“Osteopathic family physicians have always had patient centered medical home practices. We don’t need insurance or government bodies to certify us for money. We also shouldn’t be forced to sell patient and physician private data for money. we shouldn’t be forced to work for hospital systems due to complicated cronyism federal law. DPC Direct primary care changes 70 years of insurance and government lies and deceit back to the privileged individual patient-physician relationship.” Craig M. Wax DO
ICD 10: anticipated an unanticipated consequences of government mandate
Craig M. Wax DO
October 1, 2015 ICD 10 was mandated by the US federal government department of health and human services (HHS). Their stated goal was to improve data collection and research but the consequences, both anticipated and unanticipated, are becoming clear.
Even before day one of implementation, it has been costly in time, money, and work that needed to be redone. Laboratories and other testing facilities call constantly for new codes in ICD 10 before they will do testing on patients, even though the codes are for billing, insurance, and government bureaucracy purposes only. Patients are being turned away from labs and radiology facilities.
Patient history and examination time is now squandered due to electronic health records EHR and chasing new ICD 10 codes. Insurance companies have required “referrals” since about 2000. Originally, referrals meant when a doctor recommends another doctor or facility and gave them an RX script to use that service. Initially, referrals become a paperwork game where a form was filled out for insurance to recognize the service. The insurance companies even said that the referral wasn’t even a guarantee of payment, so what was it for? Since, it has become an electronic online process with an Internet company owned by insurance companies called Navinet. Now, our staffs have to enter all the referring information and diagnosis codes in order for the insurance process to even begin or the patient be scheduled for the test at all. Now with ICD 10, the systems are not recognizing the codes and not allowing these insurance mandated processes that waste our time to even carry to completion so a patient can get the study they need.
Due to all these exogenous process mandates, patient care suffers. Less patient physician contact time is possible in the exam rooms. Physicians, and their staff, are designated data gatherers for insurance and government whims. Time and money are wasted by all parties that are gathering the mandated data. The data will be aggregated by government and pirated, patients extorted, and data lost, with no party responsible except for the physicians who entered it. Patients get frustrated because care is denied due to insurance not reimbursing for procedures due to flawed, complicated processes mandated by the insurance industry. All individual patients’ and physicians’ privacy, security, and care is lost.
This is yet another government, and their industrial cronies, scheme to command the data and make money for themselves, while patients go without care and physicians suffer the unanticipated consequences. The medical community and its physicians must stop abiding by all the nonsense and get back to patient care with direct primary care; putting the patient first and responsible for their care.
Best wishes for good health,
Craig M. Wax, DO
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
“I see telemedicine as the way Government and third parties will short both patients and physicians the actual accuracy and feeling of presence and contact of the first-person therapeutic patient-physician relationship,” says Dr. Craig M. Wax.
The PQRS CMS Medicare program is fatally flawed. Any program that is run by third parties, insurance companies or big government cannot possibly take into account all the necessary variables and patient value systems that exist. Physicians are held to that gold standard, while the other parties are held to no standard at all.
Patients deserve a time-honored, unique, private relationship with their physician that values their individual value system and is unfettered by government, insurance and other third party entities.
Craig M. Wax DO
“Forcing ICD 10 on American healthcare after forcing the unaffordable careless act and electronic health records, the government and insurance industry expects not to play claims accurately for quite some time.”
Craig M. Wax DO
Following the information that AAPS submitted an amicus brief to the United States Court of Appeals fifth circuit to block the federal government from accessing and releasing unauthorized patient medical records, independent physicians for patient independence sent the following email to the American Medical Association and the American Osteopathic Association today:
Perhaps the American Medical Association and The American Osteopathic Association can also take the lead on filing an amicus brief to restore the sacrosanct patient privacy of their medical records. Currently the government is gathering and freely sharing data without regard for individual patient privacy. Last month, the government agency that performs security checks was breached of 21 million government employees records. Need I say more?
Government insurance for the elderly is invariably run like a Ponzi scheme. Payroll taxes paid by workers are not invested for future benefits. Those tax revenues are spent the very day, the very hour, the very minute they arrive in the Treasury’s bank account. The U S experience is not unique. Social insurance is run like a Ponzi scheme in most countries around the world.
In the United States, the Social Security Actuaries publish an annual accounting of the unfunded liability in Social Security and Medicare. Looking indefinitely into the future, the unfunded liability in Social Security is almost $28 trillion. That’s the difference between the promised benefits for future generations of retirees minus expected taxes dedicated to fund those benefits. That’s more than twice the size of the official outstanding debt of the U.S. government…
…In 1960, nearly two-thirds of the families in the bottom…
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