Started By
Message

re: Obamacare Increases Medical Billing Complexity Nearly 5-fold

Posted on 2/15/14 at 10:16 pm to
Posted by LSUPRS
Member since Sep 2010
155 posts
Posted on 2/15/14 at 10:16 pm to
Why fudge codes?
Why code?

Cash pay has made me the happiest, most efficient surgeon ever.
Posted by redandright
Member since Jun 2011
9616 posts
Posted on 2/16/14 at 12:15 am to
And now I know, when I'm riding the DC Metro at 5:00pm, what all of those bureaucrats sitting next to me have been doing all day.

Money well spent, dontchathink?
Posted by Asgard Device
The Daedalus
Member since Apr 2011
11562 posts
Posted on 2/16/14 at 12:21 am to
Extra codes to enter into a field! Oh noes!!!
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 2/16/14 at 5:04 am to
quote:

So why was the original US implementation date prior to moving back several times, 2009?
Because ICD-10 in it's original form was not that different from ICD-9. Yet there would still be implementation costs. The US ICD-10 system of 76,000 codes is an entirely Obama created POS.
Posted by proger
Member since Nov 2007
718 posts
Posted on 2/16/14 at 9:35 am to
quote:

Just fudge the codes the way you do now and charge medicare extra for your services. An extra day in the hospital, a few unnecessary tests and you'll be well compensated for your services. You know how to game the system, just do it.


And then get thrown in jail for Medicare fraud? Actually for inpatient billing the hospital is reimbursed by DRG's, meaning one lump sum for what should cover a hospital stay for the hospitalized diagnosis. Extra days and extra procedures typically end up causing you to lose money. The name of the game is to discharge asap but do a good enough job so they are not readmitted within 30 days cause the readmission isnt covered
Posted by Diamondawg
Mississippi
Member since Oct 2006
32240 posts
Posted on 2/16/14 at 11:45 am to
quote:

Because ICD-10 in it's original form was not that different from ICD-9. Yet there would still be implementation costs. The US ICD-10 system of 76,000 codes is an entirely Obama created POS.

OK. I defer to you since you live this nightmare everyday. I am glad I am retired because I would have had to implement the changes for the hospital and probably the physician practice system.
Posted by BOSCEAUX
Where the Down Boys go.
Member since Mar 2008
47734 posts
Posted on 2/16/14 at 1:29 pm to
quote:

Just fudge the codes the way you do now and charge medicare extra for your services. An extra day in the hospital, a few unnecessary tests and you'll be well compensated for your services. You know how to game the system, just do it.


What a moronic statement. Medicare audits are some of the most thorough in the business. Getting caught commiting Medicare fraud comes with serious jail time.
Posted by Diamondawg
Mississippi
Member since Oct 2006
32240 posts
Posted on 2/16/14 at 1:34 pm to
quote:

Getting caught commiting Medicare fraud comes with serious jail time.
And treble damages as I recall.
Posted by Tigah in the ATL
Atlanta
Member since Feb 2005
27539 posts
Posted on 2/16/14 at 1:34 pm to
quote:

Implementation of ICD-10 has absolutely nothing to do with Obamacare but that hasn't stopped conservatives from braying that lie to anyone who will listen.
apparently saying this in every thread about it has no effect.

People want to believe.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 2/16/14 at 1:39 pm to
quote:

apparently saying this in every thread about it has no effect.
Because it is completely, totally, thoroughly FALSE !
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 2/16/14 at 1:52 pm to
quote:

I would have had to implement the changes for the hospital
It's gotten very bad. The Obama Exchanges are a defacto expansion of Medicaid in terms of reimbursements. Readmission fines have gotten absurd. Was talking with hospital administration recently. CMS is trying to nail them for readmissions d/t women coming to L&D in false labor and being d/c'd after brief observation, then admitted in <30d for delivery. Lot of uncertainty.
Posted by BOSCEAUX
Where the Down Boys go.
Member since Mar 2008
47734 posts
Posted on 2/16/14 at 2:09 pm to
quote:

Posted by Tigah in the ATL quote: Implementation of ICD-10 has absolutely nothing to do with Obamacare but that hasn't stopped conservatives from braying that lie to anyone who will listen. apparently saying this in every thread about it has no effect. People want to believe.


In name alone it's not, but all the changes and additions to it since 2008 is all this administrations doing. When my wife first started prepping for it years ago it wasn't that bad. She has had to go back and take classes multiple times because it's changed and grown so much. It resembles the original ICD-10 now in name only.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 2/16/14 at 3:07 pm to
quote:

In name alone it's not
The name is all these guys are going on. The international ICD-10, which uses fewer codes than the US version of ICD-9 did, is what they are referring to. It is less than 1/5th as complicated as the monstrosity Obama & Co have implemented.

It's one thing to be confused because of nomenclature initially. It is another entirely to keep posting the same BS after the error has been thoroughly pointed out.
Posted by BOSCEAUX
Where the Down Boys go.
Member since Mar 2008
47734 posts
Posted on 2/16/14 at 4:05 pm to
quote:

It's one thing to be confused because of nomenclature initially. It is another entirely to keep posting the same BS after the error has been thoroughly pointed out.


Exactly. My wife probably knows as much about ICD-10 as anybody in Louisiana and everything I'm posting in this thread is coming from her, these numbnuts would still tell her she's wrong.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 2/16/14 at 5:25 pm to
quote:

these numbnuts would still tell her she's wrong.
Unfortunate truth
Posted by Diamondawg
Mississippi
Member since Oct 2006
32240 posts
Posted on 2/16/14 at 8:02 pm to
quote:

these numbnuts would still tell her she's wrong.


NC corched and schooled me so I am good.
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
71045 posts
Posted on 2/16/14 at 8:07 pm to
quote:

It's gotten very bad. The Obama Exchanges are a defacto expansion of Medicaid in terms of reimbursements. Readmission fines have gotten absurd. Was talking with hospital administration recently. CMS is trying to nail them for readmissions d/t women coming to L&D in false labor and being d/c'd after brief observation, then admitted in <30d for delivery. Lot of uncertainty.


Sounds like a war on women to me. Obama needs a lesson in biology.
first pageprev pagePage 3 of 3Next pagelast page
refresh

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on Twitter, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookTwitterInstagram