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Coders and Billers outdated?

  1. Default Coders and Billers outdated?
    Medical Coding Books
    An LPN told me that medical billers and coders positions will be greatly reduced, almost eliminated, when the EMR (Electronic medical records) process is complete, because the records will include the coding and send out the bills. Is this true? Any comments?

  2. #2
    Default
    They are still going to need to handle the billing aspects and insurance. Our site the docs do their own coding but they still need people to bill.

  3. #3
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    I don't think that will ever happen. I know one of the concerns w/ EMR is bringing too much info forward from a previous visit and the medically necessity choosing a code that is actually too high. There is always room for errors even with computers.
    adrianne, cpc

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by khicks View Post
    An LPN told me that medical billers and coders positions will be greatly reduced, almost eliminated, when the EMR (Electronic medical records) process is complete, because the records will include the coding and send out the bills. Is this true? Any comments?
    I completely agree with Adrianne. The EMR only works as well as the provider utilizes it. The provider can still override the CPT code; in spite of what the EMR suggests. I have seen providers credit areas that they weren't entitled to and as a result, increased their E/M code. EMR's are far from perfect...

  5. #5
    Location
    Bentonville, Arkansas
    Posts
    56
    Default EMRs
    We are going to EMRs in September. I am in a 5 provider family practice. I will be reviewing the records from the previous day to make sure all the codes, both CPT and ICD are correct, and that all charges are captured. I doubt my docs could learn coding before I am old enough to retire, so I hope my job will be secure!

  6. #6
    Location
    New Haven, CT
    Posts
    94
    Thumbs down I think the LPN is jealous...hahahah
    That she/he doesn't get to code. I doubt coding will be extinct any time soon. If you have to keep track of disease and other illnesses...then it will never go out of date. I doubt the WHO would let that happen...let alone the AMA.

    That's not true.

  7. Default Thank you for the replies!
    I didn't think that coding and billing would be outdated, but the EMR does shorten the process somewhat, but someone (how about ME) needs to verify the correct code.

  8. Default keep your head up
    Hello fellow aapc members;

    I definately would not get discourage over this LPN's comment, I know for me it will only inspire me to get all the knowledge that I can get about (EMRs,) by taking a short-course using medical billing and coding software or if you happen to have a practice CD with a medical records workbook...There is no fear but fear itself......Use negativity like this to climb higher, study harder, take and pass more cert exams, exhaust every single CEU seminar that you can possibly obtain and to always continue your education as far as you can.......LONG LIVE MEDICAL BILLERS AND CODERS!

  9. Default
    The advancement of EMR's ability to identify an E&M code and tracking procedure codes linked with dx is going to eliminate billing/data entry positions overall, however qualified staff are necessary to audit and use their skills to educate the physicians in documenting with specificity with ICD9 codes. We've seen the trend of payments linked to quality of care and the severity of illness as opposed to justified documention for E&M codes. It's a different challenge. A Coder has the ability to drill down, in other words get to the 5th digit, and know when to ask questions. So a well educated person that takes initiative with their education, passes a course and keeps up to date with the newest trends will be essential, along with good communication skills, has the advantage.

    The transition to ICD10 will be a huge for physicans, and yes EMR's will have these codes built in too. There will need to be a 2 way dialogue with knowledgeable staff and provider. We have billers/data entry personnel that rarely take the initiative to learn the new trends, new codes, payer policies, they have to be told. So a person that takes initiative to pass a course and keeps up to date with the newest trends and can see the whole picture will be essential. The entire industry is changing.
    Last edited by jstimson; 03-14-2010 at 10:11 PM.

  10. #10
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    Quote Originally Posted by rebeccawoodward View Post
    I completely agree with Adrianne. The EMR only works as well as the provider utilizes it. The provider can still override the CPT code; in spite of what the EMR suggests. I have seen providers credit areas that they weren't entitled to and as a result, increased their E/M code. EMR's are far from perfect...

    Plus, not ever situation uses the same exact sinario... modifiers, E and V codes, etc. And I agree, with computers there is always room for error. An actual coder/ biller will be needed. It is a scary thought, but I think we will be okay!

    Sandra Stephens, CPC-A

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