| On February 16, 2006 the Health Insurance | | | | institutions and government agencies are |
| Portability and Accountability Act was | | | | investing huge resources to control claims' |
| finalized, and enacted. This law is designed | | | | fraud, abuse, and establish some degree of |
| to establish national standards for all | | | | reimbursement parity. As a result, more |
| health care transactions, and to ensure the | | | | insurance companies, and health care |
| security and privacy of all health related | | | | facilities are looking to medical billing |
| information. The motivation behind this law | | | | experts for help. These companies and |
| is to improve the performance, and efficiency | | | | practices are looking for experienced and |
| of our health care system. This type of | | | | educated individuals; the legal consequences |
| reform has created a need for qualified | | | | of incorrect billing could be devastating. |
| individuals who can utilize the tools of this | | | | There is a movement in the industry to make |
| legislation, and assure full compliance, and | | | | medical billers responsible for inaccuracies, |
| maximum reimbursement. It would therefore be | | | | much they way accountants are for tax |
| a prudent move for health care facilities to | | | | returns. |
| employ such individuals in order to avoid | | | | |
| mistakes that could have dire consequences. | | | | At present, there are no standards for |
| | | | educational requirements for medical billers |
| The proliferation of medical knowledge | | | | and coders. However, more employers are |
| following World War II brought about an | | | | looking for some formal training at an |
| explosion of diagnostic, and treatment | | | | accredited career training institution. These |
| procedures. As a result, there became a need | | | | schools range in training time from nine |
| to organize, and standardize all these | | | | months to two years, anything less would not |
| developing technologies. Here is where the | | | | be considered adequate. There is a move for |
| foundations of medical coding were born. | | | | certification, and several organizations are |
| Medical coding met these challenges, and | | | | sponsoring certification examinations in |
| allowed for a more uniform way of | | | | medical billing and coding. Medical billers |
| communicating health information under a | | | | and coders earn as much as $8 to $10 per hour |
| common language. By January 1979, | | | | in the beginning, and could potentially |
| standardized definitions, and codes were | | | | realize $30 to $40 per hours with experience |
| adopted, and used by health care providers, | | | | and additional responsibilities. |
| and insurance companies. Since improvements | | | | |
| and refinements of medical procedures are | | | | Today, evolutions in the health care industry |
| constantly being developed, codes must be | | | | are happening at a very high pace. It is only |
| added and updated to reflect these changes. | | | | with the assistance of sophisticated computer |
| Today, the number of medical and surgical | | | | programs, and standardized coding procedures |
| procedures have become enormous, so too have | | | | that medical coders are now able to describe |
| the codes to describe them. These | | | | and characterize the tremendous number and |
| overwhelming numbers of codes and protocols | | | | various kinds of medical and surgical |
| have made outsourcing medical billing the | | | | procedures. These realities coupled with |
| standard. | | | | government regulations, and health insurance |
| | | | guidelines have contributed to the strong |
| Medical Billing and related occupations | | | | demand for experienced medical coders and |
| continue to be the fastest growing | | | | billers. |
| opportunities in health care. Insurance | | | | |