Private equity purchased the medical group that provides my primary care in the home a couple years ago and private equity did what they do. Lower services and the quality and maximize profit.
I caught them up-coding my diagnoses. They do this because of higher reimbursement rates from Medicare.
For example, I am homebound and need help with many activities of daily living.
At some point, they up-coded me with "Functional quadriplegia," which is the complete inability to move due to severe disability or frailty caused by another medical condition without physical injury or damage to the spinal cord."
I'm not there yet. I will be in the final phase of my Parkinson's Plus but not yet.
I talked with my actual provider who said that must have been done at corporate because he did not code me with that and said their corporate office is now taking their patient visit notes after they do a visit and processes the final visit summary, partially with AI.
My god, they even coded my balding head... lol
I insisted they correct several diagnoses. I audit everything. #PrivateEquity #HealthCare #AI
#Medicare fraud or AI hallucination by private equity aside, what happens is as you see other providers, they get a picture of you from your primary provider. A severe DX like this gives a specialist an impression of you and then when you see them, a patient doesn't match the documentation.
...and now, proof I am balding, if the shine of my head wasn't proof enough: Disorder of Hair Shaft.