Understanding Medical Codes And Modifiers
- Practising Medicine today is very different to how it was done in the past. In today’s medical world, medical practitioners do not only have to diagnose and treat their patients, but they also have to spend large amounts of time managing the financial information related to the dispensing of medical supplies, using equipment and calculating the rates for different medical procedures that may have taken place. The range of medical procedures and routines that take place in the medical industry are extensive. The result is that the billing process can become quite complicated if you do not have a sufficient understanding of how codes and modifiers are used when preparing statements.
- What are codes and why do they exist?
- Medical codes are essentially used to describe and categorise the types of services or medicines that are used to treat patients, and therefore calculate their bill. When the claim is submitted to the medical aid, these codes and descriptions are then used as a reference to validate fees and payments.
- What are modifiers?
- Modifiers are created because there are many instances when medical practitioners need to modify or change the rate which they charge patients during a consultation. For example, a practitioner may perform more than one procedure during a consultation, and in addition to this still need to record equipment that was used or medicine that was dispensed. GoodX has built-in functionality to help you set up and manage these modifiers.
Last modified: Monday, 6 July 2020, 3:41 PM