Top 10 important words and phrases for Medical Insurance Claims Analyst

Top 10 important words and phrases for Medical Insurance Claims Analyst Introduction: The Importance of Terminology Hello everyone! As a medical insurance claims analyst, understanding the terminology used in the industry is vital. It not only helps you communicate effectively but also ensures accurate and efficient claims processing. 1. ICD-10 Codes ICD-10 codes are alphanumeric codes used to classify diseases, injuries, and medical procedures. They provide a standardized language for medical professionals and insurance companies, facilitating accurate claims processing. 2. CPT Codes CPT codes, or Current Procedural Terminology codes, are numeric codes that describe medical procedures and services. They help in determining the reimbursement amount for a specific treatment or procedure. 3. Pre-Authorization Pre-authorization is the process of obtaining approval from an insurance company before a medical service or procedure is performed. It ensures that the service is covered and prevents claim denials later on. 4. Explanation of Benefits (EOB)