24 Jul Acronyms, Codes, Terminology: The Language of Medical Billing
Knowing all the Medical Billing services that keep your billing bases covered, and the correct acronyms and codes that identify procedures and facilities, are a significant part of making sure your revenue cycle is being managed efficiently, and your claims are will get paid by the insurance companies.
Prime among the many elements that make up a clean claim (one that is accepted for payment by the insurance company), are the codes that correspond to the procedures and diagnoses on the claim, and define the charges paid to providers.
While the Health Insurance Portability and Accountability Act (HIPAA) requires the use of uniform billing codes, or Current Procedural Terminology (CPT®) codes, for all healthcare electronic transactions, not all procedures align with CPT codes. If a CPT code doesn’t exist for a particular diagnosis or procedure, the coder must use the appropriate unlisted code, the Not Otherwise Classified (NOC) code (which often ends in 99, which means there are a lot of them).
It’s really important to know all the terminology relevant to Medical Billing in Texas, Illinois, Michigan and other states, and stay current with the hundreds of acronyms and constantly updating procedure codes that ensure clean claims, mitigate compliance exposure, and avoid time-consuming denials.
Medical Billing Terminology and Acronyms
Here are just a few of them:
RCM
RCM Systems & Software
PM
PMS
EMR
EHR
CVO
RCM Services & Support
Provider Credentialing
Provider Privileging
CVO
BDR
Medical Billing Codes
ASC
ATD
AOB
CARC/RARC
CO
CR
OA
PI
PR
COB
CPT
HCPCS
Level I CPT-4 Codes
- Evaluation & Management (99202–99499)
- Anesthesia (00100–01999)
- Surgery (10021–69990) — further broken into smaller groups by body area or system within this code range.
- Radiology Procedures (70010–79999)
- Pathology and Laboratory Procedures (80047–89398)
Level II CPT-4 Codes
DME
Medical billing is a professional-grade job that requires the expertise and experience of highly-trained medical billers and coders, who maintain current industry-standard coding proficiency and best practices.
Every coder on the Medusind Coding Services team is trained at the Medusind Coding Center of Excellence. They are 100% CPC-Certified and maintain an AAPC, AHIMA, or multiple certifications. Medusind coders are exclusive to Medusind clients, optimizing customer support and accountability.
Find out more about Medical Billing and Coding Services, and the Medusind Coding Center of Excellence that ensures the highest level of coding skills, helps generate consistently clean claims, and provides each client with an unmatched level of customer support.
