ICD 10: anticipated and unanticipated consequences of government mandate

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

Family Physician

Host of Your Health Matters

Rowan Radio 89.7 WGLS FM

http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS

Twitter @drcraigwax 

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.

Forcing ICD10 on the American Healthcare System

“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

ICD10 cometh October 1, 2014

Unfortunately the timing and coordination of government initiatives is poor at best and destructive at worst. With the ACA government takeover of healthcare and insurance, EHR meaningful use, poor economy and lack of freemarket medicine, ICD10 is now also thrust upon physicians, patients, hospitals and insurance companies. No party involved, including government will be equipped to handle it in time for the deadline. Each involved industry will lose time and money as in most massive government undertakings. Worst of all, patients will suffer at the hands of a purportedly well intentioned government.

Best wishes for good health,
Craig M. Wax, DO
Family physician
Editorial Board of Medical Economics
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI
IP4PI.wordpress.com