The medical system of coding such as CPT codes and ICD codes used in hospital. Introduction: Fee for service can be defined as model of payment wherein services are segregated and paid separately. The payment in health care is based on the quantity of care in comparison to the quality of care therefore physician will be given an incentive to provide more treatments. The medical system of coding stands to be the basis for reimbursement system associated with fee for service. CPT codeis used in an outpatient setting to specify procedures, whereas ICD codes are used in inpatient settings to designate diagnoses. The medical system of coding such as CPT codes and ICD codes used in hospital is as follows: International classification of disease- It is a diagnostic tool in medicine which is used to monitor and classify the reason behind death and injury and keep a record of health analysis such as study on morbidity and mortality trends. This system is designed to endorse collection and reporting of health data at global level. Current procedural terminology- It involves formal classification of therapeutic and diagnostic procedures that are carried by health care providers and physicians, which is published in the annual revision of the American medical association since 1996. A five digit code is assigned to each procedure. The development of this system by done by health care finance administration for providing support to assign the reimbursement amount by Medicare carriers to the health care providers.

EBK HEALTHCARE FINANCE: AN INTRODUCTION

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ISBN: 9781567937428

Author: Gapenski

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Healthcare Organization

Healthcare organizations are entities that provide healthcare services such as primary care, surgery, diagnosis of diseases, and medical treatment to patients who are in need. Healthcare organizations or health systems provide healthcare benefits to peop…

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