People think #coronavirus deaths are overcounted because so many of the dead had other major health issues. But I doubt this is as big of a problem as people think. Try some examples in this thread.
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I think everyone takes instructions. Docs have multiple incentives 1) Most perpetually feel under funded/resourced *before* Covid (just like teachers). 2) Because of #1, isn't their mandate to better care for future patients? How much of an obstruction is imprecise coding?
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I worked as a medical coder. It’s a violation of federal law for a physician to code Medicare patients incorrectly to get more funding for the hospital and the ER physicians normally do not know which are MCR patients and the hospital also penalizes incorrect coding.
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Yes, I believe most Emergency Department and ICU physicians have coders handle it. Some other physicians do their own coding, which gets reviewed by coders and auditors.
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I like your “net deaths” estimation. I’ll be interested to see weekly US deaths numbers comparing 2019 to 2020. I’m guessing we won’t see much of a difference.
Thanks. Twitter will use this to make your timeline better. UndoUndo
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Hospitals are all over their medical staff to write notes in certain ways to maximize coding and subsequent reimbursement. For Federal payments, there will be Federal requirements. If those requirements are met, then reimbursement is legal. Bad coding, fire coders.
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Physicians can go to prison for fraudulent coding and hospitals have been fined millions for it. The legal goal is correct coding, not maximum reimbursement.
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And go to jail and pay millions in fines and reimbursements.
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