Payers driving surgeries to the outpatient setting in North Carolina


Will payers be the major impetus behind the surgical migration from hospitals to ambulatory surgery centers?

Recent projections predict that three out of four surgeries in the Triangle region of North Carolina will be performed in ambulatory surgery centers, according to a Triangle Business Journal report.

Patients and physicians may be the key decision makers when it comes to surgery location, but payers are about to become key players in the arena, especially as demand for value and price rises.

“I believe we are on the cusp of patients being directed by their payers to the sources that are most value driven. I think we will see payers be a lot more aggressive,” said WakeMed Health & Hospitals senior vice president of ambulatory and physician operations Carolyn Knaup, in the report.

The report turned to Blue Cross and Blue Shield of North Carolina as an example. The payer has been naming certain designating facilities as “Blue Distinction,” as a way to identify high-quality, cost-effective providers.

Though the shift may be gradual, payers are revealing more pricing and quality information in an effort to drive patients to effective, low-cost providers: a niche that ASCs have long occupied.

More Articles on Coding and Billing:
PQRS group practice reporting option now open
Value-based care: Taking healthcare’s biggest paradigm shift one step at a time
ASC payer mix – developing the best in-network, out-of-network strategy


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Medical billing and coding certification | Medical Billing and Coding …

As it is in other industries, the medical coding and billing industry also requires one to do certification exams. These exams can be either taken by those aspiring to be or the professionals in the field. This is done in a bid to prove your skills thus improving your career.

Medical billing and coding certification

In the modern times, the medical billing and coding industry has a lot of demand. The medical industry rapidly is growing with current industrialization. This translates into many patient records in these medical offices. It is worth noting that these records are very crucial to any medical centre as they can be used as evidence as well as tracking the payments made by these patients. With this in place, a centre can avoid those complicated legal cases. Also, when a patient needs re-imbursement of his/her hospital bills, with the medical coding and billing professionals present, a centre can avoid delayed payments to such patients.

First, you will need to understand what the medical coding and billing professionals actually do in their line work. Their work normally involves the collecting, maintaining as well as analyzing of patients’ data records. This information is useful to the doctor as it helps him come up with the right treatment and cure of the patients. For medical billing and coding programs, there are many Medical billing and coding certification programs offered by the various colleges and universities. Nowadays, people do these programs online. Mostly, these certification courses are aimed at those willing to start the medical billing and coding career. However, courses are available for those already working as medical billing and coding professionals. They will take this certification exam in order to boost their career.

In these certification programs, the main units are the in-depth coding principles. This applies to those willing to work for both the outpatient and inpatient medical hospitals. There are three main coding manuals in this industry these are: HCPCS, CPT and the ICD-9-CM. For each of these manuals, there are certification exams to be taken by the medical coding and billing aspirants, each manual comprehensively covering the type of medical records to expect in your line of work.

Upon completion of these online medical billing and coding exams, the students are not only entitled to get help in obtaining their university’s certificate, but also they enjoy semester credits during their course. The government usually steps in to fund those medical students pursuing their degree courses. Thus, it is an easy course which anyone can do to boost his/her medical billing and coding career. Students will have acquired the necessary skills hence this work will not be too much.

Medical billing and coding certification

In conclusion, medical billing and coding careers requires you to not only to complete degree course but also obtain your certificate. This certification is vital for the medical billing and coding specialists who want to set up their own businesses in the major towns. Having the Medical billing and coding certification required will add your chances of earning that income you have always dreamt of. This certification also eases your registration process as you will only be needed to produce your certificate.

Medical Coding ExamMedical Billing & Coding – CPC Practice …

The certification examinations are administered through the AAPC’s local chapters and Professional Medical Coding Curriculum (PMCC) sites. These examinations are proctored by AAPC’s approved

City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Inasmuch as I do not have two years coding experience or provide proof thereof, I understand that upon passing the examination, I will be

SAMPLE TEST QUESTIONS FOR THE CPC/CCA EXAM Unless the question states otherwise, assume that a physician documented all the information provided.

MEDICAL CODING FROM HOME How to Get Started in the Lucrative Medical Coding Field Presented by: Jim May www.HowToStudyForCPCExam.com

AHIMA Boot Camp provides students an overview of Medical Coding and the transformation of narrative descriptions of diseases, injuries, and healthcare procedures

AAPC Medical Coding Curriculum Frequently Asked Questions 1. Does this class include the certification exam? Answer: Yes, it includes the Certified Professional Coder exam, through the American Academy of

AAPC and AHIMA Certifications 1 | AAPC & AHIMA Certifications Certifying Body Certification Credential Cost(s) Current Coding Books AAPC www.aapc.com

College of Health Related Professions Continuing Education MEDICAL BILLING AND CODING PROGRAM Medical Coding Certification Review Course The review course will prepare individuals planning to sit for the CPC® exam.

Examination Date Examination Index # (available from contact person or online at www.aapc.com) City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Coding course certificate or transcript of completion attached

health insurance companies, health care provider, medical necessity,
EDI, universal medical code numbers, diabetes mellitus, public health, circulatory system, diagnostic codes, incomplete reimbursement, automate this transmission, medical dictionary.

A digital download product designed to prepare you for the AAPC medical coding certification exam by providing you with a practice exam modeled after the real

To U.S. Supreme Court Michael Jackson’s dermatologist resists medical board-ordered exams — Veronica Rocha, Times Community News Follow Veronica Rocha on Twitterand

Stress you feel when taking a medical coding certification exam mostly comes from uncertaintythat if at any time you feel the exam environment is distracting

coding certification. To get the certification, one needs to pass the medical coding certification exam sponsored by AAPC or any other organization. There are a

The: History Physical Exam Medical Decision Makingor other outpatient visit codes (99201-99205), the extensive collection of funny medical slang and acronyms

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam …

View original post: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Source: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

See original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

The certification examinations are administered through the AAPC’s local chapters and Professional Medical Coding Curriculum (PMCC) sites. These examinations are proctored by AAPC’s approved

City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Inasmuch as I do not have two years coding experience or provide proof thereof, I understand that upon passing the examination, I will be

SAMPLE TEST QUESTIONS FOR THE CPC/CCA EXAM Unless the question states otherwise, assume that a physician documented all the information provided.

MEDICAL CODING FROM HOME How to Get Started in the Lucrative Medical Coding Field Presented by: Jim May www.HowToStudyForCPCExam.com

AHIMA Boot Camp provides students an overview of Medical Coding and the transformation of narrative descriptions of diseases, injuries, and healthcare procedures

AAPC Medical Coding Curriculum Frequently Asked Questions 1. Does this class include the certification exam? Answer: Yes, it includes the Certified Professional Coder exam, through the American Academy of

AAPC and AHIMA Certifications 1 | AAPC & AHIMA Certifications Certifying Body Certification Credential Cost(s) Current Coding Books AAPC www.aapc.com

College of Health Related Professions Continuing Education MEDICAL BILLING AND CODING PROGRAM Medical Coding Certification Review Course The review course will prepare individuals planning to sit for the CPC® exam.

Examination Date Examination Index # (available from contact person or online at www.aapc.com) City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Coding course certificate or transcript of completion attached

health insurance companies, health care provider, medical necessity,
EDI, universal medical code numbers, diabetes mellitus, public health, circulatory system, diagnostic codes, incomplete reimbursement, automate this transmission, medical dictionary.

A digital download product designed to prepare you for the AAPC medical coding certification exam by providing you with a practice exam modeled after the real

To U.S. Supreme Court Michael Jackson’s dermatologist resists medical board-ordered exams — Veronica Rocha, Times Community News Follow Veronica Rocha on Twitterand

Stress you feel when taking a medical coding certification exam mostly comes from uncertaintythat if at any time you feel the exam environment is distracting

coding certification. To get the certification, one needs to pass the medical coding certification exam sponsored by AAPC or any other organization. There are a

The: History Physical Exam Medical Decision Makingor other outpatient visit codes (99201-99205), the extensive collection of funny medical slang and acronyms

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam …

View original post: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Source: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original post: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

The certification examinations are administered through the AAPC’s local chapters and Professional Medical Coding Curriculum (PMCC) sites. These examinations are proctored by AAPC’s approved

City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Inasmuch as I do not have two years coding experience or provide proof thereof, I understand that upon passing the examination, I will be

SAMPLE TEST QUESTIONS FOR THE CPC/CCA EXAM Unless the question states otherwise, assume that a physician documented all the information provided.

MEDICAL CODING FROM HOME How to Get Started in the Lucrative Medical Coding Field Presented by: Jim May www.HowToStudyForCPCExam.com

AHIMA Boot Camp provides students an overview of Medical Coding and the transformation of narrative descriptions of diseases, injuries, and healthcare procedures

AAPC Medical Coding Curriculum Frequently Asked Questions 1. Does this class include the certification exam? Answer: Yes, it includes the Certified Professional Coder exam, through the American Academy of

AAPC and AHIMA Certifications 1 | AAPC & AHIMA Certifications Certifying Body Certification Credential Cost(s) Current Coding Books AAPC www.aapc.com

College of Health Related Professions Continuing Education MEDICAL BILLING AND CODING PROGRAM Medical Coding Certification Review Course The review course will prepare individuals planning to sit for the CPC® exam.

Examination Date Examination Index # (available from contact person or online at www.aapc.com) City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Coding course certificate or transcript of completion attached

health insurance companies, health care provider, medical necessity,
EDI, universal medical code numbers, diabetes mellitus, public health, circulatory system, diagnostic codes, incomplete reimbursement, automate this transmission, medical dictionary.

A digital download product designed to prepare you for the AAPC medical coding certification exam by providing you with a practice exam modeled after the real

To U.S. Supreme Court Michael Jackson’s dermatologist resists medical board-ordered exams — Veronica Rocha, Times Community News Follow Veronica Rocha on Twitterand

Stress you feel when taking a medical coding certification exam mostly comes from uncertaintythat if at any time you feel the exam environment is distracting

coding certification. To get the certification, one needs to pass the medical coding certification exam sponsored by AAPC or any other organization. There are a

The: History Physical Exam Medical Decision Makingor other outpatient visit codes (99201-99205), the extensive collection of funny medical slang and acronyms

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam …

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

See original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

See original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

The certification examinations are administered through the AAPC’s local chapters and Professional Medical Coding Curriculum (PMCC) sites. These examinations are proctored by AAPC’s approved

City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Inasmuch as I do not have two years coding experience or provide proof thereof, I understand that upon passing the examination, I will be

SAMPLE TEST QUESTIONS FOR THE CPC/CCA EXAM Unless the question states otherwise, assume that a physician documented all the information provided.

MEDICAL CODING FROM HOME How to Get Started in the Lucrative Medical Coding Field Presented by: Jim May www.HowToStudyForCPCExam.com

AHIMA Boot Camp provides students an overview of Medical Coding and the transformation of narrative descriptions of diseases, injuries, and healthcare procedures

AAPC Medical Coding Curriculum Frequently Asked Questions 1. Does this class include the certification exam? Answer: Yes, it includes the Certified Professional Coder exam, through the American Academy of

AAPC and AHIMA Certifications 1 | AAPC & AHIMA Certifications Certifying Body Certification Credential Cost(s) Current Coding Books AAPC www.aapc.com

College of Health Related Professions Continuing Education MEDICAL BILLING AND CODING PROGRAM Medical Coding Certification Review Course The review course will prepare individuals planning to sit for the CPC® exam.

Examination Date Examination Index # (available from contact person or online at www.aapc.com) City State Exam Proctor Examination Location Check One o CPC® Examination (Physician Coder) o CPC-H® Examination o Coding course certificate or transcript of completion attached

health insurance companies, health care provider, medical necessity,
EDI, universal medical code numbers, diabetes mellitus, public health, circulatory system, diagnostic codes, incomplete reimbursement, automate this transmission, medical dictionary.

A digital download product designed to prepare you for the AAPC medical coding certification exam by providing you with a practice exam modeled after the real

To U.S. Supreme Court Michael Jackson’s dermatologist resists medical board-ordered exams — Veronica Rocha, Times Community News Follow Veronica Rocha on Twitterand

Stress you feel when taking a medical coding certification exam mostly comes from uncertaintythat if at any time you feel the exam environment is distracting

coding certification. To get the certification, one needs to pass the medical coding certification exam sponsored by AAPC or any other organization. There are a

The: History Physical Exam Medical Decision Makingor other outpatient visit codes (99201-99205), the extensive collection of funny medical slang and acronyms

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam …

View original post: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Read the original: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Source: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Excerpt from: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Originally posted: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

View original post: Medical Coding ExamMedical Billing & Coding – CPC Practice Exam

Looking for a Coding Supervisor | New York Physician Magazine

Linda Steele
Business Development Manager  – COMFORCE    Direct 315-726-3501, Mobile 315-664-0022, Fax 315-410-5606


The Coding Supervisor will manage and coordinate the activities and staff of the Coding operation of Facility. Ensure inpatient and outpatient records are coded accurately, completely and timely according to Coding guidelines, third party reimbursement policies, facility policy and state/federal regulations. Oversee coding education and preparedness for conversion to ICD-10. Provide leadership and expertise to other departments that have coding or coding-related functions such as Registration, Billing Reimbursement, Risk Management, Case Management and the clinic offices. Effectively uses information technology and workflow design to efficiently manage work flow. To effectively fulfill the requirements of this position a candidate is required to have a certification as a Certified Coding Specialist (CCS). Completion of a formal coding education program is preferred. A Bachelor’s degree in Health Information Management or related field is preferred. Prefer previous supervisory experience in coding, and five or more years of coding experience in an acute care setting. Also prefer previous physician office/professional billing experience. Current knowledge of ICD-9-CM and CPT. Knowledgeable in medical terminology, anatomy and physiology, abnormal test results, disease processes and pharmacology-drug names. Knowledgeable regarding MS-DRG’s, APC’s and official coding guidelines. Candidate must demonstrate the ability to operate coding assistance programs and to research coding guidelines through electronic tools. Strong written and verbal communications skills are a must. Solid understanding of Microsoft Office products including; MS Outlook, Microsoft Word and Excel are required. Demonstrates initiative to accept additional leadership responsibilities as required. Salary DOE.

All Communications please refer to Linda Steele


Online Medical Coding | Medical Billing Career Training

What is medical billing?. Medical billing is the meeting point between the realms of personal health insurance and the health industry.

Each time a person with live health insurance uses medical facilities that are covered by his insurance policies; it is the job of a qualified medical billing person to file the claim for payment, communicate with the specific insurance company for the collection of the claim funds and handle any issues or out of the ordinary events during the complete billing process. Once the claim is made a receipt or acknowledgment has to be supplied by the insurer.

While most hospital facilities now make use of highly sophisticated billing software programs; the need for professional medical billers is still highly important; particularly for the specific role of managing the software programs and being responsible the entire billing and coding task.

Curriculum Description The Career Step Outpatient Medical Coding and Billing online training program includes 19 modules and a final exam, all of

Prior to beginning Medical Coding courses, students must have a high school diploma or equivalent. They should also have intermediate computer skills and should know how to type.

2 | TABLE OF CONTENTS TABLE OF CONTENTS Introduction What is Medical Billing and Coding? Working in Medical Billing and Coding Medical Coding Certification

Aiken Technical College Health Sciences/Allied Health . Certificate: Medical Coding . 2014 Admission Information . Revised 07/2013 ss/hw . The medical coder is a health information

Medical Insurance/Coding prepares students in all aspects of contemporary insurance billing. Students learn basic diagnosis coding systems with detailed instruction in International Classification of Diseases ICD-9-CM, how to code and guidelines for usage

Related courses in Medical Billing and Coding. Check the Online catalog for these courses. Q: Can I take all the classes for the Certificate in Administrative Medical coding and Billing the same term? A: Yes.

Medical Billing and Coding is one of the fastest growing careers in the health care industry today! The need for professionals that understand how to code health care services and procedures for third party insurance reimbursement is growing substantially.

H&M Medical Coding Institute, LLC www.hmedicalcoding.com 2 H&M Medical Coding Institute, LLC Courses ENROLLMENT AGREEMENT, THE ADMISSION POLICY, ATTENDANCE POLICY, CANCELLATION