If you come into the ER with a stubbed toe, you could go out with ten diagnosis' on your visit record. If you are admitted there will probably be twenty. Everything that has ever been wrong with you will be noted as part of your discharge or admission diagnosis. Depending on which doctor you get, it will be more or less.
Knowing this, when I saw an article in the New York Times a couple of days ago (September 24: "Medicare Warning to Hospitals on Medicare Abuse"), I was fascinated. It talks about how the government isn't going to tolerate hospitals that try to "game the system". In a statement, government officials were quoted in the following:
“There are also reports that some hospitals may be using electronic health records to facilitate ‘upcoding’ of the intensity of care or severity of patients’ condition as a means to profit with no commensurate improvement in the quality of care".
The article also states: