The Smart Medical Practice

Dr. Doris Day, MD on ICD-10


Doris Day
Doris Day, MD, is a clinical associate professor of dermatology at New York University’s Langone Medical Center and a board certified dermatologist who specializes in laser, cosmetic and surgical dermatology on the Upper East Side in New York City.

We recently checked in with Dr. Day to get her feedback on the transition to ICD-10. Here’s what she had to say:

It’s been eight months since ICD-10. Has it been effective?

No, it’s been a mess. It took us many years to learn ICD-9 and it’s tragic and very costly to have to start all over again.

Has the transition to ICD-10 been more or less turbulent than you expected? Why?

As turbulent. I had very low expectations and it didn’t disappoint. It has pushed me to drop all insurance because I don’t want to have to battle to get paid.

Do you have any stories about your transition to ICD-10? (Billing issues, patient issues, etc.).

The usual – denials, slowing down the staff, confusion.

Can you list one advantage and one disadvantage of ICD-10 so far?

A disadvantage is that it’s an undue burden on the practice of medicine. It is a way to collect data and force physicians to do administrative work that adds zero value. In terms of information it’s useless noise and doesn’t give any useful data, but it forces us to do the work of collecting it and then further insult us by making us pay for our time and efforts!

What insurance payers seem to be the most prepared for ICD-10?

They are all prepared to deny payment any way they can.

If you could say anything to Medicare, what would you say?

Be kinder and more thoughtful. Physicians are caring and want to take care of patients not do administrative work.

Are there any procedures you can bill under ICD-10 that you couldn’t bill under ICD-9?

No.

How has your medical practice trained staff for ICD-10? Do you have any lessons you can share with our readers?

I have an outsourced biller who has been very helpful. She works for a few practices and has been studying to help us make it work.

Does ICD-10 ultimately benefit the patient? Why or why not?

I really don’t know, but I know it doesn’t help the patient when their doctor is frustrated and busy with busy-work and useless documentation rather than taking care of them.

In the end, do you think ICD-10 will be an improvement for your practice? Why or why not?

I don’t think so but only time will tell.

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