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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Replying to @DrEricStrong
Completely agree. This is widespread I think. And I've heard of administrators encouraging faculty to teach this kind of stuff to residents.
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Replying to @nick_gowen @DrEricStrong
if you’re a doc being warned that you are billing at .9 FTE or lower relative to your peers... is there any other choice?
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Replying to @grepmeded @nick_gowen
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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right you are compared to counterpart groups who are all playing similar tricks. most docs are good people who just want to take care of pts and not deal with this BS but i can’t look down on those forced to play this dumb game :/
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