"The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. (2/3)
Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60." - @pluralistic
#medical #capitalism
https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama (3/3)
#medical #capitalism
https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama (3/3)