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市场调查报告书
商品编码
1300973

美国医疗编码市场规模、份额和趋势分析报告：按分类系统（ICD、HCPCS、CPT）、按组成部分、按医疗专业、细分趋势，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个工作天内

价格

美国医疗编码市场增长和趋势

根据 Grand View Research, Inc. 的最新报告，到 2030 年，美国的医疗编码市场预计将达到 386 亿美元。

从 2023 年到 2030 年，市场预计将以 9.85% 的复合年增长率扩张。 市场的增长是由于医院、专科诊所、门诊手术中心和癌症治疗中心等医疗保健中心数量的不断增加，增加了对医疗编码服务的需求。我来了。 此外，医疗保健专业人员对更新患者记录的编码的高需求也推动了市场的增长。 例如，根据美国劳工统计局 (BLS) 的数据，2016 年至 2026 年间，包括医疗计费和编码专业人员在内的医务人员就业人数预计将增长 13%。

人们越来越关注尽量减少欺诈和与医疗文件误解相关的其他问题，这也推动了市场的发展。 据国家医疗保健反欺诈协会称，医疗欺诈每年造成数百亿美元的损失。 此外，RCM 中医疗编码和计费程序的使用增加预计也将推动市场增长。

美国医疗保健支出正在快速增长。 根据医疗保险和医疗补助服务中心的数据，2021 年至 2030 年间，美国医疗保健支出预计每年增长 5.1%。 到 2030 年，美国医疗保健支出预计将达到 6.8 万亿美元。 此外，医疗保健的管理成本正在迅速增加。 因此，医疗保健提供商正在采用收入周期管理和医疗编码外包服务来降低管理成本。 这正在推动市场增长。

外包医疗编码可以、减少计费错误、确保计费合规性并提高患者满意度。 R1RCM 和 Optum 等多个收入周期管理供应商提供完整的收入周期管理解决方案，包括医疗编码，减轻医疗保健提供者和付款人的负担。 COVID-19 疫情增加了新的诊断和治疗方法。 此外，门诊护理向远程医疗的转变给医疗保健提供者带来了新的计费挑战。 针对 COVID-19 和远程医疗引入了新代码。 医疗保健提供商面临着跟上不断变化的需求的挑战，并且越来越多地采用外包服务。 这对市场增长产生积极影响。

美国医疗编码市场报告亮点

  • 根据分类系统，ICD 细分市场在 2022 年占据主导地位。 这一增长归因于 ICD 分类系统的频繁修订，这导致编码服务的采用增加，包括引入额外的代码和政府特定的指令。
  • 按组成部分来看，外包业务将在 2022 年占据最大的收入份额，并且预计在预测期内将以最快的复合年增长率扩张。
  • 在医疗领域，心脏病学领域由于其复杂的程序而需要熟练的编码人员，预计增长最快。
  • 2023 年 4 月，Health Information Associates 推出了 HAIlearn，这是一个面向编码员和学生的在线医疗编码教育平台。 作为编码员的教育中心，寻找 CPT、ICD-10、评估和管理方面的具体培训计划，并被 AAPC 和 AHIMA 接受。

内容

第一章调查方法及范围

  • 市场细分和范围
  • 调查方法
  • 信息或数据分析
  • 市场形成和验证
  • 型号详细信息
  • 辅助信息列表
  • 缩写列表
  • 目的

第 2 章执行摘要

  • 市场概况
  • 片段快照
  • 竞争格局快照

第三章市场变量、趋势和范围

  • 市场细分和范围
  • 市场体系展望
    • 母公司市场前景
    • 相关/补充市场前景
  • 市场动态
    • 市场驱动因素分析
    • 市场製约因素分析
  • 商业环境分析
    • 杵分析
    • 波特五力分析
  • COVID-19 的影响分析
  • 监管框架

第 4 章：分类系统的业务分析

  • 美国医疗编码市场：分类系统趋势和市场份额分析
  • 美国医疗编码市场：分类系统细分仪表板
  • ICD
    • ICD 市场，2018-2030 年（百万美元）
  • CPT
    • 2018-2030 年 CPT 市场（百万美元）
  • HCPCS
    • HCPCS 市场，2018-2030 年（百万美元）

第五章成分分析

  • 美国医疗编码市场：组件变动和市场份额分析
  • 美国医疗编码市场：组件细分仪表板
  • 内部
    • 2018-2030 年内部市场（百万美元）
  • 外包
    • 2018-2030 年外包市场（百万美元）
    • 陆上
    • 离岸

第六章医学专业分析

  • 美国医疗编码市场：医疗专业趋势和市场份额分析
  • 美国医疗编码市场：医疗专业的细分仪表板
  • 肿瘤学
    • 肿瘤市场，2018-2030 年（百万美元）
  • 心脏病学
    • 心臟市场，2018-2030 年（百万美元）
  • 麻醉
    • 2018-2030 年麻醉市场（百万美元）
  • 放射科
    • 放射学市场，2018-2030 年（百万美元）
  • 疼痛管理
    • 疼痛管理市场，2018-2030 年（百万美元）
  • 病理学
    • 病理学市场，2018-2030 年（百万美元）
  • 紧急服务
    • 紧急服务市场，2018-2030 年（百万美元）
  • 其他
    • 其他市场，2018-2030 年（百万美元）

第7章竞争格局

  • 参与者概览
  • 财务业绩
  • 企业市场分析
  • 战略规划
    • 获取
    • 合作
    • 推出新产品和服务
  • 参与者概览
    • 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