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市場調查報告書
商品編碼
1300973

美國醫療編碼市場規模、份額和趨勢分析報告：按分類系統（ICD、HCPCS、CPT）、按組成部分、按醫療專業、細分趨勢，2023-2030 年

U.S. Medical Coding Market Size, Share & Trends Analysis Report By Classification System (ICD, HCPCS, CPT), By Component, By Medical Specialty, And Segment Forecasts, 2023 - 2030
出版日期: | 出版商: Grand View Research | 英文 150 Pages | 商品交期: 2-10個工作天內

價格

美國醫療編碼市場增長和趨勢

根據 Grand View Research, Inc. 的最新報告，到 2030 年，美國的醫療編碼市場預計將達到 386 億美元。

從 2023 年到 2030 年，市場預計將以 9.85% 的複合年增長率擴張。 市場的增長是由於醫院、專科診所、門診手術中心和癌症治療中心等醫療保健中心數量的不斷增加，增加了對醫療編碼服務的需求。我來了。 此外，醫療保健專業人員對更新患者記錄的編碼的高需求也推動了市場的增長。 例如，根據美國勞工統計局 (BLS) 的數據，2016 年至 2026 年間，包括醫療計費和編碼專業人員在內的醫務人員就業人數預計將增長 13%。

人們越來越關注盡量減少欺詐和與醫療文件誤解相關的其他問題，這也推動了市場的發展。 據國家醫療保健反欺詐協會稱，醫療欺詐每年造成數百億美元的損失。 此外，RCM 中醫療編碼和計費程序的使用增加預計也將推動市場增長。

美國醫療保健支出正在快速增長。 根據醫療保險和醫療補助服務中心的數據，2021 年至 2030 年間，美國醫療保健支出預計每年增長 5.1%。 到 2030 年，美國醫療保健支出預計將達到 6.8 萬億美元。 此外，醫療保健的管理成本正在迅速增加。 因此，醫療保健提供商正在採用收入周期管理和醫療編碼外包服務來降低管理成本。 這正在推動市場增長。

外包醫療編碼可以、減少計費錯誤、確保計費合規性並提高患者滿意度。 R1RCM 和 Optum 等多個收入周期管理供應商提供完整的收入周期管理解決方案，包括醫療編碼，減輕醫療保健提供者和付款人的負擔。 COVID-19 疫情增加了新的診斷和治療方法。 此外，門診護理向遠程醫療的轉變給醫療保健提供者帶來了新的計費挑戰。 針對 COVID-19 和遠程醫療引入了新代碼。 醫療保健提供商面臨著跟上不斷變化的需求的挑戰，並且越來越多地採用外包服務。 這對市場增長產生積極影響。

美國醫療編碼市場報告亮點

  • 根據分類系統，ICD 細分市場在 2022 年佔據主導地位。 這一增長歸因於 ICD 分類系統的頻繁修訂，這導致編碼服務的採用增加，包括引入額外的代碼和政府特定的指令。
  • 按組成部分來看，外包業務將在 2022 年佔據最大的收入份額，並且預計在預測期內將以最快的複合年增長率擴張。
  • 在醫療領域，心髒病學領域由於其複雜的程序而需要熟練的編碼人員，預計增長最快。
  • 2023 年 4 月，Health Information Associates 推出了 HAIlearn，這是一個面向編碼員和學生的在線醫療編碼教育平台。 作為編碼員的教育中心，尋找 CPT、ICD-10、評估和管理方面的具體培訓計劃，並被 AAPC 和 AHIMA 接受。

內容

第一章調查方法及範圍

  • 市場細分和範圍
  • 調查方法
  • 信息或數據分析
  • 市場形成和驗證
  • 型號詳細信息
  • 輔助信息列表
  • 縮寫列表
  • 目的

第 2 章執行摘要

  • 市場概況
  • 片段快照
  • 競爭格局快照

第三章市場變量、趨勢和範圍

  • 市場細分和範圍
  • 市場體系展望
    • 母公司市場前景
    • 相關/補充市場前景
  • 市場動態
    • 市場驅動因素分析
    • 市場製約因素分析
  • 商業環境分析
    • 杵分析
    • 波特五力分析
  • COVID-19 的影響分析
  • 監管框架

第 4 章：分類系統的業務分析

  • 美國醫療編碼市場：分類系統趨勢和市場份額分析
  • 美國醫療編碼市場：分類系統細分儀表板
  • ICD
    • ICD 市場，2018-2030 年（百萬美元）
  • CPT
    • 2018-2030 年 CPT 市場（百萬美元）
  • HCPCS
    • HCPCS 市場，2018-2030 年（百萬美元）

第五章成分分析

  • 美國醫療編碼市場：組件變動和市場份額分析
  • 美國醫療編碼市場：組件細分儀表板
  • 內部
    • 2018-2030 年內部市場（百萬美元）
  • 外包
    • 2018-2030 年外包市場（百萬美元）
    • 陸上
    • 離岸

第六章醫學專業分析

  • 美國醫療編碼市場：醫療專業趨勢和市場份額分析
  • 美國醫療編碼市場：醫療專業的細分儀表板
  • 腫瘤學
    • 腫瘤市場，2018-2030 年（百萬美元）
  • 心髒病學
    • 心臟市場，2018-2030 年（百萬美元）
  • 麻醉
    • 2018-2030 年麻醉市場（百萬美元）
  • 放射科
    • 放射學市場，2018-2030 年（百萬美元）
  • 疼痛管理
    • 疼痛管理市場，2018-2030 年（百萬美元）
  • 病理學
    • 病理學市場，2018-2030 年（百萬美元）
  • 緊急服務
    • 緊急服務市場，2018-2030 年（百萬美元）
  • 其他
    • 其他市場，2018-2030 年（百萬美元）

第7章競爭格局

  • 參與者概覽
  • 財務業績
  • 企業市場分析
  • 戰略規劃
    • 獲取
    • 合作
    • 推出新產品和服務
  • 參與者概覽
    • STARTEK
    • Oracle
    • Maxim Healthcare Services
    • Paraxel International Corporation
    • Aviacode Inc.
    • Verisk Analytics, Inc.
    • Medical Record Associates, LLC.
Product Code: GVR-3-68038-025-5

U.S. Medical Coding Market Growth & Trends

The U.S. medical coding market size is estimated to reach USD 38.6 billion by 2030, based on a new report by Grand View Research, Inc. The market is expected to expand at a CAGR of 9.85% from 2023 to 2030. The growth of the market is attributed to the rising number of healthcare centers, such as hospitals, specialty clinics, ambulatory surgical centers, and cancer care centers, which is driving the need for medical coding services. Besides, the high demand for coding by healthcare professionals in the country to update patient records has accelerated market growth. For instance, according to the U.S. Bureau of Labor Statistics (BLS), employment of medical staff, including medical billing and coding specialists, is anticipated to increase to 13% between 2016 and 2026.

Alternatively, increasing focus to minimize fraud and other issues associated with the misinterpretation of medical documents is driving the market. According to the National Health Care Anti-Fraud Association, healthcare fraud cost around tens of billions of dollars every year. Moreover, the rising use of medical coding and billing procedures in RCM is estimated to propel market growth.

Healthcare spending in the U.S. is increasing rapidly. As per the Centers for Medicare & Medicaid Services, healthcare spending in the U.S. is estimated to increase by 5.1% annually between 2021 and 2030. Healthcare spending in the U.S. is estimated to reach USD 6.8 trillion by 2030. Moreover, the administrative costs in healthcare are growing rapidly. Thus, healthcare providers are adopting outsourcing services for revenue cycle management and medical coding to reduce administrative costs. This is propelling the market growth.

Medical coding outsourcing provides benefits such as reduction of billing errors, ensuring billing compliance, and improving patient satisfaction. Multiple revenue cycle management vendors such as R1RCM and Optum are offering complete revenue cycle management solutions including medical coding to reduce the burden on healthcare providers and payers. The COVID-19 pandemic has resulted in the addition of new diagnoses and procedures. Moreover, a shift in telehealth for outpatient care resulted in additional challenges for healthcare providers for billing. Newer codes were introduced for COVID-19 and telehealth. Healthcare providers are facing challenges to meet the changing requirements and are thereby adopting outsourcing services. This in turn is positively impacting market growth.

U.S. Medical Coding Market Report Highlights

  • Based on classification system, the ICD segment dominated the market in 2022. The growth can be attributed to frequent revisions in the ICD classification system, leading to an increase in the adoption of coding services, and the introduction of additional codes and inclusion of government mandates
  • In terms of component, the outsourced segment accounted for the largest revenue share in 2022 and is projected to expand at the fastest CAGR during the forecast period
  • On the basis of medical specialty, the cardiology segment is likely to exhibit the fastest growth owing to complicated procedures which require well-trained coders
  • In April 2023, Health Information Associates launched HIAlearn which is an online medical coding education platform for coders and students. It serves as an education shop for coders looking for specific training plans on CPT, ICD-10, and evaluation and management and is accepted by AAPC and AHIMA

Table of Contents

Chapter 1. Methodology and Scope

  • 1.1. Market Segmentation & Scope
  • 1.2. Research Methodology
  • 1.3. Information or Data Analysis
  • 1.4. Market Formulation & Validation
  • 1.5. Model Details
  • 1.6. List of Secondary Sources
  • 1.7. List of Abbreviations
  • 1.8. Objectives

Chapter 2. Executive Summary

  • 2.1. Market Snapshot
  • 2.2. Segment Snapshot
  • 2.3. Competitive Landscape Snapshot

Chapter 3. Market Variables, Trends, & Scope

  • 3.1. Market Segmentation and Scope
  • 3.2. Market Lineage Outlook
    • 3.2.1. Parent Market Outlook
    • 3.2.2. Related/Ancillary Market Outlook
  • 3.3. Market Dynamics
    • 3.3.1. Market Driver Analysis
    • 3.3.2. Market Restraint Analysis
  • 3.4. Business Environment Analysis
    • 3.4.1. PESTLE Analysis
    • 3.4.2. Porter's Five Forces Analysis
  • 3.5. COVID-19 Impact Analysis
  • 3.6. Regulatory Framework

Chapter 4. Classification System Business Analysis

  • 4.1. U.S. Medical Coding Market: Classification System Movement and Market Share Analysis
  • 4.2. U.S. Medical Coding Classification System Market: Segment Dashboard
  • 4.3. ICD
    • 4.3.1. ICD Market, 2018 - 2030 (USD Million)
  • 4.4. CPT
    • 4.4.1. CPT Market, 2018 - 2030 (USD Million)
  • 4.5. HCPCS
    • 4.5.1. HCPCS Market, 2018 - 2030 (USD Million)

Chapter 5. Component Analysis

  • 5.1. U.S. Medical Coding Market: Component Movement and Market Share Analysis
  • 5.2. U.S. Medical Coding Component Market: Segment Dashboard
  • 5.3. In-house
    • 5.3.1. In-house Market, 2018 - 2030 (USD Million)
  • 5.4. Outsourced
    • 5.4.1. Outsourced Market, 2018 - 2030 (USD Million)
    • 5.4.2. Onshore
      • 5.4.2.1. Onshore Market, 2018 - 2030 (USD Million)
    • 5.4.3. Offshore
      • 5.4.3.1. Offshore Market, 2018 - 2030 (USD Million)

Chapter 6. Medical Specialty Business Analysis

  • 6.1. U.S. Medical Coding Market: Medical Specialty Movement and Market Share Analysis
  • 6.2. U.S. Medical Coding Medical Specialty Market: Segment Dashboard
  • 6.3. Oncology
    • 6.3.1. Oncology Market, 2018 - 2030 (USD Million)
  • 6.4. Cardiology
    • 6.4.1. Cardiology Market, 2018 - 2030 (USD Million)
  • 6.5. Anesthesia
    • 6.5.1. Anesthesia Market, 2018 - 2030 (USD Million)
  • 6.6. Radiology
    • 6.6.1. Radiology Market, 2018 - 2030 (USD Million)
  • 6.7. Pain Management
    • 6.7.1. Pain Management Market, 2018 - 2030 (USD Million)
  • 6.8. Pathology
    • 6.8.1. Pathology Market, 2018 - 2030 (USD Million)
  • 6.9. Emergency Services
    • 6.9.1. Emergency Services Market, 2018 - 2030 (USD Million)
  • 6.10. Others
    • 6.10.1. Others Market, 2018 - 2030 (USD Million)

Chapter 7. Competitive Landscape

  • 7.1. Participant's Overview
  • 7.2. Financial Performance
  • 7.3. Company Market Position Analysis
  • 7.4. Strategy Mapping
    • 7.4.1. Acquisition
    • 7.4.2. Collaborations
    • 7.4.3. New Product/ Service Launches
  • 7.5. Participant's overview
    • 7.5.1. STARTEK
      • 7.5.1.1. Company Overview
      • 7.5.1.2. Financial Performance
      • 7.5.1.3. Product Benchmarking
      • 7.5.1.4. Strategic Initiatives
    • 7.5.2. Oracle
      • 7.5.2.1. Company Overview
      • 7.5.2.2. Financial Performance
      • 7.5.2.3. Product Benchmarking
      • 7.5.2.4. Strategic Initiatives
    • 7.5.3. Maxim Healthcare Services
      • 7.5.3.1. Company Overview
      • 7.5.3.2. Financial Performance
      • 7.5.3.3. Product Benchmarking
      • 7.5.3.4. Strategic Initiatives
    • 7.5.4. Paraxel International Corporation
      • 7.5.4.1. Company Overview
      • 7.5.4.2. Financial Performance
      • 7.5.4.3. Product Benchmarking
      • 7.5.4.4. Strategic Initiatives
    • 7.5.5. Aviacode Inc.
      • 7.5.5.1. Company Overview
      • 7.5.5.2. Financial Performance
      • 7.5.5.3. Product Benchmarking
      • 7.5.5.4. Strategic Initiatives
    • 7.5.6. Verisk Analytics, Inc.
      • 7.5.6.1. Company Overview
      • 7.5.6.2. Financial Performance
      • 7.5.6.3. Product Benchmarking
      • 7.5.6.4. Strategic Initiatives
    • 7.5.7. Medical Record Associates, LLC.
      • 7.5.7.1. Company Overview
      • 7.5.7.2. Financial Performance
      • 7.5.7.3. Product Benchmarking
      • 7.5.7.4. Strategic Initiatives

List of Tables

  • Table 1. List of secondary sources
  • Table 2. List of abbreviations
  • Table 3. U.S. medical coding market, by classification system, 2018 - 2030 (USD Million)
  • Table 4. U.S. medical coding market, by component, 2018 - 2030 (USD Million)
  • Table 5. U.S. medical coding market, by outsourced, 2018 - 2030 (USD Million)
  • Table 6. U.S. medical coding market, by medical specialty, 2018 - 2030 (USD Million)

List of Figures

  • Fig. 1 Market research process
  • Fig. 2 Information procurement
  • Fig. 3 Primary research pattern
  • Fig. 4 Market research approaches
  • Fig. 5 Value chain-based sizing & forecasting
  • Fig. 6 Market formulation & validation
  • Fig. 7 Practice management system market segmentation
  • Fig. 8 Market snapshot, 2022
  • Fig. 9 Market trends & outlook
  • Fig. 10 Market driver relevance analysis (current & future impact)
  • Fig. 11 Market restraint relevance analysis (current & future impact)
  • Fig. 12 PESTLE analysis
  • Fig. 13 Porter's five forces analysis
  • Fig. 14 U.S. medical coding market: component movement and market share analysis
  • Fig. 15 U.S. medical coding market component outlook: Segment dashboard
  • Fig. 16 In-house market, 2018 - 2030 (USD Million)
  • Fig. 17 Outsourced market, 2018 - 2030 (USD Million)
  • Fig. 18 Onshore market, 2018 - 2030 (USD Million)
  • Fig. 19 Offshore market, 2018 - 2030 (USD Million)
  • Fig. 20 U.S. medical coding market: classification system movement and market share analysis
  • Fig. 21 U.S. medical coding market classification system outlook: Segment dashboard
  • Fig. 22 ICD market, 2018 - 2030 (USD Million)
  • Fig. 23 CPT market, 2018 - 2030 (USD Million)
  • Fig. 24 HCPCS market, 2018 - 2030 (USD Million)
  • Fig. 25 U.S. medical coding market: medical specialty movement and market share analysis
  • Fig. 26 U.S. medical coding market medical specialty outlook: Segment dashboard
  • Fig. 27 Cardiology market, 2018 - 2030 (USD Million)
  • Fig. 28 Oncology market, 2018 - 2030 (USD Million)
  • Fig. 29 Anesthesia market, 2018 - 2030 (USD Million)
  • Fig. 30 Radiology market, 2018 - 2030 (USD Million)
  • Fig. 31 Pathology market, 2018 - 2030 (USD Million)
  • Fig. 32 Pain Management market, 2018 - 2030 (USD Million)
  • Fig. 33 Emergency Services market, 2018 - 2030 (USD Million)
  • Fig. 34 Others market, 2018 - 2030 (USD Million)
  • Fig. 35 Company market position analysis
  • Fig. 36 Company/competition categorization
  • Fig. 37 Strategy mapping