SIgn that US healthcare is broken: Hearing of docs checking a patient's albumin for the purpose of upcoding & increasing a patient's expected length of stay by documenting protein-calorie malnutrition in the discharge summary.
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As long as we are stuck w our current healthcare system, I think it's fine to be taught how to document in order to make coding a more accurate reflection of what's going on with the patient. But looking for diagnoses for the sole purpose of gaming the numbers is indefensible.
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Also, the prob isn't just one doc being compared to another. It's also entire hospitals being compared. On paper, a hospital can make huge strides with its outcomes relative to neighboring facilities just by training docs some coding tricks, w/o any real improvement in pt care.
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Yes. The choice is to do the right thing for the patient, or not. Ultimately, that’s always a choice.
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