Is simpler medical billing possible?
In response to my recent note on getting paid, Benjamin Atkinson makes a key point:
My building contractor bills me by the job. He gives me an estimate +/- a small percentage. I can accept that. He knows what materials, time and labor are going into the job. Doesn't my doc?
(The picture by C.M. Schneider is from the American Association of Family Physicians.) Atkinson is talking here about ICD-9, the International Classification of Disease. When you bill through ICD-9, you're billing based on what is wrong with the patient.
The alternative is CPT, the Current Procedural Terminology. When you bill through CPT, you're billing based on what you do for the patient.
In practice, you use both. In practice, with all these codes for what's wrong and what's done, which are constantly changing, billing is so complex that an enormous industry has developed to help professionals get paid.
Is it possible to simplify all this, just a little? Should the most important person in a medical office be the doctor or the payment specialist?
A personal note. My chiropractor's assistant is a whiz with these codes. My pediatrician, not so much. Should my chiropractor make more than my pediatrician as a result?
Because that's what is happening, as the mess in medical billing just gets messier.