I'm not sure I follow your rationale. Correct coding has nothing to do with a guarantee of coverage.
The implementation of the ACA has recognized what healthcare providers have known for a long time....we're rewarding physicians and patients when they're sick. Payment has been based on reimbursement at the highest level (think DRG) for the sickest patients and repeat fee-for-service payment for chronic disease regardless if the patient is compliant. The govenment has said, "enough is enough", by reminding us all (whether you want to hear it or not), that taxpayers, employers and the un-insured shouldn't have to ante up because our population can't take care of themselves.
So preventive care is now covered at 100%, meaning we're all rewarded when patients remain symptom and disease free, which is why so many employers are initiating wellness programs at the workplace. With pay-for-performance, providers will be rewarded for keeping patients healthy and compliant, by following evidence-based medicine, and finally, Medicare is covering preventive care through IPPE, AWV, and new in 2013 the Transitional Care Management, to prevent re-admissions through comprehensive post-discharge care. This policy isn't to penalize those that have unavoidable chronic or congenital diseases or conditions, it's a wakeup call for Americans to take control of their lives.
Let's not get into a shoving match on this board about politics, but certainly there are pieces of the ACA that make sense. Of course, sometimes people get sick, and in that case, they should certainly receive treatment. But we're part of a society that wants every last problem, symptom and annoyance to be fixed with a pill. We've created this mess, and now people are squirming because it's been suggested that they're part of the problem.
Regardless of your politics, I see a great deal of opportunity for coders to assist their providers with documentation improvement to help them with P4P and with initiating the wellness programs that are now being reimbursed.
Pam Brooks, MHA, CPC, PCS, COC
Dover, NH 03820
If you can dream it, you can do it. Walt Disney