Know what differentiates the biller from the coder _5602

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Know what differentiates the biller from the coder
A proper understanding of the Current Procedural Terminology (CPT) system helps enhance compliance and reduce delays in reimbursement. CPT billing code, developed by AMA, is assigned to every service or procedure performed by a provider during a given visit. These codes along with other requisite information are then sent to the patients' insurance company for reimbursement of services.

The CPT billing code for services provided can be found on the bill that the provider or his establishment provides. You will see a list of services on the bill along with the CPT codes. The Explanation of Benefits (EOB) that you get from the insurance company will also have the  CPT codes. This EOB will also disclose the amount of payment for each service provided.
The biller versus the coder
Normally,You are not allowed to view links. Register or Login, a lot of people are confused between the two terms - coders and billers. There are differences between the two terms. A coder is well-versed in Medicare coding guidelines and understands documentation guidelines in determining coding for E&M services. The coder looks at coding as somewhat of an exact science and are more black and white in their approach.
 
On the other hand,You are not allowed to view links. Register or Login, the biller is more the gray-like thinker.  They may not be as well-versed in the coding department, but they know how each health plan reimburses specific codes. If you happen to have a question on how a specific health plan reimburses an office visit on the same day as preventive medicine visit, you'll most certainly ask your biller.

Normally, you'll find that an employee has either a coder or biller perspective. Each are required by physicians but if you have both, you are an asset to your workplace.
We provide you simple,You are not allowed to view links. Register or Login, instant connection to official code descriptors & guidelines and other tools for ICD-9 coding,You are not allowed to view links. Register or Login, CCI edits that help coders and billers to excel in the work they do every day.
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