exists, but in hindsight, I would agree that they are an integral part of the healthcare system. I wonder if emergency medical services also outsource their billing system since some of them aren’t part of a hospital or a major practice.

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    Michaela Hemsley

    Thanks for explaining that medical coders help translate your medical experience into specific codes. I think that having people who were good at that would help make sure that a medical practice could have fewer problems and would help it be more organized. Since that seems like a pretty important part of a medical practice, it would probably be smart to make sure to hire people who knew what they were doing so that everything would go smoothly in that area.

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    Medical systems are growing very fast nowadays. And Medical CRM Software can help to manage entire activities. And It will help you to manage patient data in one place. Everyone should read this blog. Thanks to Author for such a nice blog. keep posting…!

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    It is a well-crafted piece . It gave me information on how medical coders make work easy for other professionals. Thanks for sharing important information.

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    When it comes to medical billing, I didn’t know that there were certain codes in use when it comes to differentiating and identifying what the doctor had taken down so that the patients can be billed properly. Another thing that caught my eye is that these codes are also known by insurance companies so that they can compute the total cost of how much the medical services is, and if there’s any extra that would be shouldered by the patient. While I have no experience when it comes to this kind of thing, what I can say about the entire process is that it makes sense, coming from the standpoint of someone who relies on company-provided medical care a lot.

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    Employee Pooling

    Very informative post about the role of Medical Billers and Coders, they are the real player behind the scene!

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    When I bill a nurse visit with a b12 injection, why dont they pay on the nurse visit?


    Thank you

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    Can the Advanced Care Planning CPT Code 99497 be used in a Skilled Nursing facility (SNF) set up?
    If so, can it be appended with modifier 33 for the following scenarios

    New admit to SNF – CPT 99305
    Subsequent Visit – CPT 99308/CPT 99309
    Annual visit – CPT 99318.

    if so how?

    any comments and suggestions

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