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The clinical laboratory improvement amendments (clia) of 1988 are united states federal regulatory standards that apply to all clinical laboratory testing performed on humans in the united states, except clinical trials and basic research. A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. Iso 15189 medical laboratories — requirements for quality and competence is an international standard that specifies the quality management system requirements particular to medical laboratories.
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Medical billing, a payment process in the united states healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. Clsi promotes the development and use of voluntary laboratory consensus standards and guidelines within the health care community. It is maintained by the cpt editorial panel
[1] the cpt code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
The acronym hcpcs originally stood for hcfa common procedure coding system, a medical billing process used by the centers for medicare and medicaid services (cms) Prior to 2001, cms was known as the health care financing administration (hcfa) Hcpcs was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health. Health organizations typically have many different computer systems used to process different patient administration or clinical tasks, such as billing, medication management, patient tracking, and documentation.
