Australian Medical Coding& Medical Billing

 



AUSTRALIAN MEDICAL CODING



The Australian Medical Coding system is used to give diagnoses and medical operations codes. Medical personnel utilise this system to precisely report and track medical diagnoses and procedures. It serves as a foundation for research and analysis of health care data and is used to assure correct invoicing and reimbursement from health insurers.

The Australian Classification of Health Interventions (ACHI) and the Australian Coding Standards serve as the foundation for medical coding in Australia (ACS). The following requirements apply to Australian medical coding:

Australian Medical Coding& Medical Billing

1. The Australian Coding Standards must be followed when coding.

2. All codes must faithfully represent the clinical data that has been documented.

3. Coding must be done consistently and accurately throughout.

4. The ACHI and ACS should be used to guide the selection of all codes.

5. The ACS and ACHI must be followed when assigning any codes.


6. The ACHI and ACS must be followed when documenting all codes.

The Medicare Benefits Schedule (MBS) code is the standard medical billing code used in Australia. The MBS is an exhaustive list of all medical treatments and services that qualify for reimbursement from Medicare. Healthcare providers use the MBS code to calculate the amount of Medicare reimbursement they are eligible to receive for a certain medical service or operation

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