Master Medical Coding: How CPT, HCPCS, and ICD-10 Drive Healthcare Reimbursement | |
Medical coding, employing codes such as CPT, HCPCS, and ICD-10 (CM and PCS), is paramount for precise reimbursement in healthcare. These codes serve as the foundation for various payment methodologies. Inpatient Care Reimbursement For inpatient services, Medicare primarily utilizes the Inpatient Prospective Payment System (IPPS), categorizing patient stays into MS-DRGs based on ICD-10 codes. Commercial payers may also adopt IPPS or use their own methodologies. Medicaid frequently employs the APR-DRG system. Home Health and Outpatient Reimbursement Home health agencies rely on the Patient Driven Groupings Model (PDGM) for reimbursement, with OASIS assessments determining patient classifications. Outpatient services are reimbursed under the Outpatient Prospective Payment System (OPPS) using CPT and HCPCS codes. | |
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| Target State: California Target City : Glendale Last Update : Aug 20, 2024 6:46 AM Number of Views: 39 | Item Owner : Albert Brown Contact Email: Contact Phone: +1 08668542714 |
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