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Billing and Coding Practices

Billing and coding practices involve translating medical services and procedures into standardized codes used for insurance claims and billing. Accurate coding ensures that healthcare providers receive proper reimbursement and that patients are billed correctly. It requires precise documentation of diagnoses and treatments, following established coding systems like ICD and CPT. Proper practices prevent errors, reduce fraud risk, and promote transparency, ensuring both providers and patients understand the charges. Essentially, it’s the process of documenting and categorizing medical care in a way that ensures clear, fair, and efficient financial transactions between healthcare providers, insurance companies, and patients.