Author Archives: Daniel Ginsberg, MD, FACP

About Daniel Ginsberg, MD, FACP

I'm an internal medicine physician and have avidly applied computers to medicine since 1986, when I wrote my first medically oriented computer programs. So yes, that means I'm at least 25-years-old!

Presidential Politics and Influenza Vaccinations

Recently a patient of mine expressed frustration with the presidential campaign, saying the other side wouldn’t listen to facts and just believed what they wanted to believe. Knowing that she had repeatedly refused to get a flu shot, I asked … Continue reading

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ICD-10 Keeps Getting More Painful

As I previously discussed,  a year ago we transitioned from the disease classification ICD-9 to ICD-10. That has been painful, but they keep making tweaks that require more work. I guess the powers that be decided that more than 155,000 … Continue reading

Posted in Government | Tagged , | 4 Comments

Remote Globe Puppy

The New York times just ran a story about how Mongolia uses a system for their mail where each address consists of three words. A clever British start-up company What3Words divided a map of the world into 57 trillion pieces, … Continue reading

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Let’s be Clear on ClariSpray

Bayer, the maker of Claritin, has a new product, ClariSpray. This is a good product, but with a confusing name. It has nothing to do with Claritin, other than they are both used for allergies (allergic rhinitis). It’s actually fluticasone … Continue reading

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Healthy Snacks

I was pleasantly surprised to see this sign at the edge of the produce department. Good job, Fred Meyer!!

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The Medical Paperwork Reduction Act

Today, in a rare moment of bipartisanship, Congress passed the Medical Paperwork Reduction Act. It states that administrative requirements will be decreased to the minimum required for good medical care and billing. The Department of Labor estimated that this will … Continue reading

Posted in Medical Humor | Tagged , | 3 Comments

Trump the Bureaucracy

About 6 weeks ago I referred a patient of mine with a knee problem to an orthopedic surgeon in my group. He ended up seeing someone else in the same group about 3 1/2 weeks later, and the doctor prescribed … Continue reading

Posted in Business of Medicine, Government, Medical Politics | Tagged , | 5 Comments

Gluteus Maximus

I ordered atorvastatin (generic Lipitor) for one of my patients with high cholesterol and Medicare Part D coverage. It was denied. We then appealed it (prior authorization). A fax from Maximus Federal Services said their decision was, “UNFAVORABLE.” They said … Continue reading

Posted in Government, Pharmaceuticals | Tagged , , , , , | 3 Comments

Disabled Parking and Needless Paperwork

In Washington State, if you want a disabled parking permit you need your doctor to fill out a form. Effective 7/1/15, a new law also requires a written prescription to help combat forgery. Physicians already have to deal with far … Continue reading

Posted in Government, Medical Humor | Tagged , | 3 Comments

An ICD-9 Story

Medical billing and epidemiology relies on a classification of diseases maintained by the World Health Organization. On the first of October, 2015, we will transition from ICD-9 to ICD-10, a major change that increases the number of available diagnoses from … Continue reading

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