G8

• Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes
• Medical codes translate documentation into standardized codes that tell payers about the patient's diagnosis, medical necessity, treatments, services, supplies, and any unusual circumstances
• Medical coders review clinical statements and assign standard codes using CPT®, ICD-10-CM, and HCPCS Level II classification systems
• Medical billers process and follow up on claims sent to health insurance companies for reimbursement of services rendered by healthcare providers
• ICD-10-CM includes codes for illnesses, injuries, and medical necessity, forming the foundation of the MS-DRG system
• CPT® includes alphanumeric codes describing services provided to patients by healthcare professionals
• ICD-10-PCS is a code set used by hospitals to describe surgical procedures
• HCPCS Level II codes are used for various purposes such as quality measure tracking and outpatient surgery billing
• CDT® codes are used for billing dental and oral procedures
• NDC codes are used to track and report drug packages
• MS-DRGs are reported by hospitals for reimbursement based on ICD-10-CM and ICD-10-PCS codes
• APCs are used to support the Hospital Outpatient Prospective Payment System for reimbursing outpatient services in hospitals
• Medical billers interpret patient insurance plans to create accurate claims and work closely with patients to collect payments
• Medical billers create claims using procedure and diagnosis codes provided by medical coders
• Medical billing collection is a process to get reimbursed for services provided to patients, including arranging collections for delinquent bills
• International Classification of Diseases, 10th Edition, Clinically Modified - ICD-10-CM
• Current Procedure Terminology - CPT® 
• International Classification of Diseases, 10th Edition, Procedural Coding System - ICD-10-PCS
• Health Care Procedural Coding System, Level II - HCPCS Level II
• Code on Dental Procedures and Nomenclature - CDT®
• National Drug Codes - NDC
• Modifiers - 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.
• 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.
• Medical Severity Diagnosis Related Groups - MS-DRG
• Ambulatory Payment Categories - APC