2022-2029 年全球醫療編碼市場

市場動態

醫療領域IT的進步和醫療領域醫療編碼的優勢

IT 在醫療領域的進步以及醫療編碼在醫療領域各個方面的好處，例如計費管理、臨床決策支持系統和緊急決策支持系統，正在推動市場。預計在預測期內，對醫療文檔中通用語言的需求不斷增長，以簡化醫院計費程序，這也將推動市場。在當今的就業市場中，對醫療索賠人和編碼員的需求很高。因此，由於醫療保健業務前景的增長以及大量工作自動化的效率，與編碼相關的工作正在擴大。因此，對編碼工作的需求不斷增長可能會推動全球研究市場。預計醫療保健行業的技術進步和不斷變化的分類系統將為在預測期內在目標市場運營的參與者創造潛在的收入機會。對編碼服務的需求也在不斷增長，對通用語言的需求也在不斷增長，以減少與保險索賠相關的欺詐和誤解，以及對簡化醫院計費流程的高需求。此外，數據安全是醫療保健組織的主要關注點，離岸編碼公司也開始意識到這些數據安全問題，了解客戶數據洩露可能導致業務損失。我在這裡。這就是領先的離岸編碼公司為其編碼員工作建立安全環境的原因。然而，預計在預測期內，醫療保健提供者和患者之間的網絡威脅和缺乏安全性將阻礙市場。

近期爆發的 COVID-19 大流行預計將成為市場的主要製約因素。在中國、美國、德國和韓國，由於供應鏈限制和 COVID-19 疫情導致無法進入場地，大多數項目都被推遲，企業面臨短期運營問題。.這一因素是預測期內全球醫療編碼市場的主要製約因素。

內容

第一章研究方法與範圍

• 調查方法
• 調查目的和範圍

第 2 章市場定義和概述

第 3 章執行摘要

• 按分類系統劃分的市場細分
• 按組件劃分的市場細分
• 最終用戶的市場細分
• 按地區劃分的市場細分

第 4 章市場動態

• 市場影響因素
  • 驅動程序
    • 對編碼服務的需求不斷增長
    • 越來越需要一種通用語言來減少與保險索賠相關的欺詐和誤解
  • 限制因素
    • 與醫療編碼相關的監管變化
    • 數據安全問題
• 影響分析
• 機會

第五章行業分析

• 波特五力分析
• 供應鏈分析
• 監管分析
• 定價分析
• 產品分析
• 售後服務分析

第 6 章按分類系統

• 國際疾病分類 (ICD)
• 醫療保健通用程序代碼系統 (HCPCS)
• 第 10 次修訂
• 臨床改良 (ICD-10-CM)。

第 7 章按組件

• 內部
• 外包

第 8 章最終用戶

• 醫院
• 診斷中心
• 其他

第 9 章 - 按地區

• 北美
  • 美國
  • 加拿大
  • 墨西哥
• 歐洲
  • 德國
  • 英國
  • 法國
  • 其他歐洲
• 南美洲
  • 巴西
  • 阿根廷
  • 其他南美洲
• 亞太地區
  • 中國
  • 印度
  • 日本
  • 澳大利亞
  • 其他亞太地區
• 中東和非洲

第 10 章競爭格局

• 競爭場景
• 市場情況/份額分析
• 併購分析

第 11 章公司簡介

• STARTEK Health
  • 公司概況
  • 產品組合和描述
  • 主要發展狀況
  • 財務摘要
• Aviacode, Inc.
• Parexel International Corporation
• Maxim Health Information Services
• Precyse Solutions, LLC
• Medical Record Associates LLC.
• Bracco Imaging SpA
• 3M Company
• Dolbey Systems Inc.
• Optum Inc.（*List is not exhaustive）

第12章 DataM

Market Overview

Medical Coding Market is expected to grow at a high CAGR of 10.5% during the forecasting period (2022-2029).

Medical coding is the transformation of healthcare procedures, medical services, equipment, and diagnosis into universal medical alphanumeric codes. A medical coder receives the report from doctors, which may include the patient's condition, diagnosis performed, prescription, and all the procedures and tests conducted by healthcare professionals/providers on the patients, and transforms the details into a set of codes. This set of codes is mostly used for claim management, data that are used by emergency response systems, and clinical decisions support systems by emergency clinics.

The Medical Coder may be the same person which ensures the invoices are paid properly. To help promote a smooth coding and billing process, the coder checks the patient's medical record (i.e., the transcription of the doctor's notes, ordered laboratory tests, requested imaging studies, and other sources) to verify the work that was done. Both work together to avoid insurance payment denials. The results are submitted to payers for reimbursement, but the data derived from the codes also are used to determine utilization, manage risk, identify resource use, build actuarial tables, and support public health and actions.

Market Dynamics: rising in the implementation of IT in healthcare settings and the advantages of medical coding for different aspects of healthcare settings

The market is driven is the rising in the implementation of IT in healthcare settings and the advantages of medical coding for different aspects of healthcare settings such as claim management, feeding data clinical decision support systems, and emergency decision support systems. Increasing demand for universal language in medical documents to streamline hospital billing procedures is also expected to drive the market during the forecast period. There is a high demand for medical billers and coders in the current job market. Thus, coding-related jobs are expanding, due to the growing landscape of the business side of healthcare, along with their efficiency to automate large amounts of work. Hence, the escalating demand for coding jobs is likely to drive the market studied across the world. The technological advancements in the healthcare industry and constantly changing classification systems are expected to create potential revenue opportunities for players operating in the target market over the forecast period. Also, the escalating demand for coding services, rising need for a universal language to reduce frauds and misinterpretations associated with insurance claims, and high demand to streamline hospital billing procedures. In addition, data security is a major concern for healthcare organizations, and offshore coding companies are also becoming aware of these data security concerns while understanding that a breach in a client's data is likely to result in the loss of business. Thus, leading offshore coding firms are building a secure environment for the coders to work in. However, cyber threats and insecurity among healthcare providers and patients are expected to hamper the market during the forecast period.

The recent outbreak of the COVID-19 pandemic is likely to act as a major restraint to the market. Most of the projects in China, the US, Germany, and South Korea are delayed, and the companies are facing short-term operational issues due to supply chain constraints and lack of site access due to the COVID-19 outbreak. This factor is a major restraint of the global medical coding market in the forecast period.

Market Segmentation: The International Classification of Diseases (ICD) for the highest share in global medical coding market

The global medical coding market is segmented based on classification system by International Classification of Diseases (ICD), Healthcare Common Procedure Code System (HCPCS), Tenth Revision, Clinical Modification (ICD-10-CM). The International Classification of Diseases (ICD) segment held the largest market share owing to the increasing demand for trained medical coders. ICD is maintained by the World Health Organization and modified by each member country to serve its needs.

The ICD has diverse clinical applications and is used not just by doctors but also by paramedic staff, insurance companies, researchers, and policymakers. ICD is used to classify diseases and store diagnostic information for clinical, quality, and epidemiological purposes and also for reimbursement of insurance claims. ICD is the foundation for the identification of health trends and statistics globally. It is the diagnostic classification standard for all clinical and research purposes. ICD defines the universe of diseases, disorders, injuries, and other related health conditions, listed in a comprehensive, hierarchical fashion that allows for easy storage, retrieval, and analysis of health information for evidence-based decision-making, sharing and comparing health information between hospitals, regions, settings, and countries, and data comparisons in the same location across different periods.

Uses include monitoring the incidence and prevalence of diseases, observing reimbursements and resource allocation trends, and keeping track of safety and quality guidelines. They also include the counting of deaths as well as diseases, injuries, symptoms, reasons for encounters, factors that influence health status, and external causes of disease.

The need for ICD is increasing across the world, owing to a growing prevalence of diseases. According to the World Health Organization (WHO), cardiovascular diseases is the number one cause of death globally, taking an anticipated 17.9 million lives each year and it is approximately 32 percent of all deaths worldwide.

According to the British Heart Foundation (BHF), 17, 06,213 cases of cardiovascular diseases are diagnosed in the United Kingdom alone. As per the statistics, the incidence of cardiovascular diseases is increasing, which is directly proportional to the market growth. Hence, this segment is expected to grow in the future, due to the rising growth of medical coding across the world.

The Healthcare Common Procedure Code System (HCPCS) segment is expected to have positive market growth in the forecast period. The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products, and services that may be provided to Medicare beneficiaries and individuals enrolled in private health insurance programs.

Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Code Set is one of the standard code sets used for this purpose. This factor will drive the growth of the market in the forecast period.

Further, the market is also classified based on the end-user as hospitals, diagnostic centers, and others. The hospital's segment is held the largest market share. Medical coding is used to store record-keeping for hospital operations review and planning, and perhaps most importantly, for financial reimbursement purposes. The evaluation and management codes are important for correctly reimbursing the physician and the hospital. This factor is driving the growth of the market in the forecast period. Geographical Penetration: North America is the dominating region during the forecast period.

By region, the medical coding market is segmented into North America, South America, Europe, Asia-Pacific, Middle-East, and Africa. Among all of the regions, North America dominated the global medical coding market and is expected to grow at the highest CAGR during the forecast period due to technological advancements and improved healthcare infrastructure in various countries in this region.

In the North American region, the United States holds the largest market share due to factors, such as an increasing geriatric population, along with a growing number of chronic diseases in the country, which is anticipated to stimulate the demand in this region. According to the Centers for Disease Control and Prevention, one person dies every 34 seconds from cardiovascular disease in the United States. In 2020, about 697,000 people in the United States died from heart disease that indicates 1 in every 5 deaths. Therefore, the high demand for specialist coders and the presence of a favorable healthcare system are the key factors that are anticipated to drive the market growth.

North America's dominance is attributed to the implementation of ICD codes and the rising number of hospitalizations in the region. The current version of the ICD contains around 69,823 codes for diagnostics and 71,924 for procedures. The addition of more than 140,000 new codes from its previous version is expected to significantly increase demand for trained coders, thus boosting the segment in the region.

The Asia-Pacific region is expected to have the third-largest share due to the higher growth rate is attributed to increasing healthcare IT spending and rising number of medical coding outsourcing companies in countries such as Japan, China, and India, increasing outsourcing of medical coding projects from developed countries such as U.S. and countries in Europe. Furthermore, expansion of Europe- and U.S.-based companies in the region through mergers & acquisitions or subsidiary establishment will drive the growth of the market in the forecast period.

Competitive Landscape:

The medical coding market is highly competitive with the presence of several international and local markets. Product diversification, revenue generation, and opportunities intensify the market competition STARTEK Health, Aviacode, Inc., Parexel International Corporation, Maxim Health Information Services, Precyse Solutions, LLC, and Medical Record Associates LLC. are the leading market players with significant market share. The major players are using product development, novel product launches, market expansion, and product diversification strategies for holding their position in the market.

The companies are entering into collaborations, mergers, strategic partnerships, and acquisitions to expand their presence and meet the rising demand for medical coding across the globe. For instance, in August 2021, Gebbs healthcare solutions is a provider solution of medical billing and medical coding. It has the acquisition of Aviacode Medical Coding & Coding Audit Services. Aviacode is a US-based company located in Hyderabad in the Health Information Management (HIM) space. With the acquisition of Aviacode medical coding, GeBBS will further consolidate its position as a leader in the health information management space.

Table of Contents

1. Methodology and Scope

• 1.1. Research Methodology
• 1.2. Research Objective and Scope of the Report

2. Market Definition and Overview

3. Executive Summary

• 3.1. Market Snippet by Classification System
• 3.2. Market Snippet by Component
• 3.3. Market Snippet by End-User
• 3.4. Market Snippet by Region

4. Market Dynamics

• 4.1. Market Impacting Factors
  • 4.1.1. Drivers
    • 4.1.1.1. Escalating Demand for Coding Services
    • 4.1.1.2. Rising Need for a Universal Language to Reduce Frauds and Misinterpretations Associated with Insurance Claims
  • 4.1.2. Restraints
    • 4.1.2.1. Changing Regulations Related to Medical Coding
    • 4.1.2.2. Data Security Concerns
• 4.2. Impact Analysis
• 4.3. Opportunity

5. Industry Analysis

• 5.1. Porter's Five Forces Analysis
• 5.2. Supply Chain Analysis
• 5.3. Regulatory Analysis
• 5.4. Pricing Analysis
• 5.5. Product Analysis
• 5.6. Post Sales Services Analysis

6. By Classification System

• 6.1. Introduction
• 6.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
• 6.3. Market Attractiveness Index, By Classification System
  • 6.3.1. International Classification of Diseases (ICD) *
    • 6.3.1.1. Introduction
    • 6.3.1.2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2019-2027
  • 6.3.2. Healthcare Common Procedure Code System (HCPCS)
  • 6.3.3. Tenth Revision
  • 6.3.4. Clinical Modification (ICD-10-CM).

7. By Component

• 7.1. Introduction
• 7.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
• 7.3. Market Attractiveness Index, By Component
  • 7.3.1. In-house
    • 7.3.1.1. Introduction
    • 7.3.1.2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2019-2027
  • 7.3.2. Outsourced

8. By End-User

• 8.1. Introduction
• 8.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-User
• 8.3. Market Attractiveness Index, By End-User
  • 8.3.1. Hospitals
    • 8.3.1.1. Introduction
    • 8.3.1.2. Market Size Analysis, US$ Mn, 2016-2025 and Y-o-Y Growth Analysis (%), 2019-2027
  • 8.3.2. Diagnostic Centers
  • 8.3.3. Others

9. - By Region

• 9.1. Introduction
• 9.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Region
• 9.3. Market Attractiveness Index, By Region
• 9.4. North America
  • 9.4.1. Introduction
  • 9.4.2. Key Region-Specific Dynamics
  • 9.4.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
  • 9.4.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
  • 9.4.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-User
  • 9.4.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
    • 9.4.6.1. U.S.
    • 9.4.6.2. Canada
    • 9.4.6.3. Mexico
• 9.5. Europe
  • 9.5.1. Introduction
  • 9.5.2. Key Region-Specific Dynamics
  • 9.5.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
  • 9.5.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
  • 9.5.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-User
  • 9.5.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
    • 9.5.6.1. Germany
    • 9.5.6.2. U.K.
    • 9.5.6.3. France
    • 9.5.6.4. Rest of Europe
• 9.6. South America
  • 9.6.1. Introduction
  • 9.6.2. Key Region-Specific Dynamics
  • 9.6.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
  • 9.6.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
  • 9.6.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
  • 9.6.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
    • 9.6.6.1. Brazil
    • 9.6.6.2. Argentina
    • 9.6.6.3. Rest of South America
• 9.7. Asia Pacific
  • 9.7.1. Introduction
  • 9.7.2. Key Region-Specific Dynamics
  • 9.7.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
  • 9.7.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
  • 9.7.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-User
  • 9.7.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
    • 9.7.6.1. China
    • 9.7.6.2. India
    • 9.7.6.3. Japan
    • 9.7.6.4. Australia
    • 9.7.6.5. Rest of Asia Pacific
• 9.8. Middle East and Africa
  • 9.8.1. Introduction
  • 9.8.2. Key Region-Specific Dynamics
  • 9.8.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Classification System
  • 9.8.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Component
  • 9.8.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User

10. Competitive Landscape

• 10.1. Competitive Scenario
• 10.2. Market Positioning/Share Analysis
• 10.3. Mergers and Acquisitions Analysis

11. Company Profiles

• 11.1. STARTEK Health*
  • 11.1.1. Company Overview
  • 11.1.2. Product Portfolio and Description
  • 11.1.3. Key Developments
  • 11.1.4. Financial Overview
• 11.2. Aviacode, Inc.
• 11.3. Parexel International Corporation
• 11.4. Maxim Health Information Services
• 11.5. Precyse Solutions, LLC
• 11.6. Medical Record Associates LLC.
• 11.7. Bracco Imaging SpA
• 11.8. 3M Company
• 11.9. Dolbey Systems Inc.
• 11.10. Optum Inc. (*List is not exhaustive)

12. DataM Intelligence

• 12.1. Appendix
• 12.2. About Us and Services
• 12.3. Contact Us