Tuesday 1 March 2016

ICD-10 Medical Coding Must Follow All USA Laws

By Elvis Chastings


Medical billing outsourcing is becoming rather popular today. There is an overwhelming amount of billing that goes on in the United States on a day to day basis. It is estimated that nearly 25% of all healthcare companies will outsource their billing within the next ten years. It is not shock since physicians are now seeing the tough decisions that go into ICD-10 billing. Today, a biller has to be ICD-10 certified and know a lot about utilization management, revenue cycle management and benefit verification.

If you are trying to save money, outsourcing to countries outside of the USA may be a good idea. However, you must look at all of the legal aspects first. For starters, all medical coders that work with USA physicians must be certified in ICD-10. If you are not certified, then you should not be coding. It is actually illegal to do so. The software that is being used must be 100% HIPAA compliant. If it does not comply with HIPAA law, then you cannot use it.

Outsourcing your company requires important decisions. If you choose to outsource your billing, you will see success because these billers have been studying the field long before ICD-10 was release. Is it ever a good idea to outsource your billing to an overseas company? The answer to this question is hard to answer since you must look at several factors.

ICD-10 certification training is often taught in Universities. Many billers today have their certification and master's degrees in this field. Make sure that you check all of the credentials of the workers that will be working on your claims. You must obey all HIPAA laws. If you choose to work with an overseas company, make sure that you ask them if all of their workers are ICD-10 certified. They may say that some of them are or I think that they are. United States law requires all billers to have their ICD-10 certification if they are working on a USA physicians billing. Check with your attorney before outsourcing your billing. Many countries have their own sets of laws.

The laws are what is important more than money or anything else. You don't want to find your practice on the 7:00 p.m. news because you violated a HIPAA law. It is important to examine your intentions with saving money. Most medical billing companies in the USA do an excellent job and comply with United States laws because the employees are most always from the USA. Choosing a company takes time, discipline and a good know how of the future. Try to ask yourself what you would do if something went wrong? What is your plan? If you do choose to go ahead with an overseas company anyway, try to choose one that is reputable. Don't just call some random company hoping for the best. Some companies with a good reputation have that for a reason.




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