I didn’t realize that they controlled them. Everything needs an overhaul. I say that with 30 years of experience in healthcare. The same system that I don’t trust anymore. The only good thing I can say is that the US won’t be paying into the WHO if what I understand will happen by exiting. That has to give us some leverage. As to healthcare, I don’t know the answer. I know that I personally am trying my best to do whatever I can to not go to the doctor and when I do I listen with a grain of salt. I’m not happy at all about what happened during Covid and it woke me the he!! Up.
"they are diagnosis codes and the life blood that underpins the whole medical billing and reimbursement system for services rendered by all healthcare providers around the world."
We used ICD-9 for most of my career, and only switched to ICD-10 in the last decade, while the rest of the world moved on quite a while ago to ICD-11. Most countries use ICD codes for research more than for reimbursement.
That said, if we ditched insurance, we could just make diagnoses. I have a colleague (dermatologist) who went to an all-cash practice, and stopped using any codes, billing on the basis of time. She had to work with her local legislators to change state law in order to be allowed to do this!
When ICD codes get embedded in state licensing law, we've got a problem!
Yup ICD-9 was schtick and what I used since I started in 96' billing for my dad. I had to get my CPC certificate (ICD-10) because of my position already a billing operations director in 2015. Within our own clinic we set-up a "preferential patient" discount card and it was all cash pay. Worked out great in San Jose at that time as we were heavily hispanic based and hispanics deal in cash in those days. We connected with some ancillary providers like MRI, OPH, some ASC facilities, etc... A person was basically covered as long as you were in San Jose. We should patients that if you couple our discount with say Blue Cross catastrophic only coverage ~$15/mn you were covered if something something serious happened and you needed emergency hospital care and need to be admitted. Years later a big group in California duplicated the idea and called it MD-VIP. It's basically what Dr. Simone Gold is trying to do with her Gold Care. Something is way wrong when Physician's use cash pay patients to compensate for their tight profit margins with insurances. Cash pay rates should be the best deal in town! Moreover physicians don't need to wait 30-45days for reimbursement like they do with insurance, It's cash on the spot and over the counter!! I've been in the game a long time myself. I even remember putting Medicaid stickers on insurance claims forms and sending them off when I was a child helping my madre do my dad's billing in the late 70's and early 80's...
One worry I have is that ICD-10 codes were subject to medical billing upcoding so that more money would flow per illness. This dirties data we need to fully understand what was up.
I didn’t realize that they controlled them. Everything needs an overhaul. I say that with 30 years of experience in healthcare. The same system that I don’t trust anymore. The only good thing I can say is that the US won’t be paying into the WHO if what I understand will happen by exiting. That has to give us some leverage. As to healthcare, I don’t know the answer. I know that I personally am trying my best to do whatever I can to not go to the doctor and when I do I listen with a grain of salt. I’m not happy at all about what happened during Covid and it woke me the he!! Up.
Trying to find any silver lining in all this is that it woke many of us up and exposed some very deep fraud.
Indeed.
The ultimate "answer" is for people to STOP voluntarily lining up for the injections. We might not be ABLE to save those who keep doing this.
"they are diagnosis codes and the life blood that underpins the whole medical billing and reimbursement system for services rendered by all healthcare providers around the world."
We used ICD-9 for most of my career, and only switched to ICD-10 in the last decade, while the rest of the world moved on quite a while ago to ICD-11. Most countries use ICD codes for research more than for reimbursement.
That said, if we ditched insurance, we could just make diagnoses. I have a colleague (dermatologist) who went to an all-cash practice, and stopped using any codes, billing on the basis of time. She had to work with her local legislators to change state law in order to be allowed to do this!
When ICD codes get embedded in state licensing law, we've got a problem!
Yup ICD-9 was schtick and what I used since I started in 96' billing for my dad. I had to get my CPC certificate (ICD-10) because of my position already a billing operations director in 2015. Within our own clinic we set-up a "preferential patient" discount card and it was all cash pay. Worked out great in San Jose at that time as we were heavily hispanic based and hispanics deal in cash in those days. We connected with some ancillary providers like MRI, OPH, some ASC facilities, etc... A person was basically covered as long as you were in San Jose. We should patients that if you couple our discount with say Blue Cross catastrophic only coverage ~$15/mn you were covered if something something serious happened and you needed emergency hospital care and need to be admitted. Years later a big group in California duplicated the idea and called it MD-VIP. It's basically what Dr. Simone Gold is trying to do with her Gold Care. Something is way wrong when Physician's use cash pay patients to compensate for their tight profit margins with insurances. Cash pay rates should be the best deal in town! Moreover physicians don't need to wait 30-45days for reimbursement like they do with insurance, It's cash on the spot and over the counter!! I've been in the game a long time myself. I even remember putting Medicaid stickers on insurance claims forms and sending them off when I was a child helping my madre do my dad's billing in the late 70's and early 80's...
One worry I have is that ICD-10 codes were subject to medical billing upcoding so that more money would flow per illness. This dirties data we need to fully understand what was up.
🎯
Oh trust me, many games are played.
It's not just billing upcoding; it's also lateral or upcoding done to ensure coverage for the most appropriate treatment measures.
The data is all kinds of messed up.
agreed!
and now we've got this $500 billion Project "Stargate" vowing to deliver 'cancer vaccines' individualized by AI in just 48 hours!!
https://eccentrik.substack.com/p/trump-introduces-500-billion-ai-infrastructure
!!