ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System) is the system used in the United States to code inpatient hospital procedures. Unlike ICD-10-CM, which is used for diagnoses, ICD-10-PCS is specific to procedures performed...
Why Knowing Physiology, Anatomy, and Medical Terminology Can Help You in a CPC Course and for AAPC CPC Exam Prep Preparing for the AAPC CPC exam is no small task. While coding guidelines, CPT®, ICD-10-CM, and HCPCS rules form the backbone of the exam, one of the most...
What Is the Table of Drugs & Chemicals? Medical coding the Table of Drugs & Chemicals is an alphabetical list of substances—including prescription medications, over-the-counter drugs, alcohols, gases, industrial chemicals, and other agents—that can cause toxic...
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What is Risk of Mortality (ROM)? Risk of Mortality (ROM) in medical coding is a clinical severity measure used in healthcare coding and reporting that estimates the likelihood a patient will die during a hospital stay. ROM is typically assigned using coding systems...
What is Severity of Illness (SOI)? Severity of Illness (SOI) in medical coding is a classification system used in healthcare reporting that measures the extent of a patient’s illness. It reflects how sick the patient is and how much hospital resources may be required...
Understanding MCC and How It's Used In medical coding, MCC stands for Major Complication or Comorbidity. It is a classification used in the ICD-10-CM and MS-DRG (Medicare Severity Diagnosis-Related Group) systems. MCCs represent conditions that are severe and...
What Is Medical Necessity in Medical Coding & Billing? Medical necessity is a cornerstone of accurate medical coding and billing. It determines whether a service, procedure, or supply is reasonable, necessary, and appropriate based on a patient’s medical...
What Is an Encoder in Medical Coding? An encoder is a specialized software tool used by medical coders to streamline the coding process by helping identify the correct diagnosis (ICD-10-CM), procedure (CPT/HCPCS), and modifier codes. Encoders often integrate official...
Medical Coding Audits: Guidelines & Tips for Compliance and Accuracy Medical coding audits are essential for maintaining compliance, ensuring accurate reimbursement, and reducing the risk of denials or legal penalties. Whether you're a coding professional,...