How  Dhruv started his dream in   Medical Coding :

  • How to learn Medical Coding?

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   Medical Coding :

  • Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.


     Types of Codes used :

  • ICD-10-CM  (International classification of                         diseases,10th,clinically modified) : ICD-10-PCS is a 130,000 alphanumeric code set used by hospitals to describe surgical procedures performed in operating, emergency department, and other settings. Don’t let the procedural coding intimidate you by taking the right approach to ICD-10-PCS coding.

  • HCPCS (Health care procedural coding system ,

         level 2 ): Developed originally for use by Medicare, Medicaid, Blue                     Cross/Blue Shield, and other providers to report procedures and bill                       for supplies, HCPCS Level II’s 7,000-plus alphanumeric codes are used                 for many more purposes, such as quality measure tracking, outpatient                   surgery billing, and academic studies.

  • CPT (Current  Procedure Terminology): This code set, owned and maintained by the American Medical Association, includes more than 8,000 five-character alphanumeric codes describing services provided to patients by physicians, paraprofessionals, therapists, and others. Most outpatient services are reported using the CPT system. Physicians also use it to report services they perform in inpatient facilities. Here's a little behind the scene on the making of CPT codes.

  • APC (Ambulatory Payment Categories) : APCs are maintained by the Centers for Medicare & Medicaid Services (CMS) to support the Hospital Outpatient Prospective Payment System (OPPS). Some outpatient services in a hospital, such as minor surgery and other treatments, are reimbursed through this system.

  • MS-DRG (Medical Severity Diagnosis Related Groups) : MS-DRGs are reported by a hospital to be reimbursed for a patient’s stay. The MS-DRG is based on the ICD-10-CM and ICD-10-PCS codes reported. They are defined by a particular set of patient attributes which include principal diagnosis, specific secondary diagnoses, procedures, sex, and discharge status. The Centers for Medicare & Medicaid Services (CMS) work with 3M HIS to maintain this data set.

  • ICD-10-PCS (International classification of  disease ,10th edition , procedural coding system) :  It is a 130,000 alphanumeric code set used by hospitals to describe surgical procedures performed in operating, emergency department, and other settings. Don’t let the procedural coding intimidate you by taking the right approach to ICD-10-PCS coding.

  • CDT(Code on dental procedures and nomenclature): codes are owned and maintained by the American Dental Association (ADA). The five-character codes start with the letter D and used to be the dental section of HCPCS Level II. Most dental and oral procedures are billed using CDT® codes.

  • NDC (National Drug Codes ) : The Federal Drug Administration's (FDA) code set is used to track and report all packages of drugs. The 10-13 alphanumeric character smart codes allow providers, suppliers, and federal agencies to identify drugs prescribed, sold, and used

  • Modifiers : CPT® and HCPCS Level II codes use hundreds of alphanumeric two-character modifier codes to add clarity. They may indicate the status of the patient, the part of the body on which a service is being performed, a payment instruction, an occurrence that changed the service the code describes, or a quality element.

  • MS-DRG and APC : Two federal code sets used to facilitate payment deriving from those above systems are MS-DRG and APCs. They rely on existing codes sets but indicate the resources consumed by the facility to perform the service.

  • Education Path :

  • Science stream students (both Mathematics and Biology groups- PCM/B), who have passed 12th standard board examination from a recognized board are eligible to pursue this course.

  • Entrance Exams for B.Pharm :

  • EAMCET : EAMCET is another exam that also gives admission to B. Pharmacy and is conducted in the month of May.The EAMCET is a yearly examination taken by a large number of engineering and medical aspirants in Andhra Pradesh and Telangana State.

  • BITSAT : BITSAT is the Birla Institute of Technology and Sciences Aptitude Test that is conducted for seeking admission in B. Pharmacy courses. It is generally conducted in the month of May.

  • There will be state level entrance exams like AP- EAMCET , TS - EAMCET, OJEE , GCET. some universities conduct entrance exam for admissions.

    B.Pharmacy :

           ​Bachelor of Pharmacy (B.Pharm) is an undergraduate degree course in the field of                   Pharmacy education. The students those are interested in the medical field (except  

           to  become a doctor) can choose this course after the completion of class

          12th (PCM/B).After the completion of this degree, the students can practice as                           a Pharmacist. 


    M.Pharmacy :​​

           M.Pharma. or Master of Pharmacy is a postgraduate Academic Degree which is                       awarded for a course or program in the medical field of Pharmacy. Pharmacy is the                   branch of the health sciences dealing with the preparation, dispensing, and proper                     utilization of drugs. 


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Medical Coder

What they are

  • Responsible for extracting relevant information from patient records.

  • Liaising with physicians and other parties to clarify information.

  • Examining documents for missing information.

  • Assigning CPT, HCPCS, ICD-10-CM and ASA codes.

  • Assigning APC and DRG codes.

  • Ensuring documents are grammatically correct and free from typing errors.

  • Performing chart audits.

  • Advising and training physicians and staff on medical coding.

  • Informing supervisor of issues with equipment and computer program.

  • Ensuring compliance with medical coding policies and guidelines.

What they need

  • High School Diploma, GED, or suitable equivalent.

  • 2+ years work experience as Medical Coder.

  • American Academy of Professional Coders (AAPC) certification.

  • Proficient computer skills.

  • Excellent communication skills, both verbal and written.

  • Strong people skills.

  • Outstanding organizational skills.

  • Ability to maintain confidentiality of information.

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Medical Coding