Greatest Threat to World Peace: A Gallup Survey

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Re: Greatest Threat to World Peace: A Gallup Survey

MC2 5678F589
Coach Z wrote
I'm sure Matt will now go spend an hour findng some asinine msnbc piece that will refute one sentence of what I just wrote
Nope. Just going to guarantee that your doctor visits will be just like normal and take the same amount of time. It won't take the doctor very long to find the code for "Possible Brain Damage From Fraternity Days"

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Re: Greatest Threat to World Peace: A Gallup Survey

Harvey
Administrator
In reply to this post by skimore
Ok I give up, I'm switching sides. Coach pour me a bourbon, I'm on my way over.
"You just need to go at that shit wide open, hang on, and own it." —Camp
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Re: Greatest Threat to World Peace: A Gallup Survey

skimore
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Re: Greatest Threat to World Peace: A Gallup Survey

ml242
This post was updated on .
Skimming this article now... is this a bad thing? Should we go back to cars from the 70s? the eagles? pubic hair?

The new coding system is needed, many health-care experts say, because modern medicine has outgrown the old one, adopted in the U.S. in 1979. The ICD-9 doesn’t differentiate between Type 1 and Type 2 diabetes, for example, or distinguish Ebola from “other diseases spread by viruses.”

I don't want to ski on skis from 10 years ago, or read this website on 5 year old computer.... but health insurance should still work the same way?
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Re: Greatest Threat to World Peace: A Gallup Survey

MC2 5678F589
Looks like the I in ICD stands for international, so it's not even our system anyway (it's an international system that's been around for years).

Looks like Coach should be less angry at Obamacare and more angry on the New World Order/One world Government conspiracy organizations that I know he follows.
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Re: Greatest Threat to World Peace: A Gallup Survey

JTG4eva!
So fix the Diabetes and Ebola designations, or lack thereof, but implement (even if adopted from international) a system that bogs down with 'assault by venomous toad' and 'injury from burning water ski'??????   How can anyone not find that to be a bit loco????  Where is the DC10 series for 'assaulted with burning water ski by victim fleeing assault by venomous toad, couldn't get out of the way, unintentional'.....'assaulted with burning water ski by victim fleeing assault by venomous toad, wouldn't get out of the way (laughing too hard), intentional'????
We REALLY need a proper roll eyes emoji!!
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Re: Greatest Threat to World Peace: A Gallup Survey

Harvey
Administrator
This post was updated on .
From a Google search:

ICD-10 = International Classification of Disease (Version 10). The original purpose was to allow researchers to see patterns in the way disease spreads worldwide, but now the insurance companies got their hands on it for billing. It is not an exclusively American system. It was first started in Australia a million years ago.

IMO the system is not right for 'merica. We got quality product and our waterskis don't catch on fire.
"You just need to go at that shit wide open, hang on, and own it." —Camp
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Re: Greatest Threat to World Peace: A Gallup Survey

campgottagopee
This post was updated on .
In reply to this post by ml242
ml242 wrote
  Should we go back to cars from the 70s? the eagles? pubic hair?
yes, yes, NO!
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Re: Greatest Threat to World Peace: A Gallup Survey

JTG4eva!
Gotta love the journey here......from Greatest Threat to World Peace to the 70s, the Eagles and pubic hair!

We REALLY need a proper roll eyes emoji!!
Z
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Re: Greatest Threat to World Peace: A Gallup Survey

Z
In reply to this post by campgottagopee
The new rating system was developed becuase it was mandated in the ACA buried in the back that they didn't want anyone to read. There was an international system but this new one is like 50 times larger.  Sure they cold have just added the needed few hundred diagnosis codes.  But the ACA is the ultimate is big govt programs so they decided to do it BIG.  What they don't cover and I'd like to know is how much money was spent making the list.  I'm sure a politically connected high cost consulting firm was retained to study how many codes were really needed for an encounter with a toad. It's a safe guess that these same consultants inserted this into the legislation so they could make money on it.  Every health care provider in the country is wasting time and money training on this disaster instead of seeing patients raising costs fir everyone.

The reason fiscally conservative republicans hate the ACA so much is that it represents everything that is wrong with making the govt bigger and this is a prime example.  As Ronald Reagan said "the worst words you can hear are I'm from the Government and I'm here to help"

There is no possible way a reasonable person can defend this.
if You French Fry when you should Pizza you are going to have a bad time
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Re: Greatest Threat to World Peace: A Gallup Survey

skimore
Coach Z wrote
 Every health care provider in the country is wasting time and money training on this disaster instead of seeing patients raising costs fir everyone.
Also there are widely ranging costs to update their patient systems to handle the codes
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Re: Greatest Threat to World Peace: A Gallup Survey

tjf1967
It appears from arguments for and against the aca  most people don't understand it very well.  It like watching blind people in a gun fight.  
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Re: Greatest Threat to World Peace: A Gallup Survey

nepa
In reply to this post by skimore
skimore wrote
Coach Z wrote
 Every health care provider in the country is wasting time and money training on this disaster instead of seeing patients raising costs fir everyone.
Also there are widely ranging costs to update their patient systems to handle the codes
My wife is a healthcare provider.  Neither of us are fans of the ACA.  Based on what I hear from my wife, both of the these statements are propaganda.    Obviously, there was an adjustment period to the new regulations, but it was no worse than any other adjustment period for past regulation changes.  

The fact is, healthcare was broken before the ACA, and healthcare is still broken now.  Other countries definitely do it better than we do.  We should follow their example.
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Re: Greatest Threat to World Peace: A Gallup Survey

Milo Maltbie
In reply to this post by Z
ICD-9 is obsolete.  ICD-10 is so much bigger because there has been an exponential increase in data processing capability.   ICD-10 was going to be adopted regardless, but like every other problem in the health care industry, the Dems own it because Obamacare.
If you think ICD-10 is costly, wait to you see what they're doing in the electric industry.
In the interest of full disclosure, we financed some pretty good vacations on the back of that stuff.

MM
"Everywhere I turn, here I am." Susan Tedeschi
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Re: Greatest Threat to World Peace: A Gallup Survey

skimore
In reply to this post by nepa
nepa wrote
  We should follow their example.
Codes for burning water skis and walking into lampposts?
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Re: Greatest Threat to World Peace: A Gallup Survey

skimore
In reply to this post by nepa
nepa wrote
    Obviously, there was an adjustment period to the new regulations, but it was no worse than any other adjustment period for past regulation changes.  
 So that makes it acceptable?
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Re: Greatest Threat to World Peace: A Gallup Survey

nepa
skimore wrote
nepa wrote
    Obviously, there was an adjustment period to the new regulations, but it was no worse than any other adjustment period for past regulation changes.  
 So that makes it acceptable?
Yup.  It does.  The system is broken.  Fixing it will require an iterative approach.  More changes and adjustment periods will be required before things get better.  Hopefully, we'll eventually land on a solution that works for the majority of people.

Do you expect a problem of this magnitude to be solved with one simple solution?
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Re: Greatest Threat to World Peace: A Gallup Survey

nepa
In reply to this post by skimore
skimore wrote
nepa wrote
  We should follow their example.
Codes for burning water skis and walking into lampposts?
How much experience do you have with coding and billing in healthcare systems?
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Re: Greatest Threat to World Peace: A Gallup Survey

MC2 5678F589
In reply to this post by skimore
This whole discussion seems like first world problems. Who gives a shit about Medical codes? And if Coach is trying to prove that beaurocracy sucks, congratulations we already knew that. The real problem here is that People actually believe that Reagan quote implying that the government can't help people. What a load of bullshit that is. Your roads are plowed, your children are taught, your food is okay to eat, etc. because of government. To act like they don't help people is ludicrous. I was reading this today, and it seemed appropriate:
In economic policy, Republican orthodoxy never changes, no matter how the world might change around it. Whether there's a tech boom, a recession, low deficits, high deficits, low unemployment, high unemployment — the answer is always tax cuts on upper income brackets. The same is true of energy: whether clean energy is expensive or cheap, whether oil prices are high or low, whether climate change is a pressing issue or not — the answer is always more fossil fuel extraction...

Republican energy policy proposals are created under two constraints, which together render them utterly predictable.

The first is conservative ideology. Over the last few decades, conservative preference for "small government" has become more and more rigid and simplistic. It has reached the point now where the basic conservative reflex is to decry the government doing anything — taxing, spending, or regulating, which together pretty much exhaust the possibilities for domestic policy.

So GOP candidates can't promise to do anything when they take over the federal government. All they can promise is to undo things — reduce taxes and spending and repeal regulations.

Yet the public has goals and desires. And they want their politicians to help achieve those goals and desires. Since Republicans can't promise to do anything proactive, they are forced to promise that undoing things would achieve those goals and desires, whatever they may be. They have to pretend (or, who knows, maybe really believe) that government is not only a problem, but every problem, the sole reason the public is not getting what it wants, whether it's cleaner energy or more jobs.
Sums up today's political climate pretty well, I'd say.
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Re: Greatest Threat to World Peace: A Gallup Survey

skimore
In reply to this post by nepa
nepa wrote
skimore wrote
nepa wrote
  We should follow their example.
Codes for burning water skis and walking into lampposts?
How much experience do you have with coding and billing in healthcare systems?
Updated more than one providers system recently and see the headaches
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