It is going to cost the insurance companies a bundle to go to ICD-10. Undoubtedly, since their business model is different from ours, they may find some way to recoup their costs (like slowing down payment). But it won't really be a very satisfactory situation where everyone is angry all the time, so they can't do that on a routine basis.
My simple analysis of any problem always starts with "who profits, who pays?"
Clearly the patients don't gain anything from this.
And I can't see any way it will help me....
In this case, it is the "coding community" who profits- a subset of the administrative department, not the clinical department.
So once again, it is all about increased administrative control. They will enforce the new system as loosely or tightly as is necessary to maintain the desired trajectory: total domination of the clinical milieu.
