Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 2
Lecture:The Revenue Cycle of Various Health Care Enterprises
Slide content:Coding and Code Sets Coding: Process of translating the written diagnosis and procedures relating to a patient encounter into a numeric classification or code sets Code set: Group of numeric or alphanumeric codes used to encode descriptive data elements Tables of terms, medical concepts, diagnostic codes, or procedure codes Includes codes and descriptors of the codes 15
Slide notes:After the services provided by a health care facility have been documented during charge capture, a claim can be prepared for submission to the third-party payor by coding the claim. Coding is the process of translating the descriptive or written diagnosis and procedures relating to a patient encounter into a standard numeric classification or code, accomplished by using code sets. Code set refers to any table or group of codes used to encode data elements during the medical claims process. A code set may include a table of terms, medical concepts, medical diagnosis codes, or medical procedure codes. A code set includes the codes and the descriptors of the codes. 15