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Code Blues
Public and private insurance regulations can make healthcare providers feel more like administrators than clinicians. You need to know who pays for what before you can recommend treatment in many cases, leading to a departure from healing as job one and resulting in differential treatment.
So the news that Medicare is proposing new payment codes is hitting doctors' desks with the thud of a diagnostic coding manual. AMA hates the idea calling it, "a massive administrative undertaking" that increases the current 17,000 codes ten times over.
But an industry group, AdvaMed, supports the newly refined system "to better identify and describe new medical procedures and technologies." If your procedure, or the diagnosis it addresses, receives its own insurance code number, that's a sort of validation that can put you on the map. At the same time, the map is getting impossibly busy.
One thing is certain: The coding situation is another catalyst for electronic health records since software upgrades will be the only way to know the codes.
See you next week!
Barbara Kram, Editor










