Introduction
Medical billing and coding are often used interchangeably, but they are two distinct parts of the revenue cycle. Both are essential for accurate reimbursement.
Medical Coding
Assigns ICD, CPT, and HCPCS codes to diagnoses and procedures
Ensures compliance with payer guidelines
Provides the “language” insurance companies understand
Medical Billing
Uses codes to create and submit claims to insurance companies
Tracks claim status, follows up, and posts payments
Handles patient billing and statements
Key Difference
Coding = Identifying what happened in the visit
Billing = Getting paid for what happened
Conclusion
Without accurate coding, billing fails. Without efficient billing, revenue suffers. That’s why MedProAlign provides both—so providers can focus on patients, not paperwork.