ICD-10 Madness by Pat Conrad MD

“Really, I probably live in a world of 140 codes.”

AAFP President Robert Wergin, M.D. explaining that patients will not see significant differences in their care when ICD-10 kicks in.

Editor’s Note: “Hey, Wergy, what world do you live in?”

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

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4 Responses

  1. Macf says:

    One of those codes must be F22

  2. tad hominem says:

    hey, guys and gals ! welcome back my friends to the show that never ends . . . better living through technology !! and then the easter bunny is coming to color all my eggs !

  3. Bill Ameen MD says:

    Like most younger family practitioners I’ve met, he probably refers out most of his complicated cases so he can spend more time on his computer and medical politics! Well, maybe he won’t have to use the code for getting hit by a falling spacecraft…

  4. Randy says:

    I hate to say it, but I agree with Wergin that most patients won’t see a difference. Patients may notice some minor changes, particularly in the area of billing (which most of them don’t understand anyway), but day-to-day performance of patient care won’t change much.

    After worrying about ICD-10 for years, so far it has been just a minor annoyance. And after all the crap EMR’s have received I have to say my EMR (Amazing Charts) did a tremendous job implementing ICD-10. For the most part it has been very easy.

    Now there are some caveats – we actually haven’t sent in the bills yet and there is some concern whether insurance companies are going to be ready for this. I’ve heard reports that some companies are still asking for ICD-9 and if that’s the case will cause a mess with payments inevitably delayed. The vaccine codes have been problematic and we’ll have to see how we get reimbursed. And if a FP doc Wergin is living in a world of 140 codes he doesn’t have much of a practice. I bet I will go over 140 codes in the first week or two.

    Finally, although I agree with Wergin’s comment that still doesn’t mean that ICD-10 will improve patient care one iota. It won’t. Ultimately it’s just another unfunded mandate that lets the government pretend they’re improving things.

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