2011 CBCS EXAMETRIX Pocket Notes for the Certified Billing and Coding Specialist exam Medical coding refers to the process of transforming narrative descriptions of diseases, injuries, and healthcare procedures into numeric or alphanumeric designations in the form of code numbers. A medical coding specialist needs to read and review medical documentation provided by health care providers so to obtain detailed patient information including disease, injuries, surgical operations, and other procedures. This detailed information has to be translated into numeric codes using universally recognized coding systems. The code numbers are assigned to accurately describe the diagnoses as well as the procedures performed to examine the diagnoses. The key is for the coding process to insure correct code selection for compliance with federal regulation and insurance requirements. Because the medical codes will be used extensively for reimbursement of hospital and physician claims, insurance and insurance fraud are the difficult topics that must be thoroughly understood. This study notes focuses on the Coding Standards, Insurance Principles, Claims Processing & Compliance topics of the exam. Many CBCS candidates are experienced professional who have been in the field of medical auditing for years, that they know most of the practical how-tos, and all they need is to learn the principles, concepts and science that are behind the essential exam topics. This Exametrix Pocket Notes condenses most necessary facts found in the exam into an easy-to-carry pocket guide. A quick, portable study tool designed to be quick, convenient and less overwhelming. Also a great tool to use for last-minute cramming.
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