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Monday, Sep 28 2015

Full Issue

Paperwork, Insurance, Monitoring Changes Coming In New Medical Coding System

The switch to the new ICD-10 system will mean more than 70,000 classification descriptions that doctors must choose from in order to get paid. In other medical practice news, The Wall Street Journal looks at how doctors may approach end-of-life conversations, and a researcher looks at stopping medical diagnostic errors.

Doctors, hospitals and insurers are bracing for possible disruptions on Oct. 1 when the U.S. health-care system switches to a massive new set of codes for describing illnesses and injuries. Under the new system, cardiologists will have not one but 845 codes for angioplasty. Dermatologists will need to specify which of eight kinds of acne a patient has. Gastroenterologists who don鈥檛 know what鈥檚 causing a patient鈥檚 stomachache will be asked to specify where the pain is and what other symptoms are present鈥攇as? eructation (belching)?鈥攕ince there is a separate code for each. (Beck, 9/27)

In 2016, after years of controversy, Medicare plans to begin reimbursing doctors for having discussions with patients about what type of medical care they want and don鈥檛 want near the end of their lives. Private insurers are likely to follow, some experts say, meaning voluntary end-of-life counseling could soon become a part of standard medical care. (Sadick, 9/27)

Physician and researcher Hardeep Singh probes one of the most vexing issues in medicine: diagnostic errors. As chief of health policy, quality and informatics at Houston鈥檚 Michael E. DeBakey VA Medical Center and an associate professor of medicine at Baylor College of Medicine, Dr. Singh measures the human toll of such mistakes and investigates how technology can help clinicians avoid making them. ... He answered questions from The Wall Street Journal about what doctors and patients can do to make sure they get to the bottom of the diagnostic puzzle. (Landro, 9/26)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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