ICD-10 Red Tape 101

How would you go about describing ICD-10 and its shortcomings to the public?  Recently a student asked for an explanation of ICD-10 and Parth Desai of http://www.icd10charts.com/ provided a superb reply:

Hi Austin,

Great question! I’ll be brief with my explanation, but if you need any more information I’ll be happy to answer it a little more thoroughly after my last test for school is done next week.

ICD-10 CM is the new medical coding system that was implemented by the federal government on October 1, 2015. This coding system replaced the previously used ICD-9 system which was in place since around 1979. ICD-10 was a highly controversial system because of how large of an administrative burden it posed on medical practices, particularly for private practice physicians. It was so controversial in fact that ICD-10 was delayed 3 times over the last 10 years by Congress before it was finally enacted last year. Now before I go into the real issues with ICD-10, let me quickly explain how physicians get paid by insurance companies using these codes. Continue reading

We Must be the Paradigm Shift and Mount an Innovative Goliath Offense

Guest Post from Kris Held, MD

After spending the last 7 years treading water naively and optimistically waiting for things to be repealed and fixed and after countless trips to DC and across the country trying to cry from the wilderness of the practice of medicine from the trenches with many of you and our organizations, I am convinced this is beyond repair and will never be repealed by those in power.

The Philosophy of the architects of the current system we are floundering in is the antithesis of Hippocratic medicine and in fact works to undermine and dismantle it. Just take innovation- look at Ezekiel Emanuel’s own words on this- he believes innovation is too expensive and the taxes in Obamacare reflect this opinion. He also is an ethicist whose roots stem from his area of expertise which is dying with dignity and systems of rationing like the complete lives system. Continue reading

The Wolves Are Leading the Sheep

Medical records were created by doctors for the use of themselves and their associates and their consultants…..AND FOR NO OTHER REASON

The purpose of medical records is to maintain quality health care for the benefit of the patient, to provide a doctor personal recall, and to simplify the sharing of information between the patient’s various doctors.

Sharing medical records with attorneys, government officials, and insurance companies, if tested, is probably illegal under the rules of medical privacy.

Many years ago, I proposed that doctors stop treating attorneys. I suggested that the medical malpractice problem would be rapidly solved if we did so.

Maybe if we stopped sending in all of these medical records, we could do away with the royal mess that has been created.

ICD-10 joins MOC and MOL as another nail in the coffin of medicine.

Unfortunately, with the apathy that exists, the wolves will continue to lead the sheep to the slaughterhouse.

Robert S Maurer, D.O., Edison, NJ

ICD-10 Basic Billing Code Sheet

I spent the last few weeks converting my old billing sheet to ICD-10 with as much specificity as possible. I’m sharing it with hopes it will be helpful to others caught in this new bureaucratic red tape. These codes were converted using the free application ICD10charts.com.*

Download ICD-10 Primary Care Billing Sheet by System: Excel File | PDF File

*This information is offered for general information purposes only and is not intended to solve all billing problems. The codes are not guaranteed in any way, shape, or form.  Good luck! ~Craig M. Wax, D.O.

National Physicians Council for Healthcare Policy Washington, D.C. Meeting

Monday, March 23, 2015- Tuesday, March 24, 2015

Monday, March 23

7:30 PM
Physician’s Council Supper- Dutch Treat
Carmines, 425 7th St. NW, Washington DC, 20004
202.737.7770

Tuesday, March 24

8:30 AM
Continental Breakfast in the Office of Congressman Pete Sessions
2233 Rayburn House Office Building
Note: Must come to office to be escorted to The Rules Committee Continue reading

Open Letter to All Physicians

D.O.’s and M.D.’s are up in arms about all of the mandates coming down from the federal government, state governments, insurance companies, HMO’s, malpractice carriers, and hospitals.

U.S. physicians are the most over-regulated profession in history.

Doctors, both D.O.’s and MD’s, are particularly disturbed when many of the onerous mandates are instituted by their own parent organizations that were supposed to be representing them.

Let’s work together to turn it around.  AOA and AMA should send a message to all of their members that these membership organizations now actively oppose Maintenance of Licensure procedures that are being promoted by the FSMB.

After that, we can start working on the restrictions created by OCC, MOC, ACGME, ICD-10, CAP, PQRS, Needs Assessment, COMLEX, and all the other burdensome acronyms.

Respectfully submitted,
Robert S. Maurer, D.O, a concerned physician

Mandates vs. Real Medicine

Bob Maurer, D.O. writes:

Yesterday, in Atlantic City, I moderated a seven hour program on the Business of Medicine. One two-hour presentation consisted of some of the most onerous and burdensome mandates that physicians have to face today: HIPAA, ICD-10, and
Medicare CPT codes.

There is nothing in these mandates that has anything to do with patient care.

This past Friday, I went to an old time osteopathic physician for an ENT visit. He did not use a computer, a code book, or a pen. What he did use were his ten fingers, along with his eyes, his ears and his brain. He had a pleasant smile and a good amount of compassion.

A good doctor should be a doctor who is attentive to his patients, not a doctor who is forced to spend most of his time complying with government mandates and regulations.

To paraphrase a statement once attributed to Patrick Henry:

“NOW IS THE TIME FOR ALL GOOD DOCTORS TO COME TO THE AID OF THEIR PROFESSION”