Before Obamacare is very bad. After, don't ask.

[Sheffey]

I saw this on TV and could just not believe that our government is this damn stupid so I looked it up myself.

W6161XA Bitten by duck, initial encounter
W6161XD Bitten by duck, subsequent encounter
W6162XA Struck by duck, initial encounter
W6162XA Bitten by duck, sequela
+ 5 other codes

These are current medical codes (Implement with Bush in office.) that doctors must use for reimbursement and to avoid prosecution. They stated that doctors must use a book that has 13,000 codes in it.

Under Obamacare the book is expanded to 140,000 very detailed codes. It will cost a one-doctor practice $80,000 to implement and they said a five-to-ten doctor practice would spend $250,000 to implement. That is not counting all the time doctors and their staff must spend coding documents each time they see a patient. Apparently every step of the visit has to be coded!

Totally disgusting what regulators do!

They also have nine codes for encounters with turkeys:

Struck by turkey, initial encounter
Struck by turkey, subsequent encounter
Struck by turkey, sequela
Pecked by turkey, initial encounter
Pecked by turkey, subsequent encounter
Pecked by turkey, sequela
Other contact with turkey, initial encounter
Other contact with turkey, subsequent encounter
Other contact with turkey, sequela

Look it up in this search box - http://www.hipaaspace.com/Medical_Billi ... ookup.aspx

Do what you want. I thought I was through for the night but now I need another drink.

Please don't tell me government will make medical practice cheaper and more accessible. It never has! It never will!

[Sheffey]

They are determined to drive doctors into retirement and other fields.

[-SWS]

I saw this on TV and could just not believe that our government is this damn stupid so I looked it up myself.

W6161XA Bitten by duck, initial encounter
W6161XD Bitten by duck, subsequent encounter
W6162XA Struck by duck, initial encounter
W6162XA Bitten by duck, sequela
+ 5 other codes

If it looks like a duck and quacks like a duck, it must be a....

W616.

[Lugus]

The CD containing the International Classification of Diseases -9 can be purchased from the CDC for $29 the next implementation ICD-10 will come into effect in October 2014 and will cost a similar amount. It is an easy and quick to use system and means medical professionals around the world can communicate despite language differences and bad handwriting. You may want to ask the people who quoted you $80000 or more how they justify the figure or are they like the DMEs who inflate figures for their own financial and political needs.

[ems]

One must laugh, or...

[dlanbro]

I know that some will probably have issues with what I have to say but here it goes. This piece of legislation will be an absolute abomination when fully implemented. Even one of the Democrats that sponsored it said as much and then promptly said that he wasn't going to run for reelection. Remember that Mr. Obama, in a townhall meeting before he was elected the first time said, and I'll never forget this, that sometimes it's better to give someone a pain pill and let them die when he was asked, by a voter, about her mother getting a pace maker late in her life. This is what Obamcare will give to the American citizens. This last week Congress has been busy making sure that they are not going to be held to the new law. They will get special treatment. This goes against the Constitution, "Congress shall make no law" that they are exempt from. They know that they are screwing the people and they don't care. Get the care you can now before it's too late.

[ems]

Remember that Mr. Obama, in a townhall meeting before he was elected the first time said, and I'll never forget this, that sometimes it's better to give someone a pain pill and let them die when he was asked, by a voter, about her mother getting a pace maker late in her life.

If you'll, "never forget this", you'll surely remember what townhall meeting, the city, the date and the time. Take your time in finding it... it must be on the 'net.

[squid13]

If you'll, "never forget this", you'll surely remember what townhall meeting, the city, the date and the time. Take your time in finding it... it must be on the 'net.

He's telling the truth cause my wife and I both seen the same town hall meeting on TV, and your right it will be on the net. Check this https://www.youtube.com/watch?v=U-dQfb8WQvo

[Lugus]

squid, the version you linked is the edited version. The full version includes President Obama saying the choice should be an informed one between the doctor and patient and that there should not be government incentives preventing those choices.

[ems]

squid, the version you linked is the edited version. The full version includes President Obama saying the choice should be an informed one between the doctor and patient and that there should not be government incentives preventing those choices.

Exactly... but why should the FULL version be included in this discussion - it's so much easier to shorten it a bit to show the "really good parts", thereby inciting yet another hostile political thread.

[ChicagoGranny]

The CD containing the International Classification of Diseases -9 can be purchased from the CDC for $29 the next implementation ICD-10 will come into effect in October 2014 and will cost a similar amount. It is an easy and quick to use system and means medical professionals around the world can communicate despite language differences and bad handwriting. You may want to ask the people who quoted you $80000 or more how they justify the figure or are they like the DMEs who inflate figures for their own financial and political needs.

If there is a medical professional anywhere on the planet that wants to look at this,

Struck by duck, initial encounter
Struck by duck, subsequent encounter
Struck by duck, sequela
Pecked by duck, initial encounter
Pecked by duck, subsequent encounter
Pecked by duck, sequela
Other contact with duck, initial encounter
Other contact with duck, subsequent encounter
Other contact with duck, sequela

we need to find him and keep him drugged and straitjacketed 24 x 7.

ChicagoGramps

[PST]

I saw this on TV and could just not believe that our government is this damn stupid so I looked it up myself.

W6161XA Bitten by duck, initial encounter
W6161XD Bitten by duck, subsequent encounter
W6162XA Struck by duck, initial encounter
W6162XA Bitten by duck, sequela
+ 5 other codes

These are current medical codes (Implement with Bush in office.) that doctors must use for reimbursement and to avoid prosecution. They stated that doctors must use a book that has 13,000 codes in it.

Under Obamacare the book is expanded to 140,000 very detailed codes. It will cost a one-doctor practice $80,000 to implement and they said a five-to-ten doctor practice would spend $250,000 to implement. That is not counting all the time doctors and their staff must spend coding documents each time they see a patient. Apparently every step of the visit has to be coded!

Totally disgusting what regulators do!

They also have nine codes for encounters with turkeys:

Struck by turkey, initial encounter
Struck by turkey, subsequent encounter
Struck by turkey, sequela
Pecked by turkey, initial encounter
Pecked by turkey, subsequent encounter
Pecked by turkey, sequela
Other contact with turkey, initial encounter
Other contact with turkey, subsequent encounter
Other contact with turkey, sequela

Look it up in this search box - http://www.hipaaspace.com/Medical_Billi ... ookup.aspx

The rule requiring conversion from ICD-9 codes to ICD-10 codes for healthcare reimbursement transactions -- which is what the post is talking about and what the cited source references -- was published on January 16, 2009, before Obama even became president. It has nothing to do with Obamacare. There was a long transition built in, and the Obama administration extended this further, but it was all decided when the Affordable Care Act was only a gleam in Obama's eye. There is an AMA FACT SHEET describing this rule and providing the date.

ICD-10 the International Classification of Diseases, Tenth Revision, developed by the World Health Organization and used around the world. The AMA says:

While there are many physicians who believe the implementation of ICD-10 is unnecessary and burdensome, there are other physicians and industry stakeholders who believe that the ICD-9 code sets have become too outdated and are no longer workable for treatment, reporting, and payment processes today. ICD-9 has been used widely in the U.S. since 1978. The WHO endorsed ICD-10 in 1990 and many countries have adopted versions of it.

The age of ICD-9 means that it does not accurately reflect all advances in medical technology and knowledge. The ICD-9 diagnosis codes are divided into chapters based on body systems. During the years of maintaining and expanding the codes within chapters, the more complex body systems have run out of codes. The lack of codes within the proper chapter has resulted in new codes being assigned in chapters of other body systems. For example, new cardiac disease codes may be assigned to the chapter for diseases of the eye. The rearranging of codes makes finding the correct code more complicated.

Another driver for replacing ICD-9 is the increased specificity of ICD-10. It is believed that the more specific data will provide better information for identifying diagnosis trends, public health needs, epidemic outbreaks, and bioterrorism events. The more precise codes also have the potential benefit for fewer rejected claims, improved benchmarking data, improved quality and care management, and improved public health reporting.

Right or wrong, this is old stuff not related to Obamacare. I continue to marvel at the opportunism and dishonesty of its opponents. The effective date of this Bush-era rule is now 2014, so why not call it Obamacare? Shameless.

[idamtnboy]

Right or wrong, this is old stuff not related to Obamacare. I continue to marvel at the opportunism and dishonesty of its opponents. The effective date of this Bush-era rule is now 2014, so why not call it Obamacare? Shameless.

Thank God for someone like PST to give responses based on a combination of knowledge and rational thinking, a capability missing from those on either side of the middle third of the political spectrum.

[ems]

Right or wrong, this is old stuff not related to Obamacare. I continue to marvel at the opportunism and dishonesty of its opponents. The effective date of this Bush-era rule is now 2014, so why not call it Obamacare? Shameless.

Thank God for someone like PST to give responses based on a combination of knowledge and rational thinking,

+1

[flutterby11]

My procession is medical coding and yes it will take a lot of time and effort to transition into ICD-10 but it is meant to be so much more specific than what we have now, especially things pertaining to surgeries and procedures.