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Originally Posted by blueash
UHC and I believe our local Villages Health Care are, reading between the lines, being looked at for managing the system to make it appear that they have a sicker population. The more diagnoses you can add to the paperwork the better your payment will be.
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Does the doctor enter elevated blood sugar into the computer as a diagnosis, or maybe pre-diabetic? Is that cheating or is it important as a reminder next time to ask about eating and maybe get an A1C?
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Good comment and questions, in total.
I cherry-picked the two parts, above, because it reminded me of what a friend here in TV told me a month ago related to the local health care system mentioned.
The Doctor recommended a certain test for his lungs because of prior work he used to do. But, the patient noticed in the results report that it was stated he had smoked for 25 years. He called and inquired why that was claimed since he only ever smoked for 5 years, long ago.
It was positioned as being helpful to him as far as ensuring the claim being paid. (Iow, smooth talk so
they could get the claim paid.) But, he was bothered about his health records now reflecting a very inaccurate smoking history. Hhmm...