The NEXT Health Care Disaster waiting to happen:
Know someone who drowned from jumping off burning water skis? Well, there’s a new medical billing code for that.
Been injured in a spacecraft? There’s a new code for that, too.
Roughed up by an Orca whale? It’s on the list.
Next fall, a transformation is coming to the arcane world of medical billing. Overnight, virtually the entire health care system — Medicare, Medicaid, private insurers, hospitals, doctors and various middlemen — will switch to a new set of computerized codes used for determining what ailments patients have and how much they and their insurers should pay for a specific treatment.
The changes are unrelated to the Obama administration’s new health care law. But given the lurching start of the federal health insurance website, HealthCare.gov, some doctors and health care information technology specialists fear major disruptions to health care delivery if the new coding system — also heavily computer-reliant — isn’t put in place properly.
They are pushing for a delay of the scheduled start date of Oct. 1 — or at least more testing beforehand. “If you don’t code properly, you don’t get paid,” said Dr. W. Jeff Terry, a urologist in Mobile, Ala., who is one of those who thinks staffs and computer systems, particularly in small medical practices, will not be ready in time. “It’s going to put a lot of doctors out of business.”
The new set of codes, known as I.C.D.-10, allows for much greater detail than the existing code, I.C.D.-9, in describing illnesses, injuries and treatment procedures. That could allow for improved tracking of public health threats and trends, and better analysis of the effectiveness of various treatments.
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Officials at the Centers for Medicare and Medicaid Services declined to be interviewed about the new codes. But a spokeswoman said that the agency was “committed to implementing I.C.D.-10 on Oct. 1, 2014, and that will not change.”
In a letter in November, Kathleen Sebelius, the secretary of health and human services, told Senator Jeff Sessions, Republican of Alabama, that the Medicare and Medicaid officials were working diligently to help doctors get ready. “I.C.D.-10 is foundational for building a modernized health care system that will facilitate broader access to high quality care,” she wrote.Read the rest of the story HERE.
I know what you're thinking....'billing' that's their problem...WHAT'S THAT GOT TO DO WITH ME?
And when 'your' Doctor(s), Hospital(s), and Vendor(s)...SCREW-UP the codes or enter the wrong one so that they are not reimbursed...WHERE do you think they'll come looking to get their monies?
I Bet I know...
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