Dr. Boozman's Check-up

Before serving in Congress I worked as an optometrist in an eye clinic that my brother and I started in Rogers, Arkansas which helps me understand the challenges small business and health care providers face when having to comply with a new regulation. It’s about to get a lot worse. The Department of Health and Human Services (DHHS) recently announced that hospitals and physicians have to adopt a new generation of diagnosis codes. 

The Weekly Standard recently published “Code Chaos” that discusses the new process called ICD-10 and the problems that health experts are expecting. 

 “Virtually everyone agrees that the transition will mean decreased productivity and lost revenue, at least for a time. Some experts, dismissed as alarmists by ICD-10 enthusiasts, are predicting widespread chaos in a sector of the economy that can little afford it,” the article reads. 

ICD-10 is a very convoluted process that increases the number of codes by more than 120,000. This includes codes for some bizarre and rare injuries like this Washington Post story points to which includes spending too much time in a deep-freeze refrigerator or a large toe that has gone unexpectedly missing. This sounds made-up. Unfortunately, it’s all too true. This is why I joined with senate doctors to introduce the Cutting Costly Codes Act, S. 972, which would stop the adoption of ICD-10 codes. 

The sponsors of the legislation recently sent the letter attached below to Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner questioning CMS’ plan to perform front-end testing of the ICD-10 billing code system during the first week of March. 

“Given the size and scope of the potential transition to ICD-10, the brevity and limited scope of this test is worrisome. This change will impact millions of physicians and patients, and hundreds of billions of dollars in payments that flow through Medicare and Medicaid. Other major federal IT projects--such as the implementation of Healthcare.gov--have demonstrated the importance of thorough pre-testing every aspect of new systems, both the front-end and back-end components. System-wide errors and delay could adversely impact both patients’ own pocketbooks and provider cash flows,” we wrote in the letter.


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