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Showing posts from August, 2026

Medical Terminology Basics for Medical Coding - CPC Full Course, Day-2

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  Introduction Welcome to Day 2 of our Medical Coding Course . Before learning ICD-10-CM, CPT, and HCPCS coding, it is very important to understand Medical Terminology . Medical terminology is the language used by healthcare professionals to describe diseases, symptoms, body parts, procedures, and medical conditions. For a medical coder, understanding medical terminology helps you read and understand physician documentation, operative reports, diagnostic reports, discharge summaries, and medical records accurately. In this Day 2 lesson, we will cover: Medical Terminology Basics Prefixes Suffixes Root Words Medical Abbreviations Directional Terms How to break down medical terms Medical terminology examples for coders Exam tips Practice questions What Is Medical Terminology? Medical terminology is a standardized language used to describe the human body, diseases, medical conditions, treatments, and procedures. Most medical terms are built from several components: Basic Components o...

Introduction to Medical Coding — CPC Exam Full Course, Day-1

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  Introduction Welcome to Day 1 of the CPC Exam Full Course . Before learning individual ICD-10-CM codes, CPT codes, HCPCS codes, or complex coding guidelines, it is important to understand what medical coding is, how the healthcare revenue cycle works, what a medical coder does, and how the major coding systems fit together . Medical coding is not simply the process of finding a code in a coding book. A professional medical coder must understand the clinical documentation, coding guidelines, anatomy, medical terminology, procedures, diagnoses, and payer requirements and then translate the documented medical information into standardized codes. This foundation will help you throughout your CPC preparation. CPC Exam Full Course - Class 1

Medical Billing and Coding Denial: Types, PR & Prevention

 INTRODUCTION Medical billing denials are very important and biggest challenges in Revenue Cycle Management (RCM). Claim denied means it will delay payment, increase administrative work and cost and affect the healthcare organization's revenue. Understanding the medical billing denials and types of denials and patient responsibility (PR) helps medical coders and billers reduce claim denials/rejections and improve reimbursement. When insurance companies refuse to pay the claim because it doesn't meet the payer's requirements. Claim may require corrections, additional information or an appeal before payment can be received. this is called denial. Types of Denials -  Most common types of denials are, 1) Soft Denials Its temporary denial that can usually be corrected and resubmitted.  Example,   - If modifier is missing so coders or biller may correct it or add modifiers. - If claim found with incorrect patient demographic information. - If authorization is missing so Ph...