Big Differences Between Three ICD-10 Coding Systems

Here are some interesting facts about ICD-10 that may not be commonly known. International Classification of Diseases (ICD) was created by the World Health Organization (WHO), which has served the healthcare community for over a century. While most industrialized countries moved to the ICD’s “tenth revision” – ICD-10 – 30 years ago (1983), the United

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If You Can’t Beat Them, Buy Them: Why Some Drug Costs Are Going Up

I have done some analysis on pharmacy costs for clients recently. During that time, I noticed an increase in the cost per prescription for some drugs. Our pharmacy partners have shown the same trend in their data. This upsurge made no sense to me. Many drugs are coming off of patent, meaning generics of those

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Variability in Surgical Costs – Bill Goes Viral

This article features a patient that posted their $55K appendectomy surgery bill online, and it makes some very interesting points. The University of California San Francisco researchers set out to find out how much an appendectomy cost in California. The price varied from $1,529 to $182,955. The “recovery room” was over $7K for 2 hours.

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How the $9.8 Billion Charge in Healthcare Can Get Better

It’s a stunning number — $9.8 billion dollars annually.  This represents how much hospital infections are estimated to be costing us, based on a study released by JAMA.  This is just the financial cost.  It does not take into account the human factor — the loss of life and limb associated with infections.  There are a couple

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NY Times Article on Implant Costs

​A recent New York Times article had some very interesting insight into healthcare tourism and the high costs associated with the US healthcare system, particularly implant costs.  The article spotlights a man in America who receives a quote for a hip replacement. The implant costs $350 to manufacture in the US and $150 overseas.  He negotiated

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Halifax Hospital – Largest Whistle-Blower Case Yet?

​A lawsuit is ongoing in Florida that could produce one of the largest whistle-blower penalties ever for the Halifax hospital chain.  An internal employee of Halifax says she witnessed more than a decade of billing fraud, unnecessary hospital admissions, inappropriate spinal surgeries and illegal kickbacks to doctors which could amount to more than $200 million in damages.  Allegedly, six

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