Table of Content
1 INTRODUCTION
1.1 OBJECTIVES OF THE STUDY
1.2 MARKET DEFINITION
1.3 OVERVIEW OF U.S. MEDICAL CODING MARKET
1.4 LIMITATIONS
1.5 MARKETS COVERED
2 MARKET SEGMENTATION
2.1 MARKETS COVERED
2.2 GEOGRAPHICAL SCOPE
2.3 YEARS CONSIDERED FOR THE STUDY
2.4 CURRENCY AND PRICING
2.5 DBMR TRIPOD DATA VALIDATION MODEL
2.6 MULTIVARIATE MODELLING
2.7 OFFERING LIFELINE CURVE
2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS
2.9 DBMR MARKET POSITION GRID
2.1 MARKET APPLICATION COVERAGE GRID
2.11 VENDOR SHARE ANALYSIS
2.12 SECONDARY SOURCES
2.13 ASSUMPTIONS
3 EXECUTIVE SUMMARY
4 PREMIUM INSIGHTS
4.1 INDUSTRIAL INSIGHTS:
4.2 CONCLUSION:
4.3 LEGAL FRAMEWORK FOR MEDICAL CODING
4.4 VIEW POINT OF KEY OPINION LEADERS
4.5 FINDINGS
4.5.1 EVOLUTION OF MEDICAL CODING
4.5.1.1 ADOPTION OF CAC (COMPUTER ASSISTED MEDICAL CODING)
4.6 TRENDS ACROSS U.S. MEDICAL CODING MARKET
4.6.1 IMPACT OF ADDITION OF COVID-19 CODES
4.6.2 TRANSITION TO NEW ICD CODES
4.6.3 CURRENT PROCEDURAL TERMINOLOGY UPDATES (CPT)
4.6.4 REPLACEMENT OF MEDICARE PHYSICIAN FEE SCHEDULE
4.7 EXPERT OPINION SURVEY
4.8 EXPECTATION OF FUTURE MARKET SCENARIOS
5 MARKET OVERVIEW
5.1 DRIVERS
5.1.1 INCREASING DEMAND FOR ADVANCED HEALTHCARE BILLING SYSTEMS
5.1.2 INCREASING ADOPTION OF TELEHEALTH SERVICES FOR OUTPATIENT CARE
5.1.3 GROWING ADOPTION OF MEDICAL PRACTICE MANAGEMENT SYSTEMS
5.1.4 INCREASING MEDICAL PROGRAMS AND GOVERNMENT FUNDING
5.2 RESTRAINS
5.2.1 CONCERNS PERTAINING TO POOR DOCUMENTATION OR MISSING DOCUMENTATION
5.2.2 INCREASE IN ISSUES FACED IN MEDICAL CODING
5.3 OPPORTUNITIES
5.3.1 GROWING HEALTHCARE EXPENDITURE
5.3.2 STRATEGIC INITIATIVES BY MARKET PLAYERS
5.3.3 TECHNOLOGICAL ADVANCEMENTS IN IT PROCEDURES
5.4 CHALLENGES
5.4.1 DEARTH OF MEDICAL CODERS
5.4.2 DATA PRIVACY AND REGULATIONS
6 IMPACT OF COVID 19 PANDEMIC ON THE MARKET
6.1 IMPACT ON DEMAND
6.2 STRATEGIC DECISIONS FOR MANUFACTURERS
6.3 CONCLUSION
7 U.S. MEDICAL CODING MARKET, BY OFFERING
7.1 OVERVIEW
7.2 CODING SYSTEMS AND SOFTWARE
7.2.1 INTEGRATED
7.2.2 STANDALONE
7.3 CODING SERVICES
7.3.1 PROFESSIONAL FEE CODING
7.3.2 FACILITY CODING
7.3.3 RISK ADJUSTMENT CODING
7.3.4 CODING STAFFING
7.3.5 MEDICAL CODING AUDITS
7.3.6 HIERARCHICAL CONDITION CATEGORY (HCC) CODING
7.3.7 OTHER CODING SERVICES
7.4 DATA FILES
7.5 OTHERS
8 U.S. MEDICAL CODING MARKET, BY CODING TYPE
8.1 OVERVIEW
8.2 COMPUTER ASSISTED
8.3 TRADITIONAL
9 U.S. MEDICAL CODING MARKET, BY CLASSIFICATION SYSTEM
9.1 OVERVIEW
9.2 INTERNATIONAL CLASSIFICATION OF DISEASES (ICD)
9.2.1 ICD-10-CM CODES
9.2.2 ICD-10-PCS CODES
9.3 CPT
9.4 HEALTHCARE COMMON PROCEDURE CODE SYSTEM (HCPCS)
10 U.S. MEDICAL CODING MARKET, BY COMPONENT
10.1 OVERVIEW
10.2 OUTSOURCED
10.3 IN-HOUSE
11 U.S. MEDICAL CODING MARKET, BY SERVICE TYPE
11.1 OVERVIEW
11.2 INPATIENT SERVICES
11.3 DIAGNOSTIC/ANCILLARY SERVICES
11.4 RECURRING OUTPATIENT SERVICES
11.4.1 WOUND CARE
11.4.2 INFUSION SERVICES
11.4.3 CHEMOTHERAPY/RADIATION THERAPY
11.5 AMBULATORY OR SAME-DAY SURGERY
11.6 INTERVENTIONAL RADIOLOGY
11.7 INPATIENT REHABILITATION SERVICES
11.8 OBSERVATION SERVICES
11.9 OTHERS
12 U.S. MEDICAL CODING MARKET, BY END USER
12.1 OVERVIEW
12.2 HOSPITALS
12.3 CLINICS
12.4 DIAGNOSTIC CENTERS
12.5 AMBULATORY SURGERY CENTERS
12.6 INSURANCE COMPANIES
12.7 GOVERNMENT ORGANIZATIONS
12.8 DENTAL CLINICS
12.9 OTHERS
13 U.S. MEDICAL CODING MARKET, BY DISTRIBUTION CHANNEL
13.1 OVERVIEW
13.2 THIRD PARTY DISTRIBUTOR
13.3 DIRECT TENDER
14 U.S MEDICAL CODING MARKET: COMPANY LANDSCAPE
14.1 COMPANY SHARE ANALYSIS: U.S
15 COMPANY PROFILE
15.1 OPTUM360
15.1.1 COMPANY SNAPSHOT
15.1.2 SWOT ANALYSIS
15.1.3 PRODUCT PORTFOLIO
15.1.4 RECENT DEVELOPMENT
15.2 ADVANTMED, LLC
15.2.1 COMPANY SNAPSHOT
15.2.2 SWOT ANALYSIS
15.2.3 PRODUCT PORTFOLIO
15.2.4 RECENT DEVELOPMENT
15.2.4.1 CERTIFICATION
15.3 AQUITY SOLUTIONS
15.3.1 COMPANY SNAPSHOT
15.3.2 SWOT ANALYSIS
15.3.3 PRODUCT PORTFOLIO
15.3.4 RECENT DEVELOPMENT
15.3.4.1 RECOGNITION
15.3.4.2 BUSINESS EXPANSION
15.4 COTIVITI, INC.
15.4.1 COMPANY SNAPSHOT
15.4.2 SWOT ANALYSIS
15.4.3 SOLUTION PORTFOLIO
15.4.4 RECENT DEVELOPMENT
15.4.4.1 CERTIFICATION
15.5 3M
15.5.1 COMPANY SNAPSHOT
15.5.2 REVENUE ANALYSIS
15.5.3 SWOT ANALYSIS
15.5.4 PRODUCT PORTFOLIO
15.5.5 RECENT DEVELOPMENT
15.5.5.1 CONTRACT
15.6 APEXONHEALTH
15.6.1 COMPANY SNAPSHOT
15.6.2 PRODUCT PORTFOLIO
15.6.3 RECENT DEVELOPMENT
15.7 BELLMEDEX
15.7.1 COMPANY SNAPSHOT
15.7.2 SERVICE PORTFOLIO
15.7.3 RECENT DEVELOPMENT
15.8 BILLINGPARADISE
15.8.1 COMPANY SNAPSHOT
15.8.2 PRODUCT PORTFOLIO
15.8.3 RECENT DEVELOPMENT
15.8.3.1 APP LAUNCH
15.9 CERNER CORPORATION
15.9.1 COMPANY SNAPSHOT
15.9.2 REVENUE ANALYSIS
15.9.3 PRODUCT PORTFOLIO
15.9.4 RECENT DEVELOPMENT
15.9.4.1 PARTNERSHIP
15.9.4.2 ACQUISITION
15.1 DOLBEY
15.10.1 COMPANY SNAPSHOT
15.10.2 REVENUE ANALYSIS
15.10.3 PRODUCT PORTFOLIO
15.10.4 RECENT DEVELOPMENTS
15.10.4.1 SERVICE ENHANCEMENT
15.10.4.2 PARTNERSHIP
15.11 ECLAT HEALTH SOLUTIONS
15.11.1 COMPANY SNAPSHOT
15.11.2 SOLUTION PORTFOLIO
15.11.3 RECENT DEVELOPMENT
15.12 EZDI, INC
15.12.1 COMPANY SNAPSHOT
15.12.2 PRODUCT PORTFOLIO
15.12.3 RECENT DEVELOPMENT
15.12.3.1 AGREEMENT
15.12.3.2 PRODUCT INTRODUCTION
15.13 FLATWORLD SOLUTION PVT. LTD.
15.13.1 COMPANY SNAPSHOT
15.13.2 PRODUCT PORTFOLIO
15.13.3 RECENT DEVELOPMENT
15.13.3.1 AWARD
15.14 GEBBS HEALTHCARE SOLUTIONS
15.14.1 COMPANY SNAPSHOT
15.14.2 PRODUCT PORTFOLIO
15.14.3 RECENT DEVELOPMENTS
15.15 HIMAGINE SOLUTIONS
15.15.1 COMPANY SNAPSHOT
15.15.2 PRODUCT PORTFOLIO
15.15.3 RECENT DEVELOPMENT
15.15.3.1 WEBINAR
15.16 HMI CORPORATION
15.16.1 COMPANY SNAPSHOT
15.16.2 PRODUCT PORTFOLIO
15.16.3 RECENT DEVELOPMENT
15.17 IKS HEALTH
15.17.1 COMPANY SNAPSHOT
15.17.2 PRODUCT PORTFOLIO
15.17.3 RECENT DEVELOPMENT
15.17.3.1 PARTNERSHIP
15.17.3.2 ACQUISITION
15.17.3.3 EXPANSION
15.18 INVENSIS TECHNOLOGIES PVT LTD
15.18.1 COMPANY SNAPSHOT
15.18.2 PRODUCT PORTFOLIO
15.18.3 RECENT DEVELOPMENT
15.18.3.1 CERTIFICATION
15.19 KIWI-TEK, LLC
15.19.1 COMPANY SNAPSHOT
15.19.2 PRODUCT PORTFOLIO
15.19.3 RECENT DEVELOPMENT
15.19.3.1 SERVICE UPDATION
15.2 MAXIM HEALTHCARE GROUP
15.20.1 COMPANY SNAPSHOT
15.20.2 PRODUCT PORTFOLIO
15.20.3 RECENT DEVELOPMENT
15.20.3.1 CONFERENCE
15.21 MEDICAL BILLERS AND CODERS (MBC)
15.21.1 COMPANY SNAPSHOT
15.21.2 PRODUCT PORTFOLIO
15.21.3 RECENT DEVELOPMENT
15.21.3.1 EXPANSION
15.22 MGSI
15.22.1 COMPANY SNAPSHOT
15.22.2 PRODUCT PORTFOLIO
15.22.3 RECENT DEVELOPMENT
15.23 MRA
15.23.1 COMPANY SNAPSHOT
15.23.2 PRODUCT PORTFOLIO
15.23.3 RECENT DEVELOPMENT
15.24 NUANCE COMMUNICATIONS, INC.
15.24.1 COMPANY SNAPSHOT
15.24.2 REVENUE ANALYSIS
15.24.3 SERVICE PORTFOLIO
15.24.4 RECENT DEVELOPMENTS
15.25 OFFSHORE BILLING COMPANY
15.25.1 COMPANY SNAPSHOT
15.25.2 PRODUCT PORTFOLIO
15.25.3 RECENT DEVELOPMENT
15.26 ORACLE
15.26.1 COMPANY SNAPSHOT
15.26.2 REVENUE ANALYSIS
15.26.3 PRODUCT PORTFOLIO
15.26.4 RECENT DEVELOPMENT
15.26.4.1 CONTRACT
15.27 PROMANTRA INC.
15.27.1 COMPANY SNAPSHOT
15.27.2 PRODUCT PORTFOLIO
15.27.3 RECENT DEVELOPMENTS
15.27.3.1 PARTNERSHIP
15.27.3.2 PARTNERSHIP
15.28 SSR TECHVISION
15.28.1 COMPANY SNAPSHOT
15.28.2 PRODUCT PORTFOLIO
15.28.3 RECENT DEVELOPMENT
15.28.3.1 CERTIFICATION
15.29 STARTEK
15.29.1 COMPANY SNAPSHOT
15.29.2 REVENUE ANALYSIS
15.29.3 SERVICE PORTFOLIO
15.29.4 RECENT DEVELOPMENT
15.29.4.1 RECOGNITION
15.3 VEE TECHNOLOGIES
15.30.1 COMPANY SNAPSHOT
15.30.2 PRODUCT PORTFOLIO
15.30.3 RECENT DEVELOPMENTS
15.30.3.1 CERTIFICATION
15.30.3.2 EXPANSION
15.30.3.3 PRODUCT LAUNCH
16 QUESTIONNAIRE
17 RELATED REPORTS
List of Table
TABLE 1 U.S. MEDICAL CODING MARKET, BY OFFERING, 2020-2029 (USD MILLION)
TABLE 2 U.S. CODING SYSTEMS AND SOFTWARE IN MEDICAL CODING MARKET, BY OFFERING, 2020-2029 (USD MILLION)
TABLE 3 U.S. CODING SERVICES IN MEDICAL CODING MARKET, BY OFFERING, 2020-2029 (USD MILLION)
TABLE 4 U.S. MEDICAL CODING MARKET, BY CODING TYPE, 2020-2029 (USD MILLION)
TABLE 5 U.S. MEDICAL CODING MARKET, BY CLASSIFICATION SYSTEM, 2020-2029 (USD MILLION)
TABLE 6 U.S. INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) IN MEDICAL CODING MARKET, BY CLASSIFICATION SYSTEM, 2020-2029 (USD MILLION)
TABLE 7 U.S. MEDICAL CODING MARKET, BY COMPONENT, 2020-2029 (USD MILLION)
TABLE 8 U.S. MEDICAL CODING MARKET, BY SERVICE TYPE, 2020-2029 (USD MILLION)
TABLE 9 U.S. RECURRING OUTPATIENT SERVICES IN MEDICAL CODING MARKET, BY SERVICE TYPE, 2020-2029 (USD MILLION)
TABLE 10 U.S. MEDICAL CODING MARKET, BY END USER, 2020-2029 (USD MILLION)
TABLE 11 U.S. MEDICAL CODING MARKET, BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)
List of Figure
FIGURE 1 U.S. MEDICAL CODING MARKET: SEGMENTATION
FIGURE 2 U.S. MEDICAL CODING MARKET: DATA TRIANGULATION
FIGURE 3 U.S. MEDICAL CODING MARKET: DROC ANALYSIS
FIGURE 4 U.S. MEDICAL CODING MARKET: COUNTRY VS REGIONAL MARKET ANALYSIS
FIGURE 5 U.S. MEDICAL CODING MARKET: COMPANY RESEARCH ANALYSIS
FIGURE 6 U.S. MEDICAL CODING MARKET: INTERVIEW DEMOGRAPHICS
FIGURE 7 U.S. MEDICAL CODING MARKET: DBMR MARKET POSITION GRID
FIGURE 8 U.S. MEDICAL CODING MARKET: APPLICATION COVERAGE GRID
FIGURE 9 U.S. MEDICAL CODING MARKET: VENDOR SHARE ANALYSIS
FIGURE 10 U.S. MEDICAL CODING MARKET: SEGMENTATION
FIGURE 11 INCREASE IN DEMAND FOR MEDICAL CODING IS EXPECTED TO DRIVE THE U.S. MEDICAL CODING MARKET IN THE FORECAST PERIOD OF 2022 TO 2029
FIGURE 12 MODERATE SEGMENT IS EXPECTED TO ACCOUNT FOR THE LARGEST SHARE OF THE U.S. MEDICAL CODING MARKET IN 2022 & 2029
FIGURE 13 DRIVERS, RESTRAINTS, OPPORTUNITIES AND CHALLENGES OF THE U.S. MEDICAL CODING MARKET
FIGURE 14 U.S. MEDICAL CODING MARKET: BY OFFERING, 2021
FIGURE 15 U.S. MEDICAL CODING MARKET: BY OFFERING, 2020-2029 (USD MILLION)
FIGURE 16 U.S. MEDICAL CODING MARKET: BY OFFERING, CAGR (2022-2029)
FIGURE 17 U.S. MEDICAL CODING MARKET: BY OFFERING, LIFELINE CURVE
FIGURE 18 U.S. MEDICAL CODING MARKET: BY CODING TYPE, 2021
FIGURE 19 U.S. MEDICAL CODING MARKET: BY CODING TYPE, 2020-2029 (USD MILLION)
FIGURE 20 U.S. MEDICAL CODING MARKET: BY CODING TYPE, CAGR (2022-2029)
FIGURE 21 U.S. MEDICAL CODING MARKET: BY CODING TYPE, LIFELINE CURVE
FIGURE 22 U.S. MEDICAL CODING MARKET: BY CLASSIFICATION SYSTEM, 2021
FIGURE 23 U.S. MEDICAL CODING MARKET: BY CLASSIFICATION SYSTEM, 2020-2029 (USD MILLION)
FIGURE 24 U.S. MEDICAL CODING MARKET: BY CLASSIFICATION SYSTEM, CAGR (2022-2029)
FIGURE 25 U.S. MEDICAL CODING MARKET: BY CLASSIFICATION SYSTEM, LIFELINE CURVE
FIGURE 26 U.S. MEDICAL CODING MARKET: BY COMPONENT, 2021
FIGURE 27 U.S. MEDICAL CODING MARKET: BY COMPONENT, 2020-2029 (USD MILLION)
FIGURE 28 U.S. MEDICAL CODING MARKET: BY COMPONENT, CAGR (2022-2029)
FIGURE 29 U.S. MEDICAL CODING MARKET: BY COMPONENT, LIFELINE CURVE
FIGURE 30 U.S. MEDICAL CODING MARKET: BY SERVICE TYPE, 2021
FIGURE 31 U.S. MEDICAL CODING MARKET: BY SERVICE TYPE, 2020-2029 (USD MILLION)
FIGURE 32 U.S. MEDICAL CODING MARKET: BY SERVICE TYPE, CAGR (2022-2029)
FIGURE 33 U.S. MEDICAL CODING MARKET: BY SERVICE TYPE, LIFELINE CURVE
FIGURE 34 U.S. MEDICAL CODING MARKET: BY END USER, 2021
FIGURE 35 U.S. MEDICAL CODING MARKET: BY END USER, 2020-2029 (USD MILLION)
FIGURE 36 U.S. MEDICAL CODING MARKET: BY END USER, CAGR (2022-2029)
FIGURE 37 U.S. MEDICAL CODING MARKET: BY END USER, LIFELINE CURVE
FIGURE 38 U.S. MEDICAL CODING MARKET: BY DISTRIBUTION CHANNEL, 2021
FIGURE 39 U.S. MEDICAL CODING MARKET: BY DISTRIBUTION CHANNEL, 2020-2029 (USD MILLION)
FIGURE 40 U.S. MEDICAL CODING MARKET: BY DISTRIBUTION CHANNEL, CAGR (2022-2029)
FIGURE 41 U.S. MEDICAL CODING MARKET: BY DISTRIBUTION CHANNEL, LIFELINE CURVE
FIGURE 42 U.S MEDICAL CODING MARKET: COMPANY SHARE 2021 (%)
