Author Archives: DavUMBblog

ICD10 Coding Help for Radiologists

Icd10 coding cheet sheet for radiologistsClick to DownloadICD 10 help for Radiologists.
The Preceding link and free download is an excellent report with will help radiologists with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a large radiology group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for radiologists is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist radiologists common ICD10 codes.
I have to take my hat off to the folks at Practice Insight for the above listed download which I think will substantially help radiologists with the upcoming ICD10 diagnosis codeing challenges. I have worked with all the major clearing houses and in my opinion Practice Insight towers above their competition not only for this report but many other factors. As we know, most radiologists are very busy and see many patients throughout the day. This ICD 10 coding cheat sheet for GI doctors should substantially speed up the office visits and patient encounters because in many instances under the new coding guidelines physicians may personally have to list the exact ICD 10 codes as opposed to the historical approach of simply handwriting or picking a diagnosis.

If your practice is in need of practice management software, electronic medical record systems or any other computer related issues please contact John Peake with Office Management solutions at 813-963-5582.

If you have any questions please do not hesitate to contact David at 954-370-1053 extension 2201

ICD 10 Coding Help for Ophthalmologists

click Here for ICD10 Coding Cheet Sheet for OphthalmologistsClick to Download
ICD 10 help for ophthalmologists
The Preceding link and free download is an excellent report with will help ophthalmologists with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a GI group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for Pain management doctors is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist ophthalmologists common ICD10 codes.
I have to take my hat off to the folks at Practice Insight for the above listed download which I think will substantially help ophthalmologists with the upcoming ICD10 diagnosis codeing challenges. I have worked with all the major clearing houses and in my opinion Practice Insight towers above their competition not only for this report but many other factors. As we know, most ophthalmologists are very busy and see many patients throughout the day. This ICD 10 coding cheat sheet for GI doctors should substantially speed up the office visits and patient encounters because in many instances under the new coding guidelines physicians may personally have to list the exact ICD 10 codes as opposed to the historical approach of simply handwriting or picking a diagnosis.

If your practice is in need of practice management software, electronic medical record systems or any other computer related issues please contact John Peake with Office Management solutions at 813-963-5582.

If you have any questions please do not hesitate to contact David at 954-370-1053 extension 2201

ICD10 Help for Gastroenterologists

ICD 10 help for gastroenterologists
The Preceding link and free download is an excellent report with will help gastroenterologists with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a GI group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for Pain management doctors is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist gastroenterologists common ICD10 codes.
I have to take my hat off to the folks at Practice Insight for the above listed download which I think will substantially help gastroenterologists with the upcoming ICD10 diagnosis codeing challenges. I have worked with all the major clearing houses and in my opinion Practice Insight towers above their competition not only for this report but many other factors. As we know, most gastroenterologists are very busy and see many patients throughout the day. This ICD 10 coding cheat sheet for GI doctors should substantially speed up the office visits and patient encounters because in many instances under the new coding guidelines physicians may personally have to list the exact ICD 10 codes as opposed to the historical approach of simply handwriting or picking a diagnosis.

If your practice is in need of practice management software, electronic medical record systems or any other computer related issues please contact John Peake with Office Management solutions at 813-963-5582.

If you have any questions please do not hesitate to contact David at 954-370-1053 extension 2201

ICD 10 coding Help for Dermotologists

ICD 10 Coding help for DertomologistsClick to Download

ICD 10 coding Help for Dermotologists
The Preceding link and free download is an excellent report with will help dermatologists with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a large dermatology group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for dermatologists is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist dermatologists with ICD 10 coding.

I have to take my hat off to the folks at Practice Insight for the above listed download which I think will substantially help dermatologists with the upcoming ICD 10 diagnosis codeing challenges. I have worked with all the major clearing houses and in my opinion Practice Insight towers above their competition not only for this report but many other factors. As we know, most dermatologists are very busy and see many patients throughout the day. This ICD 10 coding cheat sheet for dermatologists should substantially speed up the office visits and patient encounters because in many instances under the new coding guidelines physicians may personally have to list the exact ICD 10 codes as opposed to the historical approach of simply handwriting or picking a diagnosis.
If you have any questions please do not hesitate to contact David at 954-370-1053 extension 2201

ICD 10 Coding Help for Anesthesiologists

click here to download ICD10 Cheet sheetClick to Download
I really have to take my hat off to the folks at Practice Insight for the above listed report. Many of my doctors have called to personally thank me for this ICD10 report and they emphasized stress relief and greatly increased clarity about how to handle ICD 10. I have used all the major clearing houses during my career. This report is just one of the many reasons why Practice Insight towers over all the other clearinghouses. I cannot recommend Practice Insight highly enough for this report and many other fantastic services they offer.
The Preceding is an excellent report with will help anesthesiologists with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a large 12 doctor ASC based anesthesiology group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for anesthesiologists is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist anesthesiologists with ICD 10 coding. Please contact David at 1.800.811.1882 extension 2201 if you have any questions.

There also seems to be quite a bit of confusion in some circles about whether or not anesthesiologists will be provided with the appropriate ICD 10 codes from the facility itself. This may or may not be the case in many instances. This creates a particular burden for anesthesia diagnosis coding going forward. We are hearing reports that some surgeon groups are not going to provide facilities with the specific ICD 10 code itself. Rather, they plan to simply use the written diagnosis as they have in the past. This provides additional challenges. There are many more ICD 10 codes that doctors have to choose from now. The handwritten diagnosis may or may not be sufficient. All of this is the reason why we have provided the free download for your convenience and we sincerely hope this report greatly assists anesthesiologists with your ICD 10 coding needs. In the end, we will all get through this hurdle just like we always do. It’s just going to be one more challenge facing us in medicine.

Important Information for Pain Management Physicians on ICD 10

Common idc10 codes for painmanagement physicians
ICD 10 help for pain management doctors.Click to Download
The Preceding link and free download is an excellent report with will help Pain Management Physicians with the up and coming ICD 10 diagnosis code requirements. My suggestion is to download the attached report for your office. The listed report was generated from a large pain management physician group. The report lists ICD-9 codes and descriptions in the order of most commonly used ICD-9 codes and cross-references the diagnosis codes to ICD 10. My suggestion for Pain management doctors is to again download the report, have it laminated and placed placed strategically throughout your office. Since the report lists the most frequently used codes at the top in descending order to least frequently used codes it should serve as an excellent quick reference guide to assist Pain management physicianscommon idc10 codes for painmanagement physicians with ICD 10 coding.
I have to take my hat off to the folks at Practice Insight for the above listed download which I think will substantially help pain management physicians with the upcoming ICD 10 diagnosis codeing challenges. I have worked with all the major clearing houses and in my opinion Practice Insight towers above their competition not only for this report but many other factors. As we know, most pain management physicians are very busy and see many patients throughout the day. This ICD 10 coding cheat sheet for pain management physicians should substantially speed up the office visits and patient encounters because in many instances under the new coding guidelines physicians may personally have to list the exact ICD 10 codes as opposed to the historical approach of simply handwriting or picking a diagnosis.
If you have any questions please do not hesitate to contact David at 954-370-1053 extension 2201

ICD10 Tips for Doctors

One of the best pieces of advice I can give to physicians about the upcoming ICD 10 nightmare is to check with your clearinghouse. Your clearinghouse may be able to dramatically simplify the implementation of ICD 10 for your practice. I have to take my hat off for the folks at Practice Insight. I’ve used all the major clearinghouses but in my opinion no other clearinghouse can match Practice Insight.

The program is called ICD 10 code manager. The program outputs the 100 most commonly utilized ICD-9 codes in the order they are most frequently utalized. Next, it cross references the ICD-9 code with the appropriate ICD 10 codes. This report dramatically simplifies the time it takes to select the appropriate diagnosis code.

I am advising my physicians to have their office staff laminate the report printouts and place them strategically throughout the office. In most cases, the reports are not as long as you might imagine.

Everyone in the industry is really struggling with ICD 10. It does not appear that most practices are adequately prepared. This is extremely important because on October 1 practices that are not prepared will be blindsided by the difficulty in selecting the correct codes. In many cases, doctors will no longer be able to rely on their staff or a billing company to choose the correct codes as they have done in the past. Physicians in many cases will have to personally choose the ICD 10 code itself which could be a time-consuming process. The practice insight ICD 10 report greatly speeds up and enhances the process of selecting the correct diagnosis code. I highly recommend Practice Insight for the above listed report and many other features of the Practice Insight clearinghouse.

Only 6 Health Insurance Companies Left in the United States after Obama Care?

As you may or may not recall, one of the signature keynotes of Obama-Care was that the, “state exchanges” would open up a pathway for insurance companies all across America to compete with one another. The natural economics of competition would help reduce premiums.

Really?

Typically, if you believe the exact opposite of what the government says is going to happen, you’ll be right 99% of the time.

After careful research I think it is fair to say- post Obama Care, there are effectively only six health insurance companies remaining in America. What happened to the competition?

Excluding Medicare and Medicaid, the primary 6 remaining health insurance companies are as follows: Due to the massive size of Blue Cross Blue Shield and United Healthcare, one could make a logical argument that there are only two remaining carriers , but this opinion remains pure conjecture.

THE BIG 6:

1. Blue Cross Blue Shield
2. United healthcare
3. CIGNA
4. Humana
5. Assurant?
6.Aetna

While there are smaller state specific, or “niche” health insurance companies, for example Av-Med, (In Florida), by and large almost every other health insurance company in America is one flavor or another of the big six. In other words, Av-Med is not competing on healthcare exchanges for the most part another states. Most of the carriers listed below who are not owned by the big six are either small players, specialized markets and or Medicare supplement plans.

Prior to the implementation of The Unaffordable Healthcare Act, the following is a fairly comprehensive list of major health insurance companies operating in the US. As you can see after the Affordable Care Act, competition has dramatically decreased.

I have added in parentheses the actual owner of the following major health insurance players and you’ll get my point very quickly. THERE IS NO MEANINGFUL COMPETITION amongst health insurance companies, post Obama Care. It is also noteworthy to mention that the stock prices of the big five have all nearly tripled since the passage of Obama Care This is corporatism at its finest.

• AARP(owned by United healthcare)
• American Medical security (owned by United health care)
• Aetna
• Amerigroup (owned by wellPoint, which is owned by Blue Cross Blue Shield)
• Anthem(owned by Blue Cross Blue Shield)
• Assurant
• Blue Cross Blue Shield
• Cambia Health Solutions (Blue Cross Blue Shield)
• CIGNA
• Coventry Healthcare (United healthcare)
• Emblem Health
• Fortis (Assurant)
• Golden rule insurance company (United healthcare)
• GHI
• Health Net (United healthcare)
• Health Partners (owned by CIGNA)
• Health Spring (owned by CIGNA)
• Humana
• Independence (owned by Blue Cross Blue Shield)
• Kaiser Permanente
• John Alden (Assurant)
• Medica (United healthcare)
• MetLife (United healthcare)
• Medical Mutual of Ohio (Blue Cross Blue Shield)
• Molina Healthcare
• Primera (Blue Cross Blue Shield)
• Preferred Care Partners (United healthcare)
• Principal Financial Group
• State Farm
• Travelers (United healthcare)
• United healthcare
• Unicare (Blue Cross Blue Shield)
• Universal American Corporation
• Well Care Health Plans
• Well point (Blue Cross Blue Shield)
*** when I use the phrase, “owned” I mean owned, managed, administered, or a subsidiary.

Skyrocketing Healthcare Costs Under Obama Care

I have written numerous articles about this subject in the past and just as I have predicted on numerous occasions, the cost of health care would skyrocket under Obama Care. The IRS, “itself” predicts that a family of four will be paying over $20,000 a year for health insurance by 2016. An executive at CIGNA recently told me in his opinion the cost would be double or even possibly triple IRS estimates. As a result, we are seeing many of our patients being forced to increase deductibles, sometimes as high as $10,000 while simultaneously decreasing benefits.
One of the central themes of Obama care is that competition amongst insurance companies would drive the cost of health insurance down. This is a complete joke.

Sure, if you insuring 500 Ferrari’s, you may receive a slight volume discount but the facts are the facts, you’re still ensuring a Ferrari. Insuring Ferraris is expensive. Under Obama care not only will insurance premiums increase but the cost of health care in general will increase. The rationale is as follows:

1. Nothing under Obama care has been done to reduce or address the fundamental cost of healthcare in the United States.

2. The laws of supply and demand will cause medical costs to increase.

It takes about 12 years and costs north of $250,000 to become a medical doctor in the United States. The average physician’s salary is less than $200,000 a year. Clearly, physician salaries are not the cause of astronomical healthcare costs in the United States. In my view the sinister culprit once again boils down to corporatism and unions. Most patients don’t understand that doctors only get paid a fraction of what they charge and much more often than you would imagine physicians don’t get paid at all for their valuable services due to insurance conflicts, billing issues, rapidly increasing deductibles, ect, ect. We see an alarming and increasing volume of patients who simply don’t pay their medical bills at all. The American Medical Association which is virtually a dead entity in the eyes of most physicians, started out as pseudo- Union for physicians. This completely impotent union controls CPT (current procedural terminology) and diagnostic codes which physicians need to submit bills of service to insurance companies. The system between the American Medical Association, the federal government and insurance companies virtually freezes the ability of physicians to compete openly and freely in a natural marketplace. Insurance companies collect huge premiums from our patients and pay our doctors pennies on the dollar.

Obama care does not even address one of the most important drivers behind healthcare costs in the United States which is Tort Reform. God forbid, no law will ever be passed that gets in the way of lawyers making money. Keep in mind, most physicians are simply asking for a cap on punitive damages. A punitive damage would be for example amputating the wrong leg. Doctors are not asking for cap on medical malpractice, just the punitive aspect which is what causes malpractice insurance premiums to be so expensive. Malpractice insurance policies cost physicians on average between $25-$50,000 a year. The extremely litigious environment medical doctors face force them to often order extremely expensive tests which they may feel are unnecessary but the tests are ordered anyway to cover physicians from a malpractice standpoint. The entire medical industry, not just physicians is under such litigious pressure that millions upon millions of unnecessary tests are ordered on a daily basis which one of the main culprits in terms of the overall cost of healthcare.

In my opinion, the laws of supply and demand will actually cause medical costs to increase over time because supply will decrease and demand will increase. In other words, there will be more insured patients,”EVERYONE” in the United States but with the same number of healthcare providers. More patients + less healthcare providers = increased healthcare cost.