Once a patient is seen by a hospital or provider, the process that compiles the details from your visit to the hospital or doctor and converts the information in your medical record into fees/charges and diagnosis codes is called "Medical Coding".Medical Coding is a combination of staff members and rules-engine software that is utilized after discharge but before claim submission to the insurance company.

Effective medical coding may determine if the claim is inclusive and optimized for the insurance company to receive and process payment immediately without requesting additional information or denying the claim for noncompliance with medical coding rules. Finally, sometimes even properly paid claims are subject to a periodic "audit", that retrospectively looks at paid or denied claims and can take back money from the provider, or pay claims improperly denied the first time. Please read the attached Healthcare Financing Administration Association (HFMA) article centered on Coding Audits available here (file:///C:/Users/Mauri/Downloads/Coding%20Audits.pdf)

• Go to the discussion board and provide your opinions to the class on what you learned from this specific article and its topic about this important challenge for the revenue cycle process for both Medical Coders and Healthcare Administration revenue cycle processes.
• Leverage the article, any conversations with people you know who may perform this kind of work, impressions about who this type of work impacts, or additional research to support your thoughts.
• Then comment on two other students' posts to continue the conversation.

This is my post please review it and give me your opinion.

Once a patient is seen by a hospital or provider, the process that compiles the details from your visit to the hospital or doctor and converts the information in your medical record into fees/charges and diagnosis codes is called "Medical Coding".Medical Coding is a combination of staff members and rules-engine software that is utilized after discharge but before claim submission to the insurance company.

Effective medical coding may determine if the claim is inclusive and optimized for the insurance company to receive and process payment immediately without requesting additional information or denying the claim for noncompliance with medical coding rules. Finally, sometimes even properly paid claims are subject to a periodic "audit", that retrospectively looks at paid or denied claims and can take back money from the provider, or pay claims improperly denied the first time. Please read the attached Healthcare Financing Administration Association (HFMA) article centered on Coding Audits available here

• Go to the discussion board and provide your opinions to the class on what you learned from this specific article and its topic about this important challenge for the revenue cycle process for both Medical Coders and Healthcare Administration revenue cycle processes.
• Leverage the article, any conversations with people you know who may perform this kind of work, impressions about who this type of work impacts, or additional research to support your thoughts.
• Then comment on two other students' posts to continue the conversation.