Comments on: The focus of 9 inpatients http://www.medrants.com/archives/4590 Contemplating medicine and the health care system Sat, 20 Mar 2010 04:42:37 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Jim Long MD http://www.medrants.com/archives/4590/comment-page-1#comment-528504 Jim Long MD Tue, 30 Jun 2009 03:27:35 +0000 http://www.medrants.com/?p=4590#comment-528504 Ok, but what I really want to know is: Did you code these encounters as 1, 2 or 3s and if so are you SURE you got the right number of ROS catagories in your hospital note. Oh , and exactly how long did the end of life discussion last? Did you document that? And about that ALOS problem - why is the NSTEMI patient still in the hospital ? That stress test is an outpatient procedure! I bet each of your patients got excellent care with careful judgement on your part just like the vast majority of us deliver daily. Too bad you will probably get "RAC-ed" this year and have to pay most of it back. Isn't it interesting that in the health care debate that the internists (the few left anyway) and FPs are left out of the equation? THE big secret is that we COULD cut costs and improve care - there is documentation of that . Wonder why nobody asks us what is needed? Wait! I know! Performance Measures are the answer! Ok, but what I really want to know is: Did you code these encounters as 1, 2 or 3s and if so are you SURE you got the right number of ROS catagories in your hospital note. Oh , and exactly how long did the end of life discussion last? Did you document that? And about that ALOS problem – why is the NSTEMI patient still in the hospital ? That stress test is an outpatient procedure!
I bet each of your patients got excellent care with careful judgement on your part just like the vast majority of us deliver daily. Too bad you will probably get “RAC-ed” this year and have to pay most of it back.
Isn’t it interesting that in the health care debate that the internists (the few left anyway) and FPs are left out of the equation? THE big secret is that we COULD cut costs and improve care – there is documentation of that . Wonder why nobody asks us what is needed? Wait! I know! Performance Measures are the answer!

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