This reminds me of one of my favorite studies in healthcare.
A clinical team simply had the coders round with them in the hospital.
The profit per admission increased 42%. This was without changing a single part of their clinical care. Outcomes didn’t improve. They simply coded a higher intensity of care, leading to higher reimbursement.
Our system rewards coding more than it rewards care. The institutions that master the coding game are the ones that do the best.