Medical Coding Market: Current Analysis and Forecast (2021-2027)

Medical Coding Market: Current Analysis and Forecast (2021-2027)

The medical coding market is expected to witness a CAGR of around 11% during the forecast period (2021–2027). Medical coding is the transformation of healthcare diagnosis, documentation, medical services, procedures, and equipment into universal medical alphanumeric codes. Medical coding is being increasingly used in the present scenario to create a proper record of patient care, the high demand for streamlining hospital billing procedures, accelerating payments to physicians, and identifying the healthcare areas that require focus, rising need for a universal language to reduce frauds and misinterpretations associated with insurance claims. These factors are the main reason for the growth of this market during the forecast period. Moreover, key market players are launching new technologies in this segment. Furthermore, In March 2020, the CMS released two Healthcare Common Procedure Coding System (HCPCS) codes that laboratories can use to bill for certain COVID-19 diagnostic tests, including those developed in-house according to the new United States Food and Administration (USFDA) guidelines.

Some of the major companies operating in the medical coding market include 3M Company, Aviacode Inc., Maxim Health Information Services, Optum Inc., Oracle Corporation, Talix, The Coding Network LLC, Precyse Solutions LLC, Episource Pvt Ltd, OMH HealthEdge Holdings Inc.

Insights Presented in the Report
"Amongst Classification System, the removable braces category accounted for the majority share in the market in 2020”

Based on the classification system, the medical coding market is segmented into the healthcare common procedure code system (HCPCS), international classification of diseases (ICD), and current procedural terminology (CPT). In 2020, the international classification of diseases (ICD) category is anticipated to witness a significant growth rate during the forecast period. ICD codes are related to diagnoses, and it allows the systematic recording, analysis, interpretation, and comparison of mortality and morbidity data. The major factors for the growth of this market are morbidity coding and reporting including primary care, certification & reporting of causes of death, diagnosis-related grouping (DRG), assessing and monitoring the safety, efficacy, and quality of care, cancer registries, etc. Furthermore, in January 2021, Innoventrum and Dental Medical Billing entered a partnership under which they launched a premier credentialing program for dental-to-medical cross-coding and billing.
"Amongst Component, the outsourced category is expected to witness the highest CAGR during the forecast period”

Based on components, the medical coding market is categorized into outsourced and in-house. The outsourced category witnessed a significant growth rate during the forecast period medical coding market. Medical care suppliers are progressively outsourcing their medical coding requirements to reduce regulatory expenses. Outsourcing helps in expense reduction, saves time, and smoothing out the work process. Hence, medical services suppliers can focus on quality patient care & engagement. Furthermore, Aviacode Inc. signed a partnership with athenahealth Inc., a U.S.-based company providing network-enabled services to the healthcare sector, through its More Disruption Please (MDP) program. As part of the partnership, Aviacode Inc.’s coding services are now available as an integrated offering, to athenahealth’s growing network of more than 100,000 healthcare providers, to help reduce their operational costs, eliminate backlogs, and ensure more-accurate reimbursements.
"Amongst End-User, the hospitals’ category is expected to witness the highest CAGR during the forecast period”

Based on end-user, the medical coding market is categorized into hospitals, diagnostic centers, and others. The hospitals’ category witnessed a significant growth rate during the forecast period medical coding market. Expanding interest in the transformation of the medical services infrastructure, an increasing number of emergency hospitals, rising electronic records for patients, modernization of lab offices, and government administrative rules are driving the medical coding market in this segment. also, the business specialists are focused on business systems, such as item dispatches, organizations, and relationships with provincial players.
"North America to witness significant growth during the forecast period”

For a better understanding of the market, the report provides a detailed analysis of major regions and countries including North America (U.S., Canada, Rest of North America); Europe (Germany, U.K., France, Spain, Italy, Rest of Europe); Asia-Pacific (China, India, Japan, Australia, South Korea, Rest of Asia-Pacific) and Rest of World. In 2020, North America accounted for a significant market share. This is mainly due to the higher per capita income and the availability of advanced healthcare infrastructure, increasing the adoption rate of new technological advancements in medical coding, EHR, and ongoing initiatives of the government to enhance awareness and provide funding in this region. For instance, according to the Centers for Medicare & Medicaid Services (CMS), U.S. health care spending grew 9.7 percent in 2020, reaching $4.1 trillion or $12,530 per person. As a share of the nation's Gross Domestic Product, health spending accounted for 19.7 percent.

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