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ScottAdamsSays's profile
Scott Adams
Scott Adams
Scott Adams
Verified account
@ScottAdamsSays

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Scott AdamsVerified account

@ScottAdamsSays

My Micro Lesson (2-4 min. videos) on being more happier and more effective in life are on Locals: http://bit.ly/2Ygv2tf 

Pleasanton CA
youtube.com/c/realCoffeeWi…
Joined October 2014

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    1. Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020

      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.

      215 replies 90 retweets 424 likes
      Show this thread
    2. Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020

      A patient with decades of well-managed diabetes has coronavirus symptoms and dies of lung failure within a week of being admitted to the hospital. What are the odds the diabetes was the cause? Close to zero.

      25 replies 35 retweets 231 likes
      Show this thread
    3. Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020

      A patient with cancer and an estimated one year to live gets coronavirus symptoms and dies from lung failure within one week of being admitted to the hospital. What was the cause of death? Probably not cancer alone, unless the cancer was in the lungs.

      12 replies 11 retweets 116 likes
      Show this thread
    4. Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020

      A man with a spear in his chest goes to the ER and also seems to have coronavirus symptoms. He dies within the hour from loss of blood. Does that get coded as a coronavirus death? I'm thinking probably not.

      82 replies 33 retweets 203 likes
      Show this thread
    5. Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020

      My point is that while it might seem logical that one can't know for sure the cause of death in a patient with multiple potential causes, the reality is that doctors can be 95% sure just by the timing and specifics of the situation. Would any ER doctor like to weigh in on this?

      84 replies 15 retweets 169 likes
      Show this thread
    6. Paul Collider‏ @PaulCollider 10 Apr 2020
      Replying to @ScottAdamsSays

      I believe most people are saying there is incentive to have bias because of federal reimbursements for Covid related deaths. Probably not a big difference though IMO.

      2 replies 1 retweet 5 likes
      Scott Adams‏Verified account @ScottAdamsSays 10 Apr 2020
      Replying to @PaulCollider

      Does the doctor get a raise for coding it wrong? I don't think it works that way. Hospital might, but they are not going to overrule the doctor.

      9:15 AM - 10 Apr 2020
      • 4 Likes
      • M.J. Phil Nate Hamilton Phillip Hullquist
      5 replies 0 retweets 4 likes
        1. New conversation
        2. Paul Collider‏ @PaulCollider 10 Apr 2020
          Replying to @ScottAdamsSays

          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?

          1 reply 0 retweets 8 likes
        3. Phil‏ @PaleoPhil 10 Apr 2020
          Replying to @PaulCollider @ScottAdamsSays

          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.

          0 replies 0 retweets 0 likes
        4. End of conversation
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        2. Phil‏ @PaleoPhil 10 Apr 2020
          Replying to @jw__222 @ScottAdamsSays @PaulCollider

          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.

          0 replies 0 retweets 0 likes
        3. End of conversation
        1. Thom Kohl‏ @cabbageguy 10 Apr 2020
          Replying to @ScottAdamsSays @PaulCollider

          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.

          0 replies 0 retweets 1 like
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        2. Scott Robinson‏ @Scottgas2 10 Apr 2020
          Replying to @ScottAdamsSays @PaulCollider

          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.

          1 reply 0 retweets 1 like
        3. Phil‏ @PaleoPhil 10 Apr 2020
          Replying to @Scottgas2 @ScottAdamsSays @PaulCollider

          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.

          1 reply 0 retweets 0 likes
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        2. Phil‏ @PaleoPhil 10 Apr 2020
          Replying to @Vercovicium @ScottAdamsSays @PaulCollider

          And go to jail and pay millions in fines and reimbursements.

          1 reply 0 retweets 0 likes
        3. End of conversation

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