I got whiff yesterday of Trusts encouraging medics to code UTI as urosepsis, RTI as pneumonia and ACS and NSTEMI for gaming better income?
@JFr4ser @legalaware Ok. That's another use for it, but it does also influence things like HSMRs too, doesn't it? So that's still a concern.
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@C7RKY@legalaware The debate of what that tells us is ongoing...it's influence on actual care delivered in real time very remote.... -
@JFr4ser@legalaware Well whilst debate continues, I for one don't want the numbers distorting. Regardless of good intent. Real facts only. -
@C7RKY@legalaware If umpteen classifications of pneumonia it inevitably leads to a degree of trained judgement. Deliberate fudge is fraud -
@C7RKY@legalaware However that is largely an issue for the organisation and central funding. And shouldn't be extrapolated to clinical care -
@JFr4ser@legalaware Fraud indeed. Of the most dangerous variety. Hence need to avoid blurring the issue thru permitting coding 'flex' imho.
End of conversation
New conversation -
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