10 things to know today

Your daily look at late-breaking news, upcoming events and the stories that will be talked about Friday:
AP Wire
Mar 7, 2014

1. HOW OBAMA IS PUSHING BACK AT PUTIN IN UKRAINE STANDOFF

The U.S. president is imposing sanctions against Moscow and rejecting a referendum on the future of Russian-occupied Crimea.

2. SOME SENATORS WON'T STOP TRYING TO TAKE SEX CASES AWAY FROM MILITARY COMMANDERS

Sen. Kirsten Gillibrand says the defeat of her bill won't be the last attempt to put serious sexual crimes in the hands of seasoned military trial lawyers.

3. WHERE THE LATEST FIGHTERS IN THE SYRIAN WAR ARE COMING FROM

Sunnis and Shiites are streaming in from Lebanon to fight over a rebel stronghold at the countries' border.

4. WHO IS BEHIND BITCOIN

Dorian S. Nakamoto, the man Newsweek claims is the founder of the digital currency exchange, denies he had anything to do with its creation.

5. NEW YORK CITY INMATES REPORT VIOLENT ENCOUNTERS WITH GUARDS

Nearly a third of Rikers Island inmates had suffered a blow to the head, a tactic that is supposed to be a guard's last resort.

6. NEW TEXAS ABORTION LAW CLOSES MORE CLINICS

The last clinic in the vast, impoverished Rio Grande Valley closed today, along with the sole remaining clinic in the 100-mile stretch between Houston and the Louisiana border.

7. SILICON VALLEY BOOM CREATES WEALTH GAP

The river of money flowing through this 1,800-square-mile California peninsula has driven housing costs to double in the past five years while wages for low- and middle-skilled workers are stagnant.

8. WHAT DOES EL NINO MEAN FOR U.S. WEATHER WOES

The warming is expected to lead to fewer Atlantic hurricanes and more West Coast rain next winter, and even a milder winter for the nation's frigid northern tier next year, meteorologists say.

9. WITNESS TELLS HOW PISTORIUS PRAYED OVER GIRLFRIEND'S BODY

"I shot her. I thought she was a burglar. I shot her," the double-amputee runner's neighbor recalled him saying.

10. BARBIE CAN 'BE ANYTHING,' INCLUDING A GIRL SCOUT SYMBOL

That's the message the group's spokesman says it is sending despite criticism from consumer advocates about its association with the doll.

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11. CODE BLUE - NEW OBAMA MANDATE ON DOCTORS COSTLY AND LIKELY TO RAISE COSTS

Beginning this year, the Obama administration is requiring hospitals, clinics, and medical offices to accurately describe diagnoses required by the World Health Organization's ICD-10 coding system if they want to be paid under Medicare or Medicaid and any other federal health program.

Sounds harmless, but the change requires selecting a code from 140,000 codes; the old system had 17,000. Thanks to big government Obama style, to be paid for the services they provided, doctors will have to select from 140,000 different diagnoses, including:

T63813A i“toxic effect of contact with venomous frog, assault, initial encounter
W20XXA, “contact with non-venomous frogs.”
V9107XA “burn due to water-skis on fire”
V9137XA “hit or struck by falling object due to accident on water-skis” .
V9187X there’s “other injury due to accident to water-skis”
V9387XA “other injury due to other accident on board water-skis”
V9227XA: “Drowning and submersion due to being washed overboard from water-skis.”
V9137X) “hit or struck by falling object due to accident on water-skis”
V9037XDumping from “crushed water-skis”
V9227XA: “Drowning and submersion due to being washed overboard from water-skis.”
T63622A (Toxic effect of contact with other jellyfish, intentional self-harm, initial encounter)
V9542XA (Forced landing of spacecraft injuring occupant, initial encounter)
V9733XA (Sucked into jet engine, initial encounter)
V80731A (Occupant of animal-drawn vehicle injured in collision with streetcar, initial encounter).
S30867A (Insect bite (nonvenomous) of anus, initial encounter)
Y92253 (Opera house as the place of occurrence of the external cause)
W56.22xA - Struck by orca, initial encounter

Big Brotherism at it's best, plus:

When Canada recently converted to its own version of ICD-10, it experienced a "large learning curve and loss in productivity." A project analyst compared learning the coding concepts to "learning to read Greek."

Michelle Bamford, regional coordinator of clinical information services with the Vancouver Island Health Authority, said the "average coding time per record went from 12-15 minutes to 33 minutes" and the "coding backlog increased from 64 days to 139 days." The productivity levels "never returned to pre ICD-10 levels," she added. http://news.investors.com/ibd-ed...

A 2008 study on the costs of implementing ICD-10 from the health care IT firm Nachimson Advisors warned that “significant changes in reimbursement patterns will disrupt provider cash flow for a considerable period of time.” The study projected that the total cost of the ICD-10 implementation would be $83,290 for a small practice (3 physicians and 2 administrative staffers), $285,195 for a medium practice (10 providers, 1 professional coder, and 6 administrative staffers), and $2.7 million for a large practice (100 providers, 10 full-time coding staffers, and 54 medical records staffers). Boynton says those numbers seem on target five years later. http://www.weeklystandard.com/ar...

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