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New Medical Codes Parse Ailments To The Finest Detail
The Hartford Courant ^ | Jan 20, 2014 | WILLIAM WEIR

Posted on 01/20/2014 3:32:13 AM PST by Daffynition

What's the difference if you get hurt at a Bruce Springsteen concert or a performance of "Die Fledermaus"?

To your wrenched back, not much. But to the folks who process your medical records, it's a distinction worth noting.

The difference between an injury at a music hall and one at an opera house is one of many thousands of details that will be parsed by a new health care classification system that begins in the U.S. on Oct. 1 — a deadline that presses on every health care provider and insurer in the nation.

(Excerpt) Read more at courant.com ...


TOPICS: Constitution/Conservatism; Crime/Corruption; Government
KEYWORDS: abortion; deathpanels; obamacare; zerocare
**The system discerns between "bitten by squirrel, initial encounter" (W53.21XA) and "bitten by squirrel, subsequent encounter" (W53.21XD). There are six separate squirrel-related codes, 11 for dogs, and 21 for lizards.**


1 posted on 01/20/2014 3:32:13 AM PST by Daffynition
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To: Daffynition

Why it’s obvious, of course. The government wants to distinguish between those individuals who may have happened to be bitten ONCE by a squirrel, and those too stupid to stop doing whatever they were doing to get bitten MORE than once.

The reason they are doing this is because they want to identify future potential government employees from the ‘more than once’ category.


2 posted on 01/20/2014 3:38:11 AM PST by Gaffer
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To: Gaffer

When I worked at Honeywell their quality system had hundreds of codes a tech was supposed to use to identify a failure. The idea was to find the root causes and fix them. I got that assignment. Probably 90% of the failures were attributed to a code essentially meaning “it’s broke. Cause unknown.”

That is precisely what this system will get. Nobody is going to read down a list longer than ten items.


3 posted on 01/20/2014 3:47:46 AM PST by Gen.Blather
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To: Gaffer
NO ONE wants to admit how screwed we are.

EVERYTHING EVER documented ....

Documentation these days means computer ... data input ... cyberspace ...

EVERYTHING documented never, ever, ever goes away.

Take your magic wand and wave it wherever you will ... disappear Washington DC ... and a few ... no, maybe all congresscritters. Hell, take out your asshole neighbors, too

Just make every person responsable for nagative anything in America go away .... and in the computer banks will be the rules and regulations that a really, really good American would uphold ... because it's the law.

I've been thinking of Scooter Libby of late .... and the hundreds if not thousands of men utterly destroyed because of accusation only.

I believe the transition of becoming a doctor because of some idealism (and of course wealth) to assembly line workers is almost complete.

How many doctors work out of their house?

When I was a kid in the 50's, Doctor Fergy (Ferguson) lived up the street and occasionally went into the hospital

Our family doctor was seen in his home

Doctors today gather in conclaves for protection, but the rules and regulations still demand their obeisance.

So if I'm bitten by a sqiurrel twice, do I NOT get the tetanus and rabies treatment because I was apparently too stupid to learn the first time?


What's the code for incurably diseased and contagious presidential administration ?

4 posted on 01/20/2014 3:52:52 AM PST by knarf (I say things that are true .. I have no proof .. but they're true.)
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To: Gen.Blather

I was in comms in the AF where we troubleshot and managed A/G, RAPCON and Telcomm circuits, we had trouble codes dictated by DCA.

IIRC, the code for no trouble found, was NNB. The higher ups never wanted to see that in the reports.


5 posted on 01/20/2014 3:53:22 AM PST by Gaffer
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To: knarf

They are more interested in motives, ideals and reasons than they are in treatment.


6 posted on 01/20/2014 3:55:18 AM PST by Gaffer
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To: Daffynition

FR needs such a classification system, not the simple ‘Report Abuse’ link we have now.

Code 1001. The post is hugh.
Code 1002. The post is series.
Code 1003. ... etc etc.

LOL.


7 posted on 01/20/2014 3:59:12 AM PST by PastorBooks
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To: Gaffer

“IIRC, the code for no trouble found, was NNB. The higher ups never wanted to see that in the reports.”

I’d sit with the techs sometimes as they troubleshot and I’d watch what they put down. If they tested it and it worked they’d just randomly select a code. I’d ask why and they’d say, “We were told not to use the no-trouble-found code.”

It was a valuable experience in how life really worked. The guy who regularly came up with new codes had not only never troubleshot anything, he’d never even worked on the equipment. He lived in his own little idyllic universe, much like liberals.


8 posted on 01/20/2014 4:05:39 AM PST by Gen.Blather
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To: Daffynition

My sister...well, you know...


9 posted on 01/20/2014 4:10:55 AM PST by outofsalt (If history teaches us anything it's that history rarely teaches us anything.)
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To: Daffynition

Glad to see our tax money is hard at work. /facepalm


10 posted on 01/20/2014 4:14:33 AM PST by Fresh Wind (The last remnants of the Old Republic have been swept away.)
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To: Daffynition

...and you can be sure, somehow, someway, your voting preferences will be noted....don’t put anything past these bass turds


11 posted on 01/20/2014 4:17:33 AM PST by Doogle (USAF.68-73..8th TFW Ubon Thailand..never store a threat you should have eliminated))
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To: Daffynition

Employment opportunities for coding specialists, income for firms who train coding specialists. It could be a good job for an obsessive categorizer such as myself ...


12 posted on 01/20/2014 4:18:49 AM PST by Tax-chick (I don't want to set the world on fire.)
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To: Daffynition
Is being savaged by a salamander covered?


13 posted on 01/20/2014 4:26:25 AM PST by Salamander (Sleeping don't come very easy in a strait white vest.)
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To: Gen.Blather
That is precisely what this system will get. Nobody is going to read down a list longer than ten items.

Remember Yahoo in the early days of the web?

They tried to classify web pages, much as librarians try to classify books.

Then along came search engines. And Yahoo was obsolete. Then along came Google, and it was Game Over!

Taxonomy is the most menial form of intellectual labor.

14 posted on 01/20/2014 4:27:24 AM PST by cynwoody
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To: Daffynition

I’ve seen the new coding that came with the new DSM 5. It broke my brain!

Seriously. It’s a colossal.......


15 posted on 01/20/2014 4:46:52 AM PST by Gefn (RIP Holly, April 1999-December 31, 2013 the best cat ever)
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To: Daffynition; AdmSmith; AnonymousConservative; Berosus; bigheadfred; Bockscar; cardinal4; ColdOne; ..

Yeah, and y’know what else parses ailments to the finest detail? Written English. Had to train on the ridiculous piles of new codes, and the only “e.g.” used — repeatedly — by the Affirmative Action success story presenter was, the old codes didn’t differentiate between left and right sides of the body.


16 posted on 01/20/2014 4:48:23 AM PST by SunkenCiv (;http://www.freerepublic.com/~mestamachine/)
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To: Salamander
You better have that critter registered w/ animal control....and tetanus shot update. ;D


17 posted on 01/20/2014 4:59:35 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: Gen.Blather

...or mistyped the correct code. Geesh!


18 posted on 01/20/2014 5:00:51 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: Gen.Blather

**....the new system will increase the number of codes to describe various ailments and their treatments from 17,000 to 155,000.**

Sounds like a piece of cake.


19 posted on 01/20/2014 5:03:39 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: Doogle

...or if you own a gun.....let’s not forget.


20 posted on 01/20/2014 5:06:01 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: Daffynition

Further proof that Obamacare is DESIGNED to DESTROY the insurance and healthcare industry.


21 posted on 01/20/2014 5:07:48 AM PST by G Larry
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To: Daffynition
... six separate squirrel-related codes, 11 for dogs, and 21 for lizards.

LOL. And all these confusing codes were probably developed by government drones that need assistance in applying a band-aid.

22 posted on 01/20/2014 5:11:41 AM PST by ken in texas
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To: Gefn; SunkenCiv

23 posted on 01/20/2014 5:14:19 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: ken in texas
Jes slip slidin' to the plot of the prophetic film *Brazil*


24 posted on 01/20/2014 5:19:21 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: MarineMom613

bookmark


25 posted on 01/20/2014 5:24:22 AM PST by MarineMom613 (RIP Sandra Sue, my fur baby 12/31/1999 ~ 7/2/2010 - See you on the other side!)
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To: Daffynition

This is going to a classic of GIGO
Garbage In Garbage Out.

No MD is going to waste his time wading through the coding to that extent.


26 posted on 01/20/2014 5:32:49 AM PST by Kozak ("Send them back your fierce defiance! Stamp upon the cursed alliance! To arms, to arms in Dixie!)
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To: Gen.Blather
Nobody is going to read down a list longer than ten items.

True that, however, the transcription technology today does it for them and manual coders audit on the back end.

27 posted on 01/20/2014 5:56:53 AM PST by Ghost of SVR4 (So many are so hopelessly dependent on the government that they will fight to protect it.)
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To: Daffynition

They want to push up the fraud numbers.

The doctor has to “code” the visit at the end. The time necessary to do this right has grown from 10 seconds in 2001 to about two minutes now - and it’s going to get a lot longer.

The obvious solution is less care for the patient, or less care in coding.

Once the coding dataset turns to sh*t, the NYT will have a front page story about escalating fraud and the need for more government control.

It’s all so predictable.


28 posted on 01/20/2014 6:04:05 AM PST by Jim Noble (When strong, avoid them. Attack their weaknesses. Emerge to their surprise.)
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To: Daffynition

My sister was bit by a Moose....does that count for disability....?


29 posted on 01/20/2014 6:05:04 AM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: Kozak

“This is going to a classic of GIGO
Garbage In Garbage Out.

No MD is going to waste his time wading through the coding to that extent.”

Well they better. Too many “mistakes” and he’ll find his self in court and his license pulled. And possibly in jail. And probably fined.


30 posted on 01/20/2014 6:20:49 AM PST by saleman
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To: Gen.Blather
It was a valuable experience in how life really worked.

LOL. Reminds me of "pencil whipping" PMI's (Preliminary Maintenance Instructions) like shut a perfectly operating radar down at 4 in the morning to vacuum dust off of some vacuum tubes. Then hope it comes back up OK. You can risk a lot of hassle, or just sign it off.

31 posted on 01/20/2014 6:22:28 AM PST by MulberryDraw (Repeal it.)
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To: PastorBooks; Daffynition
FR needs coding for FReepathons..

A1: New Freepathon starts
A2: Send money
A3: Send MORE money
A4: PLEASE send MORE money
A5: PRETTY PLEASE send MORE money

32 posted on 01/20/2014 6:25:10 AM PST by ken5050 (This space available cheap...)
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To: Mrs. B.S. Roberts

Ping!


33 posted on 01/20/2014 6:27:38 AM PST by Bloody Sam Roberts ("The further a society drifts from truth the more it will hate those who speak it." - George Orwell)
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To: Gen.Blather

About a year ago there was an article that said there were more than 140,000 different codes for medical procedures inside Obamacare, and the list was growing.

I cannot imagine how long it will take office personnel to properly code what the doctor of hospital is doing for a patient.

IF the codes don’t get approval from the Feds, then money is withheld until they are satisfied, or they can PROSECUTE the doc or hospital for using false codes.

Welcome to a complete nightmare.


34 posted on 01/20/2014 6:28:42 AM PST by ridesthemiles
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To: Kozak
No MD is going to waste his time wading through the coding to that extent.

Then he won't get paid by the Gubmint. His choice.

35 posted on 01/20/2014 6:33:29 AM PST by Bloody Sam Roberts ("The further a society drifts from truth the more it will hate those who speak it." - George Orwell)
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To: Bloody Sam Roberts

Nonsense. We will pick a code that’s good enough. But some dweeb will mine the “ data” and publish research with the bullshit results. We’ve been there before.


36 posted on 01/20/2014 8:00:35 AM PST by Kozak ("Send them back your fierce defiance! Stamp upon the cursed alliance! To arms, to arms in Dixie!)
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To: Daffynition

Don’t worry, a “fixer” will be around to help your doctor navigate the system...for a modest consideration, of course.


37 posted on 01/20/2014 8:47:32 AM PST by Slings and Arrows (You can't have Ingsoc without an Emmanuel Goldstein.)
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To: Daffynition

Complicating things and generating ( electronic) paperwork. What the feral government does best.


38 posted on 01/20/2014 10:09:15 AM PST by informavoracious (Open your eyes, people!)
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To: Slings and Arrows

...it’s not *FREE*? Gosh.


39 posted on 01/20/2014 11:25:38 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: G Larry

I had occasion to go to my GP doc for my annual physical. My doc is a decent medical guy for my needs....and making casual conversation is impossible b/c of time limitations.

I know he’s a flaming liberal b/c I asked him last year what he thought about obamacare.......he said he thought *everyone should have health insurance*. I gave him a loud *GRRRR!*

This year, as he was walking me out to the front desk....asked him if obamacare was problematic for his practice......he said *no, not really*...whatever that meant....and he quickly offered much to my surprise, *you know I knew obama in Chicago, we went to lunch often. He was exactly like he is now, in Chicago*. I said, * ya mean he was a douche bag then and still is?* Doc laughed. I added *Why couldn’t they work a deal with the 10% that don’t have health insurance, instead of messing it up for 100% of the people?* he said, *You know what they are trying to do?* I said yes, create a single payer system* He said, *Bingo*. So much for my input into the medical debacle convo.


40 posted on 01/20/2014 11:42:20 AM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: Daffynition

It scarcely seems possibly.


41 posted on 01/20/2014 2:33:07 PM PST by Slings and Arrows (You can't have Ingsoc without an Emmanuel Goldstein.)
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To: Daffynition

The only way to defeat this is to go to the doctor FOR EVERYTHING.


42 posted on 01/20/2014 3:37:40 PM PST by IncPen (When you start talking about what we 'should' have, you've made the case for the Second Amendment)
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To: IncPen

[W.Eugene Smith *The Country Doctor* (1948)]
43 posted on 01/20/2014 11:57:11 PM PST by Daffynition ("If you think you can do a thing or think you can't do a thing, you're right." ~ Henry Ford)
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To: G Larry; Bloody Sam Roberts; CaptainAmiigaf

“Further proof that Obamacare is DESIGNED to DESTROY the insurance and healthcare industry.”

I am a professional hospital medical coder. As much as I ABSOLUTELY HATE OCare: The new coding set (ICD-10) has been in the works long before OCare. Actually its implementation has been postponed twice already. A version of ICD-10 has been in use worldwide, except in the US, for quite a while. It was postponed due to the enormous expense to hospitals, doctor’s offices, insurance companies, and the US gov’t (medicare). The main problem now is that setting the start date of 10/1/14 on top of a mandated electronic record and the OCare milehigh stack of regulations,it will financially ruin many healthcare providers. The change from ICD-9-CM to ICD-10 is like changing from English to Russian. The codes, code fields, and root word definitions are changing. At my hospital, we are already spending hours and hours taking on-line courses to learn the new system. It is costing the hospital a lot of money; the IT (info technology) dept is also greatly impacted by this code set change.

So although OCare didn’t dream this up; I agree with poster G Larry. it will help bankrupt and destroy our healthcare system.

Of course the US version, has many more codes than the international version. Just gotta love those statistics. /sarc


44 posted on 01/21/2014 6:14:38 AM PST by Mrs. B.S. Roberts
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To: Mrs. B.S. Roberts
It is costing the hospital a lot of money; the IT (info technology) dept is also greatly impacted by this code set change.

A friend is an optometrist, thirty years in practice using paper records.

He was complaining the other day that Obamacare's electronic medical records (and other) requirements are going to bankrupt his practice.

He's an outspoken liberal; I resisted the urge to point out that he voted for Obama. The look on his face was priceless.

45 posted on 01/21/2014 7:45:08 AM PST by IncPen (When you start talking about what we 'should' have, you've made the case for the Second Amendment)
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To: IncPen
“He was complaining the other day that Obamacare’s electronic medical records (and other) requirements are going to bankrupt his practice.”

One of our hospital's best doctors, had a private practice (she wasn't part of the hospital associated physician group)
sent out letters in the beginning of December. She was quitting being a doctor as of Dec 31, 2013. She specifically cited the new regulations and cost of practicing as her reason. I was personally upset; she was my doctor.
I think this is going to be a common occurrance

46 posted on 01/21/2014 8:21:22 AM PST by Mrs. B.S. Roberts
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