Medical Combination Code: What Is It? - PowerPoint PPT Presentation

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Medical Combination Code: What Is It?

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Naturally, there are plenty of different challenges that come with running a medical practice, but one of the biggest ones is definitely medical coding – especially when you’re a small practice, and every possible claim denial comes with a serious knock to your cash flow and overall ability to tend to your patients. – PowerPoint PPT presentation

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Date added: 2 March 2024
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Title: Medical Combination Code: What Is It?


1
Medical Combination Code What Is It?
2
  • Naturally, there are plenty of different
    challenges that come with running a medical
    practice, but one of the biggest ones is
    definitely medical coding especially when
    youre a small practice, and every possible claim
    denial comes with a serious knock to your cash
    flow and overall ability to tend to
    your patients.
  • So, over the course of this article, well be
    taking a look at what combination codes are as
    theyre a major part of medical coding
    exploring things like diagnosis codes and why
    its generally really important to have
    a specialized medical coding and billing
    department to handle them.

3
Understanding Combination Codes and Diagnosis
Codes
  • Kicking things off, lets provide a little bit of
    background into what medical coding actually is.
    Fundamentally, this is more or less just
    converting medical procedures and diagnoses
    (whether theyre simple or slightly more complex)
    into a universally recognized code thats
    recognized by your patients insurance company.
  • Generally speaking, there are actually quite a
    few different coding systems, but the main one is
    the International Classification of Diseases
    (ICD) code specifically, and the most widely
    used version of this, well be talking about
    ICD-10, which the World Health Organization
    recommends all kinds of medical practice use.

4
The Role of Diagnosis Codes
  • Put simply, all of the diagnosis codes that make
    up the ICD system represent a different part of
    any given patients diagnosis, which is generally
    crucial for a few different things not least
    handling insurance claims, tracking patient
    health status, and even just you, as a healthcare
    provider, are going to be properly paid for all
    of the services youve provided.
  • Furthermore, to go back to what we mentioned
    earlier, these codes are universal meaning
    theyre essentially the kind of language thats
    used when healthcare professionals, insurance
    companies, and

5
  • other kinds of stakeholders in the healthcare
    industry are communicating with each other.
  • Having said all of this, there can still be
    situations where one single code isnt fully
    sufficient when describing a patients condition
    properly, so this is where whats known as
    combination codes come into play.
  • Combination Codes The Essence
  • In essence, combination codes are a specific type
    of code thats used in the ICD-10 system so that
    healthcare providers are able to represent two
    separate diagnoses within a single code.

6
  • Naturally, these codes end up playing a fairly
    big role when you need to show all the different
    factors influencing health status of your
    patients especially when there is an associated
    complication or secondary process/secondary code.
  • This might be a little awkward to visualize, so
    as an example, think of one of your patients
    coming in and you discover something abnormal in
    their native coronary artery, for instance. From
    here, The ICD-10 would basically allow for a
    combination code so youre able to show both the
    fact that youve found something abnormal as well
    as the particular diagnosis ultimately leading
    to a much more comprehensive overview of their
    condition.

7
Why Outsource Your Medical Billing and Coding
Services to PMN
  • As healthcare physician, you might be wondering
    if you and your physicians are able to deal with
    these combination codes by yourself, but its
    generally not so simple when youre working with
    limited staff and resources.
  • So, to round off the article, lets take a look
    at why its generally recommended that you
    partner with a professional medical billing and
    coding service like PMN instead

8
  • Expertise and Efficiency
  • Put simply, PMN has been helping small practices
    like yours for over 20 years, so all of your
    medical records are going to be in the hands
    of seasoned professionals with plenty of
    different specialties particularly when it
    comes to working with the ICD-10 coding system
    and combination codes.
  • Staying Current with Coding Updates
  • Generally speaking, the ICD-10 is a pretty
    dynamic system that gets updated with new codes
    fairly frequently, so PMN can be a great help
    with staying up to date with all the latest
    coding changes and implementing them in your
    practice.

9
  • Clinical Documentation Excellence
  • Accurate diagnostic coding relies pretty heavily
    on clinical documentation, which is something the
    team at PMN is well-versed in especially when
    it comes to aligning it with ICD-10 criteria so
    that the amount of errors you have are massively
    minimized.
  • Focus on Patient Care
  • Lastly, once you delegate a good chunk of the
    coding and billing PMN, you and your staff are
    ultimately going to be able to devote a lot more
    time and energy to providing quality health
    services to all of your patients.
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