ABOUT AFMC
Upholding Precision in
Healthcare Information
Forensic Medical Coders
Medical coders and billers undergo extensive training, drawing upon their years of experience, education, and professional credentials to meticulously assess a range of crucial documents, including CMS 1500 forms, UB 04 forms, medical documentation, and health information. Their expertise extends beyond the routine tasks of coding and billing, often leading them into the realm of forensics. Within this specialized field, Forensic Medical Coders (FMCs) undertake a detailed examination of CPT codes, HCPCS codes, APC codes, ICD-10 codes, DRG codes, Modifiers, and a myriad of other coding elements.
Their primary objective is to ascertain whether these codes have been employed accurately and in accordance with established standards and regulations, thereby playing a pivotal role in ensuring the integrity and precision of medical records and billing practices.
Medical Coders, Billers, and Health Information Management professionals possess specialized knowledge and skills that render them valuable assets in legal proceedings. They often collaborate with legal professionals, either as consultants or experts, to provide insights, analysis, and expertise in cases related to healthcare, insurance claims, and medical documentation.
Within the Association of Forensic Medical Coders (AFMC), legal professionals, whether they represent plaintiffs or defendants, gain access to a comprehensive resource. AFMC offers a platform where members can connect with experts who have demonstrated their proficiency by successfully passing the rigorous Forensic Medical Coder examination (FMC). This invaluable resource allows legal professionals to identify and engage with individuals who possess a deep understanding of medical coding, billing practices, and health information management, ensuring that their cases benefit from the highest level of expertise and precision in the field of forensic medicine.
“Fraud is not only a crime against individuals,
but against society as a whole.”
ERNESTO VALVERDE
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