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“I just don’t want to know about ‘other contact,’ especially with farm animals,” says Boynton, to sustained laughter.“That joke doesn’t fly in Montana.” Boynton’s “personal favorite” is code V9027XA: “Drowning and submersion due to falling or jumping from burning water-skis, initial encounter.” It’s the favorite of many who have studied ICD-10 codes (and the “white whale” for others).

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It should be some kind of Law of the Universe, like the equally important “Don’t Run With Scissors”. I felt kind of low, after the break up with Vanth, the boy in my college Ethics class. It seemed the skank hoe boy toy he left me for gave him herpes, or something nasty like that. I looked down at the Furby in my hand, and said, “I’m not a loser, am I? As I walked away, it was so muted now, I couldn’t hear it at all. I stalked to the bathroom, and slung open the door, which banged against that little wall-protector spring, that went “DUUUGGGGGGGGAGGGAAGAGAGAG!!! Had it gained a sense of self preservation, to save its worthless little plastic life? The codes record diagnoses and services provided, and third-party payers​—​government, insurance companies​—​use the codes to determine reimbursements and to deter fraud.The little electronic dog sat down on its plastic haunches, its little antenna tail waggling back and forth. It waggled its tail, and the electronic display for its eyes made these little heart-shaped emoticons for electronic doggy love. I brushed the hair out of my face, but it flopped back down and covered my green eye, so I gave my head a really vigorous shake, until it finally obeyed. I glanced sideways over at the night stand, against the wall, and beside it was the full length mirror. Tyrone put his ears down and tried to waddle up to the pillows at the top of the bed, as I clawed my way off of the bed, fuming. I grinned at myself, and I thought, “Who wouldn’t want to be on this bed with me? One health care consultant, a longtime ICD-10 proponent, put it this way: “This is probably going to be the most painful year we’ve seen in the history of U. health care.” On a foggy Thursday morning in early January, 30 medical coders gathered in a nondescript meeting room on the third floor of the downtown Hyatt Regency in Jacksonville.I could always see myself – and I couldn’t help but run my hand up and down my chest and stomach. ” I was allowed a little narcissism, in the privacy of my own room, wasn’t I? They paid between 5 and 5 each to attend a two-day “boot camp” on the new codes taught by Annie Boynton, from the American Academy of Professional Coders.But I still wasn’t sure why the ass-hat had left me. when you’re in such a situation, your emotions can really play tricks with you. ” I don’t think I really expected an answer from the Furby, but somehow, it swiveled its eyes and blinked, and then its little beak started to move, and it’s strange, child-like electronic voice spoke, “Looooz..zerr” I frowned at the little creature, and wondered if I was really going to take that from a toy that just babbled things it sampled and spat back at the person speaking. Even an electric dog.” Its tail swiveled again, and the Furby’s voice chattered, “loooz zer Kaaaay niihhh”. The damned things battery was going to run out, sooner or later. ” The Furby stopped saying its litany of “Looozer” just as I laid it down on the vanity, grabbed my shears, and was going to cut its head off. A muffled “Looooz zerrrrr Looooz zerrrrr Looooz zerrrrr Looooz zerrrrr ” kept repeating inside the box. I shucked off my leather jacket and piled it on top of the box. “Well at least one of you has common sense, “ I muttered. “Good boy, “ I said, as I leaned down and rubbed it between its ears. I flopped on the bed and rolled onto my back, and looked up at the ceiling. “I’m very nervous about whether once we flip that switch on October 1 this is all going to work,” says William Harvey, an assistant professor of medicine and the clinical director of the Division of Rheumatology at Tufts Medical Center in Boston. And remarkably, despite the embarrassing failures of Health Care.gov, until recently the federal government had no plans to conduct end-to-end testing of the system before the launch this fall.

Maybe it was because I wasn’t someone he could put up with. I glanced over at my more modern electronic toy dog, that I had named “Tyrone”. I frowned at the little greenish blue Furby, and noticed its eyes had changed colors to green and that made me think it was sampling again, so I kept my mouth shut, not wanting to be mocked by an out-of-date toy. I just looked at myself for a few moments, and I ran a hand down my flat skinny frame, half of my leather jacket hanging off one shoulder. I’d have to reset its memory, and retrain its ‘learned’ vocabulary. The little electronic dog sat down on its plastic haunches, its little antenna tail waggling back and forth. It waggled its tail, and the electronic display for its eyes made these little heart-shaped emoticons for electronic doggy love. I brushed the hair out of my face, but it flopped back down and covered my green eye, so I gave my head a really vigorous shake, until it finally obeyed. I glanced sideways over at the night stand, against the wall, and beside it was the full length mirror. Tyrone put his ears down and tried to waddle up to the pillows at the top of the bed, as I clawed my way off of the bed, fuming. In a letter to CMS administrator Marilyn Tavenner on February 18, 2014, four Republican senators pressed for comprehensive testing.Although it has expanded gradually, with additional codes to reflect new diseases, the latest innovations in treatment, and improvements in medical technology, it is nearing something close to its capacity.