Code Smart University online program of study for coders, clinicians, and healthcare professionals Thu, 21 Sep 2017 16:40:20 +0000 en-US hourly 1 Medical Coding for Chiropractors /2017/09/21/medical-coding-for-chiropractors/ Thu, 21 Sep 2017 16:40:20 +0000 /?p=26 Every time a person goes to the chiropractors office for an appointment, there is quite a bit of paperwork and communication that must take place between the doctors office that is seeing you and your insurance company. This is mostly due to the fact that when you go to see a doctor, it works almost as if you are filing a claim, meaning there is a lot more paper work and documentation that needs to take place.

Medical coding involves the entire process that takes place behind the scenes in a doctors office and there are quite a few things that go on. Those individuals that work in the medical coding portion of a doctors office basically send out billing statements, or claims, to the insurance company that you have. They will then correspond and file all of the paper work, including the records of the patients and any and all data that pertains to the doctors visit. This information also usually goes down in their records, which needs to be taken care of as well.

Anyone that deals with this type of data in medical coding has to be very well versed when it comes to understanding and being able to rapidly complete paper work that contains large volumes of codes, which can take quite a bit of time to learn. Medical coding is very important and the entire medical field as a whole depends on these people to accurately enter the correct information consistently, without making mistakes, as peoples lives truly depend on the information that they put down. Medical records are extremely important, as they can dictate whether you and your family can get health insurance in a lot of cases, and you can bet the information that is recorded determines the rates that people are offered in the future.

Medical coding also essentially runs the revenue streams from within a doctors office. The doctors see patients and perform the medical jobs that need to take place, but the medical coders are the ones that make sure that the money is coming in and keep track of everything. Those that work as a part of a medical coding team for a doctors office typically work in a office like setting, as their tasks are more fitting to that of a regular white collar office building, and more secretarial overall. However, their job is a bit different, as they sort of have to translate the paper work that the doctor has filled out about a patient. A doctor does not fill out a medical report the way that it goes into the computer, and a great deal of the time these doctors are just simply jotting down notes. These papers are then given to the medical coder, who breaks down what is said on the report and translates it onto the computer, in a way that is easily read by insurance companies and can go down as proper documentation.

It is incredibly important the the doctors that work in the office and their medical coders are on the same page, as they have to work with a great deal of patients each day and be able to transfer that information accurately into the computer, which is a process that takes a lot of coordination from both doctors and medical coders.

What is the chiropractic problem?

Chiropractic is a system of health care that is based around an understanding of how the body functions. People who practice this form of medicine are known as chiropractors. They specialize in treating back pain and pain in muscular and skeletal system. They also help people to overcome other issues with pain in other parts of the body. Working with a chiropractor is something that many people around the world have found quite helpful in many instances. Many people have found that treatment from a qualified and certified chiropractor helps them to be able to overcome their pain and even reduce it entirely.

People who wish to enter this particular field must be able to demonstrate a through knowledge of the basics of the sciences and the liberal arts. In most instances, a potential chiropractor must first get their undergraduate degree in a field that is related to medicine in some way. Many people who want to become chiropractors choose to major in biology or psychology. This allows them to understand basic biological processes, knowledge that is highly important once they finish their training and start to treat patients who come to them for relief from their symptoms.

After the potential chiropractor has completed his undergraduate education, they must complete additional training in the field of treatment. Chiropractor students spend many hours under the supervision of a chiropractor who has a long history in this field. They are taught how the spine works as well as what can be done to treat the various causes of spinal pain. Many spend several months working directly with patients under the close supervision of a specialist in this area. Here, they are taught how to spot the cause of problems that patients have as well as how to figure out the best way to treat a patient in order to help them alleviate their pain.

Many chiropractors will also learn a great deal about medicine in general in order to suggest methods that patients can use to improve their overall health and well being. They learn exactly how to focus closely on the needs of specific patients and how to listen closely as the patient tells them exactly what is wrong. The chiropractor will also spend time studying the various kinds of pain relief that are available to help and how each one can be used to treat a specific kind of back pain.

Those visiting a chiropractor for the first time can expect to work with a medical professional who is fully focused on their needs. In most instances, the patient will be asked to demonstrate to the chiropractor where they pain lies. They will also be asked to demonstrate the ways in which the pain may make it hard for them to carry out certain specific tasks such as bending over fully or lifting heavy objects or even walking fast. After the exam is completed, the chiropractor will continue to talk to the patient. Then, after the chiropractor finds out what is wrong, the patient will often be given a series of detailed methods designed to help rid them of pain. Such methods will typically include direct treatment by the chiropractor as well as changes in lifestyle such as buying a chair that is better for their overall posture.

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The Top Three Things You Should Know About the New U.S Health Insurance Laws /2015/07/17/the-top-three-things-you-should-know-about-the-new-u-s-health-insurance-laws/ Fri, 17 Jul 2015 18:57:44 +0000 The Top Three Things You Should Know About the New U.S Health Insurance Laws
Recently, there has been a lot of talk about the new U.S health insurance laws. Do you feel like you still don’t understand what they are all about? Here are the top 3 things you should know about them.

You Could Be Penalized For Not Having Health Insurance
If you are able to afford health insurance, but you choose not to have it, you will be charged a fee or penalty if you don’t qualify for an exemption. For the 2015 year, the fees are the higher of these two possibilities: %2 of your yearly household income, or $325 per person for the year, the maximum being $975 per family. There are certain circumstances that can apply that would make you exempt from these fees, such as income based exemptions, health coverage related exemptions or group membership exemptions.

The Insurance Plans Offered Through the Health Insurance Marketplace Cover Pre-Existing Conditions, Birth Control Benefits and Mental Health Care
You cannot be refused coverage because of a pre-existing condition, including pregnancy. Companies also cannot charge you more for your premium because of a pre-existing condition or charge women more than men. All FDA approved contraceptive methods as well as counseling for all women that are prescribed by a health care provider are now covered as well and mental health and behavioral health services are considered part of your essential health. This means any psychotherapy, counseling and inpatient services will now be covered under the insurance plans offered through the Health Insurance Marketplace.

Health Care is Available to Immigrants
There are three categories of immigrant status’ that are eligible for health coverage; U.S citizens, U.S nationals and lawfully present immigrants. You will need appropriate documentation of your immigrant status to apply for health coverage through the Health Insurance Marketplace. If your family has mixed immigration statuses, family members who aren’t applying for coverage for themselves won’t be asked about their own immigration status. Any information provided by applicants or beneficiaries will not be used for the enforcement of immigration laws.

No one plans on getting sick or injured, but most of us will need medical care at some point in our lives. Having health insurance will help protect you from unexpected medical expenses and provide you with free preventative care. So take the time to learn about the health care needs of you and your family today!

Information on health insurance coverage in the US /2015/07/17/information-on-health-insurance-coverage-in-the-us/ Fri, 17 Jul 2015 01:05:29 +0000 In the last few years, more people have opted to have health insurance under the Affordable Care Act. It was passed that each person in the United States needs to have insurance or face paying a penalty per year. The Affordable Care Act is designed to offer affordable health care for everyone. Some love it, and others do not. Whether people like the idea of mandatory health insurance, people at some point will need it, and there are penalties in place if people do not obtain health insurance each year. more info

There are penalties for those who do not obtain and maintain health insurance, and the penalties are increasing each year. The penalty for not having health insurance for 2014 was $95 or one percent of a person’s income. The penalty for 2015 is $325 or two percent of a person’s income. The penalty for 2016 is two-and-a-half percent of a person’s income or $695. These penalties are charged at the time a person files their taxes. More info from website here.

People may only apply for health insurance plans during open enrollment. More info on open enrollment from website here. However, there are special conditions that will allow a person to apply for health insurance at any time. For instance, a person who is recently pregnant or have experienced life-changing circumstances may apply for health insurance. For 2015, open enrollment is closed; however, open enrollment for 2016 begins November 1, 2015. Open enrollment for 2016 ends on January 31, 2016. In years past, the deadlines have been extended. It is doubtful that this trend will continue. During open enrollment, people may change their plans as well and at no other time.

Health insurance plans may be obtained through the Health Insurance Marketplace; however, there are other sites that can be used to obtain health insurance plans. Be aware that other sites are not required to provide plans under all of the metal tiers. The Affordable Care Act is separated into metal tiers. All health insurance plans provide the same minimal coverage for services and health care items for 10 essential benefit categories; however, the costs of health care plans are determined by the metal tier chosen.

The Four Metal Tiers:

The Bronze Plan—40 percent of covered medical expenses are paid by the consumer, and 60 percent are paid by the plan.

The Silver Plan—30 percent of covered medical expenses are paid by the consumer, and 70 percent are paid by the plan.

The Gold Plan—20 percent of covered medical expenses are paid by the consumer, and 80 percent are paid by the plan.

The Platinum Plan—10 percent of covered medical expenses are paid by the consumer, and 90 percent are paid by the plan.

Cost-sharing subsidies are available for those who fall below the poverty level. The subsidies are applied to out-of-pocket expenses.

Sicknesses and injuries can and will happen at some point. Since there are penalties in place, it’s extra incentive to be covered by health insurance.

Please note- this is not to be considered professional insurance advice. For professional health insurance information, please consult a qualified company.

Learn To Be A Medical Coder? /2015/07/15/learn-to-be-a-medical-coder/ Wed, 15 Jul 2015 20:00:58 +0000 So You Want To Learn To Be A Medical Coder?
Medical coding can sound like a daunting job to those who have never been exposed to that type of work. Even for those that have been exposed to medical coding, the process of remembering everything needed can prove to be arduous. If one is determined enough, however, medical coding is something that can be learned from the comfort of someone’s own home if they so desired!
It’s A Required Course

Many people are under the impressions that one has to go to school in order to become a medical coder. Although it is true that medical courses at a university can certainly be of a huge help, they are not required. A medical coder is expected to have a strong understanding of medical terms, as well as biology, anatomy, and physiology.

Some people choose to try and learn all medical terminology on their own, however, this route is not for the faint of heart. There are many websites that offer online courses for medical coding for those people that do not mind investing a bit of money in their future medical coding career. The American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) both offer online certification programs that will enable one to become an official medical coder.

In order to get the final medical coder certification, one must pass a test by AAPC or AHIMA. So, if someone decided to teach themselves everything, then they need to be prepared to be able to pass the exam to get an actual certification.
On The Job

Once a person has their certification in medical coding by passing one of the two exams given by either the AAPC or AHIMA, it is common to further their knowledge by getting an apprenticeship under an experienced medical coder.

The benefits of working under an experienced medical coder are mainly the facts that the medical coder in training will be gaining a wealth of invaluable information and they will also be earning money while they are still learning.
It Is Not As Bad As They Say It Is

Medical coding does not have to be as hard as some people make it sound. Anyone can learn to perform the work of a medical coder well, so long as they have the right drive and level of attentiveness needed to be successful in the field.

Information on the Medical Coding Industry

What is Medical Coding?

To those of you that are interested in the Medical Coding Industry, the first thing that you should know is that Medical Coding and Medical Billing are two totally different occupations. Medical billing is just that, the submitting and following up on claims with health insurance companies. This procedure has to be done in order for the practitioner to receive payment for services provided to patients. Medical Coding is more related to healthcare administration. When a patient visits a physician or practitioner of any kind, the doctor may write notes in a patient’s chart. A medical coder reviews these notes, and translates the written notes, as well as procedures performed, diagnosis and prognosis into a universally accepted, standard code. The codes that these written documentations are translated to are then used to submit claims to the insurance companies. The codes are also used to gather statistical information from incidents of specific illnesses and developing trends in treatment procedures. Medical coding has to be done accurately do to the fact that claims for payment are reported. This ensures proper billing. Medical coders have to also be productive. Coders do not deal with the patients or the insurance companies. Coders actually spend more time assessing and coding data.

Medical Coding Training

Choosing a career in Medical coding has many benefits. Being a medical coder does not require face to face or over the phone contact with patients or coming into with bodily fluids. For a person who has a background in other fields such as insurance or in the mortgage industry, the transition into a medical coding career quite easily. The ability to be educated, trained and certified as a medical coder is not as long a process as some may think. You can get educated, trained and be in the field in as little as a year. In order to be successful at medical coding, a person would have to be very organized and detail oriented. A medical coder’s main concern is not the money associated with the codes, but the accuracy of the information associated to their work. A medical coder is a translator, in so many words. There is a very high demand for medical coders. Do to this fact, there are many professional bodies that are offering certification to professional medical coders. To become a medical coder, a small investment in your education is necessary. Without proper education and training, it is not possible to pass a medical coding certification. But do to the high demand for medical coders, the time and money put into your education and training is well worth it!