I was in the bathroom at work yesterday, and this poster is hanging on the door.
Really???? What are these idiot politicians thinking of when they dream up this stuff?
And they constantly cut the pay to the providers and then expect them to try to keep up with all of these ridiculous new regulations and rules.
Do they actually believe that all of this stuff is going to improve healthcare, decrease fraud and decrease the cost of healthcare? Evidently they do:
Check this link: ICD-10 benefits for healthcare providers
Note that the guy writing it, if you even get half of what he is saying, is an IT guy, NOT a healthcare professional. The talk is about “data-driven” patient care. Huh? My patient care is driven by the patient’s needs, not some IT guy’s addiction to data in his little cyber-world. I don’t think that a coding set is going to alter the fact that a laceration that is bleeding all over the place needs to be sutured. Who gives a crap if the cut is caused by a paring knife versus a steak knife. Time is wasted in asking the difference and looking up the code in a set of 140,000 codes.
“The increased auto adjudication of claims due to increased granularity of ICD-10 code will help in reduced number of claims being investigated or rejected due to insufficient information. ” Right. The fact the patient is cut and bleeding is not enough information to pay for a suture job?
The codes are bordering on the ridiculous. I heard stuff I couldn’t believe. Yet, when looking them up, it turns out to be true. Example: Here in Florida, there is the occasional person who gets injured at the beach. Here are the codes for one type of incident:
Contact with nonvenomous marine animal W56- >
- contact with venomous marine animal (T63.-)
According to the poster, every form, every procedure, every contract has to be changed to conform to the new rules. Everyone has to be retrained. I love the part where the coding clerks are required to have “a more detailed knowledge of anatomy and medical terminology”. And the nurses have to “revise or recreate every order”. Sure, they have time for that.
Here is a good one, in light of the fact that the government can’t get its shit together with current new guidelines and hasn’t paid our little clinic yet this year for any Medicare or Medicaid bills we turned in,(also note ICD-10 has been delayed due to its cumbersomeness, but when the government says GO! there can be no delay on your part!). The poster states “changes to software, training, new contracts and paperwork have to be paid for.” By whom? The individual provider, of course. A report by a Nachimson Advisors Study shows that on average, the costs of transitioning to ICD-10 were as follows: Small practice (3-9 physicians) = $83,000, Medium practice (10-99 physicians) = $285,000, Large practice (100+ physicians) = $2.7 million.
There comes a time in each person’s mind when they are just overwhelmed and stop giving a crap.
This will do it.
And all I want to do is take care of patients. I wish the politicians and IT guys would walk a mile in our shoes.