Medical Coding And Billing Course for Beginners | ICD, CPT, HCPCS, CPC | Medical Coding Demo - 1

Hello everyone, welcome to great online

training. Myself Nikita and today we're

going to discuss about unlocking

opportunities in medical. So in this

session we're going to discuss about

what is medical coding, different career

opportunities in medical coding, salary

packages

and about our course details and

everything. Okay. So topics we'll cover

in this class. Aisha please mute. Yes

ma'am. Yeah. Thank you. So uh today

we'll see what is medical coding, roles

of medical coder, career growth in

medical coding, salary package for

medical coder, what types of training do

you need to become medical coder that

we'll see. Then we'll see how why you

need to choose great online training and

then lastly we'll see course objectives,

overview and course details. Okay. So

what is medical coding? What do you know

about medical coding? Can you tell me?

Uh ma'am, as you have said earlier that

we convert some uh disease terms and

in some in the form of some alphabetical

codes. Yeah. Yeah. Symptoms in some form

of alphabetical codes. Yeah. So medical

coding in is you can say in simple

language medical coding is conversion of

complex medical diagnosis, medical

terminology and procedures into

universally accepted numeric or alpha

numeric codes. Okay, that is medical

coding in simple language. So in this

picture you can see that one person is

typing uh some mail exchange happen

between them and one person is providing

services. One person that is provider

means doctor he is providing medical

services and another person is typing.

So obviously this person is medical

coder and this is provider. Okay. So

medical coding is the process of

converting descriptions of medical

diagnosis procedures and other services

into standardized numeric or alpha

numeric. Okay. This is simple definition

of medical coding. And when you go for

your medical coding interview

anywhere, this is the first question

they will ask you. In most of the cases,

the medical coding is coming up as most

promising career today. The US

healthcare market is blooming and

companies are outsourcing their

businesses to developing countries. This

means this industry is so vast and there

are tremendous job opportunities in this

field. Okay. and US healthcare market is

as this market is blooming the those

companies are outsourcing their business

to developing countries like India. So

we have good opportunity to work with US

healthcare industry. Okay. And most

important and interesting thing about

this industry is you can enter into this

industry just after completion of your

graduation. Simple BC graduation is

minimum qualification needed to join

this industry. Okay, just that is very

interesting part in this field. Medical

coding jobs provide a rewarding career

path with potential to develop to

managerial and leadership positions in

the revenue cycle department. So now

we'll see what is revenue cycle. Okay.

It is also known as US healthcare RCM.

You can see here in this picture one

person is providing medical supplies.

Okay. And one person is paying. So RCM

is this picture representing RCM. Okay.

So RCM means revenue cycle management.

Okay. It is the process used by health

care system in the United States and all

over the world to track the revenue from

patient from their initial appointment

or encounter with the healthare system

to their final payment. So RCM is cycle

between US healthcare provider and the

payer. Okay, this is the uh

representation of RCM cycle. I'll

explain this cycle in brief. Okay. So,

basically this is cycle between patient,

provider and payer. Okay. You can see

here patient, provider and pay. So, what

is provider? Provider is anyone who is

providing medical care. Okay. Or you can

say who certified to provide medical

care. Whether it can be MD, do or

radiologist, pathologist, whoever it can

be. Provider is the blanket term used to

describe anybody who provides medical

care and certified to give medical care.

Okay. So that is provider. Patient is

the one who receives medical care. We

can call them as patient. Then the pair

is this pair. The pair is insurance

provider. Okay. So let me help you

figure out how healthcare works in India

versus how healthcare works in US. Once

you understand difference you will get

clear idea about what we do. Okay. So in

India most of us we are not covered

under insurance. Right? Even if we are

covered under insurance what happen is

you need to you need to get admitted in

hospital to aail that insurance

benefits. Right? Because outpatient

services are not covered much in India.

Nowadays few insurance provider giving

this benefit also they cover outpatient

visits also. But in most of the cases

outpatient services are not covered

under insurance. And to aail insurance

benefit we need to get admitted into the

hospital at least for 24 hours.

Otherwise we'll we are not able to use

those insurance

benefits right but in US that is not the

case in US almost everyone even

including children they are all covered

under some form of insurance. Why it is

like that? Because cost of care the

level of care in US is way too high.

Right? All the processes are very costly

in in uh in US compared to that of in

India. So there almost everyone is

covered under some form of insurance

either it can be uh government insurance

or private insurance. So what will be

patient uh doing all his or her life?

They will be paying some amount as a

premium to the insurance company and

that is where pay comes in picture.

Okay. So now I hope you learn all these

three terms. Patient, provider and

payer. Patient is the one who is who

will receive the will suffering from any

health care issu health issue and proh

getting medical care. Provider is the

one who is providing medical care and

certified to provide medical care.

Whereas payer is either patient or in

most of the cases insurance company is

the payer. Okay. So in US healthcare

this is RCM cycle which starts with

appointmentuling then eligibility check

and benefit verification. Then actual

encounter then medical coding. Then next

step is charge entry, claim submission,

clearing house rejection, insurance

adjubrication, payment posting, account

receivable, denial management, credit

balance and patient uh patients

collections from patient. Okay. So these

are few steps involved in RCM cycle of

your cellare industry. What happened? So

first I'll tell you what happened in

India you know already but then then too

I'll tell you just give me a minute.

Yeah. So uh when in India we uh we

facing any health related issues. So you

are facing uh knee pain. Okay. So you uh

you have any or any health related

issue. We'll take a example as knee pain

only. Okay. You will call your doctor

and schedule your appointment. Okay? Or

you just walk into doctor's clinic or

hospital which is an outpatient visit

where you paid him then and there.

Right? He will give you your report and

prescription. He will write your vital

signs, reason for your encounter, what

was your chief complaint, diagnosis and

all. And finally he will wrote

treatments and drugs you receive or you

have to train uh he will provide you

prescription. He will hand over your

report to you and you pay him then and

there and so cycle ends here in India

right in only in one day or in few

hours. But in US this is not the case.

Their process is entirely different from

our process. So what happened in US even

if it is small outpatient encounter that

is also covered under insurance company

uh insurance benefits. Okay. So if any

patient in US facing knee pain suppose

okay so that first that patient will