MCCG100 Week 5 Reflection

The four major classification systems are used to communicate medical information that includes symptoms, diagnosis, treatments, surgeries, disease, and morbidity to the medical record in a medical coding language that is used by physicians, allied health, non-physician practitioners, hospitals, outpatient facilities, and laboratories. A coder will rely on ICD-10 and CPT code books to begin translating the physician’s notes from a medical record into medical codes. Coders are guided by productivity standards which are measured by a certain number of charts coded per hour, the number needed will depend on the type of coding event. A coder’s progress will also be measured by the discharged not final billed (DNFB) monitoring which is used to monitor unbilled patient accounts. The DNFB is calculated by adding the value of the claims not submitted for payment and dividing it by the average daily revenue for the organization. These and other processes that coders follow, including physician queries are all important to the revenue cycle to proactively identify areas that are delaying the claims process.