Healthcare Economist May 3, 2022
Jason Shafrin

In order for health care providers to be reimbursed for the services they provide, they need to input a variety of information into health insurance claims systems including what type of services were performed. The codes used to define the services provided are Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes. These codes are also very helpful to researchers because they help us understand patient health care resource utilization.

A key question is, how do you map these CPT/HCPCS codes to meaningful procedure categories? There are over 14,000 HCPCS codes so unless you are a coding expert, this is a very difficult task.

Fortunately, CMS has a mapping of HCPCS codes to procedures categories known as...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: HIM (Health Inf Mgmt), Provider, RCM (Revenue Cycle Mgmt), Technology
New codes from the AMA could mean more RPM reimbursement by 2025
Ten Tips for Effective Patient Identity Queue Management
Large language models are poor medical coders: Study
Remain Compliant – and Take the Money
Can Only a Clinician Perform Clinical Validation?

Share This Article