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Medical coding and its importance

Medical coding is mostly used to make sure insurance companies pay and process claims accurately, but it is also useful for research and basic patient medical record-keeping.

One of the most crucial components of the healthcare sector is medical coding. It is in charge of converting patient data into a language that insurance companies and other medical specialists can understand.

Bill generation software and payment tracking software both use this data. The Affordable Care Act has made medical coding even more crucial in recent years. Medical coders will become even more essential to the future of healthcare as healthcare reform continues to take hold.

Valued at $15.2 billion in 2019, the global medical coding market is projected to witness a CAGR of 9.6% during the forecast period (2020–2030).

The governments of the United Arab Emirates have both enforced the use of standard medical codes as part of providers’ electronic claim processing. Medical coding services are essential for correctly cataloguing the medical services provided by the practice and for converting those services into billable items.

There is a dire need for the skills and expertise of medical coders. AAPC’s mission is to help support the needs of our members, regardless of their geography, so we aim to continue to expand our international effort and growth and continue to comply to AAPC’s standard format of medical coding and billing.

Medical Coding Training

Introduction to
Medical Coding

CPC
Training

HCC
Coding

CCP
Coding

CIC

Pathophysiology

Anatomy

HCPCS

Medical Terminology
Course

AAPC Certification
Practice

COS

Fundamentals of Medicine Course

Difference between Medical Billing & Medical coding ?

Medical coding

  • Medical coding is the process of converting diagnosis
  • Treatment and procedures into standardized codes that can be used by healthcare providers
  • Government agencies and insurance companies.
  • Coding ensures that the procedures are recorded accurately to deliver quality care to patients.
  • Medical coding helps translate medical procedures into standardized codes.

Medical billing

  • Medical billing is the process of submitting and following up on claims with insurance companies to receive payments for services provided to the patients.
  • Billing helps the providers receive proper reimbursement for the services given.
  • This in turn helps in maintaining financial stability.
  • Medical billing helps submit claims and receive the payment for the medical services provided.

BENEFITS

  • Software Navigation
  • Hands on Practice
  • On job training
  • Working on provider collection

Training Duration

100 Hr Training

training length

6 Weeks

Placement

Job Guarantee

Clinical Coding Professional (CCP) is a new certification that has been localized to markets including Bahrain (CCP-BH) and Saudi Arabia (CCP-KSA), both based on the Australian classification.

KSA’s healthcare system was about to embark on a new path as the Ministry of Health (MOH) began planning to privatize the healthcare sector and required a localized process to enhance its healthcare system. This change also required the creation of a national coding system where the Council of Health Insurance (CHI) and the Saudi Health Council (SHC) were brought in to implement coding requirements for the new private system.

In the Kingdom of Saudi Arabia, medical coding is increasingly acquiring an important role in the provision and billing of medical services. As the medical coding industry expands, so does the demand for trained and certified personnel to perform clinical coding responsibilities. Gencare Academy is providing a training and AAPC certification program to help satisfy this requirement.

The Clinical Coding Professional Certification (CCP-KSA) is a comprehensive course designed to provide medical coders with the specific job skills and knowledge required for success in basic medical coding in both inpatient and outpatient settings in the Saudi Arabia healthcare market.

Introduction to Medical Coding

Medical coders are responsible to change a physician’s notes about a patient’s health care information  including the diagnosis, treatments, medical equipment, and services, into standardized and universally accepted medical alphanumeric codes.

CPC Training

Medical coding and billing are among the fastest-growing healthcare fields. It is estimated to grow at a rate of 11% by 2028.  

The benefits of a CPC include:

  • Approved expert-level skills and medical coding knowledge.
  • Increases the earning capacity of an individual and stay on demand in the rapidly growing job market.
  • The Business of Medicine
  • Review of Anatomy
  • Overview of ICD-10-CM
  • Applying the ICD-10-CM Guidelines
  • Accurate ICD-10-CM Coding
  • Introduction to CPT®, HCPCS Level II, and Modifiers
  • Integumentary System
  • Musculoskeletal System
  • Respiratory System
  • Cardiovascular System
  • Hemic & Lymphatic Systems, Mediastinum, Diaphragm
  • Digestive System
  • Urinary System and Male Genital System
  • Female Reproductive System and Maternity Care & Delivery
  • Endocrine System and Nervous System
  • Special Senses (Ocular and Auditory)
  • Anesthesia
  • Radiology
  • Pathology & Laboratory
  • Evaluation & Management Services
  • Medicine

HCC Coding

HCC or Hierarchical Condition Category is a term that is used to describe grouping of similar diagnoses into a single category. It is a process where coders review medical records and abstracts supported diagnosis codes in a risk adjustment payment model. These models are used  to reimburse the health insurance plans by the federal government.  HCC coders are employed by health plans, provider groups and companies that are contracted with the government to conduct audit services.

CCP Coding
The gulf requires CPT, HCPCS, and ICD-10 AM.
We aim to provide our trainees with a guaranteed job in India and abroad. Online Training module designed as per the UAE guidelines include:
  • Medical Terminology
  • Anatomy and Physiology
  • Medical Coding
  • CPT Coding
  • HCPCS Coding
  • Medical Billing
  • CMS-1500
  • Clearing House
  • Revenue Cycle Management
  • Denial Management
  • AHIMA CCA, AAPC CPC Exam preparation.

CIC
  • Inpatient Facilities and Related Hospital Departments
  • Anatomy and Medical Terminology
  • Pharmacology
  • Inpatient Documentation and Coding
  • Inpatient Diagnosis Coding – General Guidelines
  • Inpatient Diagnosis Coding – Chapter Specific Guidelines
  • ICD-10-PCS Procedure Coding
  • CMS and Inpatient Prospective Payment Systems
  • Outpatient Prospective Payment Systems
  • Regulatory and Payer Requirements
  • Business in the Facility
  • Compliance in the Facility
  • Inpatient Coding Cases

Pathophysiology

Medical coders are responsible to change a physician’s notes about a patient’s health care information  including the diagnosis, treatments, medical equipment, and services, into standardized and universally accepted medical alphanumeric codes.

Anatomy

Introduction to the Body

Chemistry of Life

Cells

Tissues

Organ Systems

Skin and Membranes

Skeletal System

Muscular System

Nervous System

Senses

Endocrine System

Digestive System

Nutrition and Metabolism

Blood

Cardiovascular System

Lymphatic System and Immunity

Respiratory System

Fluid and Electrolyte Balance

Acid-Base Balance

Urinary System

Reproductive Systems

Growth, Development,

and Aging

HCPCS

HCPCS, which stands for Healthcare Common Procedure Coding System, is a standard set of codes used by medical providers when they submit claims to Medicare and other health insurance companies.

HCPCS includes two medical coding sets:

  • HCPCS Level I
  • HCPCS Level II

HCPCS codes are used to denote the procedures, the supplies, products and the services that are available to Medicare beneficiaries and to those holding private health Insurances.

Medical Terminology Course
  • Introduction to Medical Terminology
  • Disease and Treatment
  • Circulation, Blood and Immunity
  • Respiration and Digestion
  • Urinary and Male Reproductive System
  • Female Reproductive System, Pregnancy and Birth
  • Endocrine and Nervous Systems, Behavioral Disorders
  • The Senses
  • The Skeleton and Muscular Systems
  • The Skin

AAPC Certification Practice

COS
  • Outpatient Hospital Facilities and Departments
  • Business in the Facility
  • CMS Payment Systems (OPPS, DRG, IPPS, Revenue Codes) Overview
  • Facility Billing
  • Compliance in the Outpatient Facility
  • Documentation and Coding Standards
  • Anatomy and Medical Terminology
  • Introduction to ICD-10-CM Coding
  • ICD-10-CM Coding Guidelines
  • Introduction to CPT®, HCPCS Level II, Surgery Guidelines, and Modifiers for Facilities
  • Evaluation and Management Services for Facilities
  • Integumentary System
  • Musculoskeletal System
  • Respiratory, Hemic, and Lymphatic Systems
  • Cardiovascular System
  • Digestive System
  • Urinary System and Male Genital System
  • Female Reproductive System
  • Endocrine and Nervous Systems
  • Eye, Ocular Adnexa, and Auditory Systems
  • Radiology
  • Pathology and Laboratory
  • Medicine
  • CMS and Outpatient Prospective Payment System
  • CMS and Inpatient Prospective Payment System
  • Inpatient Coding Overview with an introduction to ICD-10-PCS

Fundamentals of Medicine Course
  • Introduction to the Body, Disease, and Treatment
  • Integumentary System
  • Musculoskeletal System
  • Nervous System and Mental Health
  • Special Senses and Endocrine System
  • Cardiovascular and Lymphatic Systems
  • Respiratory System
  • Digestive System
  • Urinary System
  • Male Reproductive System
  • Female Reproductive System, Pregnancy and Birt

AAPC CERTIFICATION PRACTICE

The American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) exam helps demonstrate expertise in coding medical services and procedures performed by physicians, including coding patient symptoms, diagnoses, and diagnostic tests.

Once done, a candidate will be able to

  • Demonstrate proficiency in evaluation and management, anesthesia, surgery, radiology, pathology, and medicine
  • Exhibit mastery of anatomy, physiology, and medical terminology necessary to code diagnosis and services
  • Understand how to integrate medical coding and payment policy changes into the reimbursement process

crc
  • Hierarchal Condition Categories (HCC)
  • Medicaid Chronic Illness and Disability Payment System (CDPS)
  •  Hybrid models
  • HCC RAF score
  • Financial impact based on coding
  • Common errors in diagnosis coding
  • Elements of the medical record
  • Signatures
  •  Insufficient documentation
  • Risk Adjustment Data Validation (RADV) process
  • Official diagnosis coding guidelines
  • Practical diagnosis coding skills utilizing cases for practical application
  • Acute vs. Chronic conditions
  • Differential Diagnosis
    o Risk Factors and Comorbidities
  • Angina
  • Artificial Openings
  • BMI and Obesity
  • Cardiac Conduction Disorders
  •  Cardiomyopathy
  •  CVA
  •  CKD, Dialysis, and AV Fistula
  •  COPD
  •  Complications of Care
    o Congestive Heart Failure
  •  Cor Pulmonale
  •  DVT
  •  Dementia
  •  Depression
  •  Diabetes and Secondary Diabetes
  •  Epilepsy & Convulsions
  •  GERD
  •  Hepatitis & Cirrhosis
  •  HIV
  •  Hypercholesterolemia
  •  Hypertension
  •  Hypothyroidism
  •  Klebsiella Pneumoniae
  •  Malnutrition & Cachexia
  •  Myocardial Infraction
  •  Neoplasms
  •  Neuropathy
  •  Pneumonia
  •  Pulmonary Embolism
  •  Pulmonary Hypertension
  •  Respirator/Ventilator Status
  •  Septicemia & Sepsis
  •  Ulcers & Wounds
  •  Varicose Veins
  •  Vertebral Fractures

CPC certification

Medical coders are responsible to change a physician’s notes about a patient’s health care information  including the diagnosis, treatments, medical equipment, and services, into standardized and universally accepted medical alphanumeric codes.

Gencare Academy