Broderick J Scott, Henley M Brad
*Spartanburg Regional Medical Center, Spartanburg, SC; and †Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA.
J Orthop Trauma. 2014 Sep;28 Suppl 9:S12-4. doi: 10.1097/BOT.0000000000000178.
Coding is the process of identifying descriptive terms and codes for diagnoses and medical services, which result from patient interactions with physicians and other healthcare providers. This information is organized in alpha and/or numeric fashion and may be used for charge submission, performance measurement, and data collection for emerging technology, services, and procedures. Under the Health Insurance Portability and Accountability Act, The Department of Health and Human Services designated the International classification of Diseases and Current Procedural Terminology as the national standard code sets for healthcare professional services and procedures. The purpose of this article is to summarize the most important aspects of the billing and coding process.
编码是识别诊断和医疗服务的描述性术语及代码的过程,这些诊断和医疗服务源自患者与医生及其他医疗服务提供者的互动。此信息以字母和/或数字形式组织,可用于费用提交、绩效评估以及新兴技术、服务和程序的数据收集。根据《健康保险流通与责任法案》,美国卫生与公众服务部指定《国际疾病分类》和《现行程序术语》作为医疗专业服务和程序的国家标准代码集。本文旨在总结计费和编码过程的最重要方面。