Quote:
Originally Posted by John Rogers
Medical billing and the charges have gotten worse and worse over time. I had 3 database class students 3 or 4 years ago and they were all working for a company that passes medical billing from the doctor/hospital to them and then if all is well then onto the insurance companies. Two of them had about 15 years in various parts of the company and one was a newbie of only 4 years. We spent the whole series (3) of classes going through their Oracle code and database design. They said things got worse close to 2000 and had slowly creeping complications and then Obama Care hit and things went to hell! There were new codes for the same thing, an item would have multiple codes depending on age or gender or ???????. Their design division missed some significant items and they were nearly put out of business! They had been approving paperwork and forwarding on to insurance companies but they would find fault but never say anything.......just not pay!
I would imagine if O care goes away it will get worse, glad I am old!
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I don't know if they are speaking of procedure codes or diagnosis codes, but I suspect it is diagnosis codes. Obamacare moved us from International Classification of Disease, version 9 (which had been in use since the 70's) to ICD10. I worked on an ICD10 project. There were seriously something like 100 ICD10s for "automobile collision with train while passenger hangs from front passenger window", "automobile collision with train while passenger hangs from rear passenger window", etc. How is that more efficient?