tag:blogger.com,1999:blog-20382865.post4935048858212144360..comments2023-05-19T05:11:35.329-04:00Comments on Dr. Greiver's EMR: Insurance companiesMichelle Greiverhttp://www.blogger.com/profile/15528486116262255346noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-20382865.post-61844533019370053502009-11-04T06:12:10.115-05:002009-11-04T06:12:10.115-05:00An informative article. Thanks for the post.An informative article. Thanks for the post.EMR Traininghttp://www.implementhit.comnoreply@blogger.comtag:blogger.com,1999:blog-20382865.post-30058465418083243942008-05-26T19:44:00.000-04:002008-05-26T19:44:00.000-04:00My Favorit Blog. Greatfull. Thanks Private Kranken...My Favorit Blog. Greatfull. Thanks Private KrankenversicherungAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-20382865.post-55120673737708020732007-09-25T12:07:00.000-04:002007-09-25T12:07:00.000-04:00I can understand your frustration, however I work ...I can understand your frustration, however I work for a life insurance company and guess what our biggest frustration is doctors procrastinating on completing APS. You complain about filling these forms out but just so the public knows the insurance companies pay upwards of $300 for these forms. Sounds like fair compensation for a few minutes of your time. I have recently waited 4 months for a doctor to fill out an APS. Now if that client died during the process I hope you understand that you as the procrastinating doctor could be liable for the death benefit. Just fill out the damn form in a timely fashion, collect the money and quit making excuses or find another profession. excusesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-20382865.post-88443462992441624522007-01-03T20:02:00.000-05:002007-01-03T20:02:00.000-05:00ICD 10 is used by hospitals for reporting to CIHI ...ICD 10 is used by hospitals for reporting to CIHI (Discharge Abstract Database). They have CIHI coders to do this. It is not used by provincial governments for billing by physicians. They use ICD 9, so physicians are familiar with ICD 9.<br /><br />The software company has included ICD9 (3 digit), ICD 9 (5 digit), ICD 10 and ICPC in the application. I think the only thing that most physicians are going to use is the ICD9 billing version in their province. That's what I did. <br /><br />I know it's a patchquilt system; we need a consistent coding system for everyone to use. It will probably be SNOMED. I don't know how that will work in practice; probably "behind the scenes" software to translate ICD9 from physician EMRs and ICD10 from hospitals into SNOMED. Eventually, it will need some intelligent programming to put natural language charting into SNOMED codes.<br /><br />Having coded 1500 charts in my practice, I can tell you that nothing but ICD9 would have worked for me. I was familiar with the codes, and tried to be consistent so I could audit later. <br /><br />I went grocery shopping at Loblaws yesterday; the check-out clerks code everything that is not bar-coded. That is how Loblaws keeps track of things. They know how many lbs of bananas they sell. In our health care system, we often don't even know what our patients died of. Not acceptable.<br /><br />We have to figure out how to talk the same language; the first step is to code on-going medical conditions consistently. Practically, that means using ICD9 in the CPPs of EMRs and not free text.<br /><br />MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-44487730044326526222007-01-03T13:21:00.000-05:002007-01-03T13:21:00.000-05:00ICD9? Should it be now ICD-10-CA adopted by Canada...ICD9? Should it be now ICD-10-CA adopted by Canada since 2001? This is the Canadian standards for diagnoses to use per CIHI. Why is'nt the company providing the emr software using the updated revision? If we are going electronic all across Canada, it should adopt the current Canadian standards and make it relevant across the country.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20382865.post-52755553420253633452006-12-17T16:44:00.000-05:002006-12-17T16:44:00.000-05:00The only way to deal with these companies is throu...The only way to deal with these companies is through the political process. As individual physicians, we really have no say.<br /><br />However, I have been talking with a local large health care corporation, and have let them know how dissatisfied I am with the current insurance processes (ineffective, inefficient, and with a possibly fraudulent billing mechanism--asking for the report while refusing to pay for it). The timeline for us to complete the forms ("do them this week or your patient loses pay and benefits") is certainly abusive. They know that I am now electronic, and they have pledged to review the process.<br /><br />I will post what happens.<br /><br />MichelleMichelle Greiverhttps://www.blogger.com/profile/15528486116262255346noreply@blogger.comtag:blogger.com,1999:blog-20382865.post-42503530992408394592006-12-16T11:16:00.000-05:002006-12-16T11:16:00.000-05:00I can't help but agree completely with your commen...I can't help but agree completely with your comments about insurance companies. What an incredible frustration! <br /><br />It also frustrates me that we will likely use EMR to improve the reports we send them, maybe going through the work of scanning their forms, with little support from the companies.<br /><br />I see EMR possibly increasing the expectations of these forms and the 'accepted' abuse of family physicians as a result. Maybe go with the poorly legible handwriting for now :)Anonymousnoreply@blogger.com