We have to buy new computers for the clinic because of fungking ICD10. Bump from 17,000 diagnosis codes to codes to 42,000 and major pain in the butt. All new, all different, so hypertension is no longer 401.1. My five year old computers "work" but don't have enough memory for the Amazing Charts Electronic Medical Record update. Need to go ahead and do it because medicare is supposed to be accepting the new codes now (in theory. I haven't checked if our local medicare provider Noridian really is accepting them.)So I can practice with the stupid new codes until they go full on live in October.
Will this make medicine more precise and give us better data? Well, fungk no. I think we will lose even more of the solo providers and small practices and medicine in the United States will be even more controlled by big corporations. Why do you care? (That is, if you are from the US. If you are from a civilized country you are laughing at us.) Well, for example. In 2012 I was in my local hospital emergency room, and I am a physician who worked for our local hospital district from 2000-2009. The emergency room doctor did a CT scan of my neck. I thought, this is the wrong test, he should be doing a lateral neck film, but hey, I was septic. Maybe I was confused. He put in his notes that he'd ordered a lateral neck film and the CT scan was an error.
They charged me and the insurance company anyhow. I went through my records and wrote to them this year. They paid me back the 900.00$. They say it's "too late" to pay back the insurance company. If I can figure out which stupid insurance company I had in 2012, I will notify them to bill the hospital.
So read every single note in the clinic and the emergency room if you are a patient in the United States. And ask for the itemized bill. And complain to the patient advocate. Just check out how much they charge for the stupid little fungking socks they "give" you. Fight back.
I wish I lived in a country with civilized healthcare not fungking corporate healthcare.
Great. The medicare website has a countdown clock to the initiation of ICD 10. The main advice to doctors is to have "3-6 months" of overhead money stashed, since they expect it to be a mess and we won't get paid for 3-6 months. Right. Do the work anyhow and cross your fingers and fungking pray.
Bet half or more of the doctors/hospitals/clinics in the country have to buy new computers. Watch your bill climb.....
A UK noder asks about ICD-10 international. No, that's not what the stupid US is going to use. ICD-10 international has 14,000 codes that can be stretched to 17,000. No, we are going to use our own stupider version of ICD-10 with 42,000 codes so that more insurance companies can refuse to pay for more visits. Meanwhile, ICD-11i will be released in 2017.
The stupid frigging US has multiple electronic medical records that don't talk to each other, so yes, I can sort of code with my computer except I have to look lots of shit up, like "bruise", aka contusion, and any stupid "cut", aka laceration because the search sucks. I was trying to find prehypertension the other day. The electronic medical record lists it as "elevated blood pressure without diagnosis of hypertension". Great. I have a coding book in each exam room. By October, I will have a massive pile of coding books in each exam room.