HCPCS Codes Analysis

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HCPCS codes facilitate the procedure of processing health insurance claims made by insurers such as Medicaid. The HCPCS is divided into two levels or classes. The task of classification lies with the Centres of Medicaid and Medicare Services (CMS) in association with the HCPCS work group and other third party payers. Classification is done quarterly, marking a significant step-up from its previous system of annual updates. Since 2014, the CMS has been implementing several changes regarding the continuation of HCSPCS level II. In this regard, it has facilitated a method by which the public can provide input through a website and comment mechanism. Examples of the HCPCS codes include A1 and KT.
Collectively, the health care insurance organizations …show more content…

This has been changed and as of present, the Centres of Medicaid and Medicare Services would be updating the system quarterly. The quarterly release of updates is intended to allow regular changes to be available to the health care facilities. This followed requests by some facilities for a faster incorporation of latest and more efficient systems into the existing coding system (Cms.gov, 2015). Currently, the HCPCS codes are generated internally. The generation takes place based on the national program operating needs. The invention cast significant doubt on the continuance of the use of HCPCS codes in future. Moreover, it adds transparency to the HCPCS coding process of CMS. It does this by its provision of notice regarding the internal decisions to stop the processing of HCPCS codes, and by allowing the public to have a say in these decisions (Cms.gov, …show more content…

For benefits to be realized, it is essential that the product has the most appropriate HCPCS code (Nusgart, 2013). The HCPCS code enables the providers (clinicians), manufacturers, and the payers to pinpoint with accuracy the product that was provided and furnished to a client for billing and processing claims. Additionally, it serves as a means that enable clinicians to classify, define, and distinguish a health care product. Consequently, it provides a common denominator that clinicians, manufacturers, and payers can use to derive data that measures the outcomes and cost (Nusgart,

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