Derek Thompson

And just because that's the first time we're mentioning diagnosis codes, just define exactly what you're talking about. And you can even use a really quick example.

And just because that's the first time we're mentioning diagnosis codes, just define exactly what you're talking about. And you can even use a really quick example.

And just because that's the first time we're mentioning diagnosis codes, just define exactly what you're talking about. And you can even use a really quick example.

So I think that if someone's listening along, they're thinking, this sounds like it makes all the sense in the world. The fee-for-service system is going to be biased toward more fees for more services. We don't want that. That's totally runaway spending.

So I think that if someone's listening along, they're thinking, this sounds like it makes all the sense in the world. The fee-for-service system is going to be biased toward more fees for more services. We don't want that. That's totally runaway spending.

So I think that if someone's listening along, they're thinking, this sounds like it makes all the sense in the world. The fee-for-service system is going to be biased toward more fees for more services. We don't want that. That's totally runaway spending.

The capitation system that Tim just outlined is a flat fee per patient, and that means that the sickest patients are going to be denied care that they absolutely need because they're treated or paid for the same as if they're just an average patient. So that system... What we want is a way to make sick patients legible to government.

The capitation system that Tim just outlined is a flat fee per patient, and that means that the sickest patients are going to be denied care that they absolutely need because they're treated or paid for the same as if they're just an average patient. So that system... What we want is a way to make sick patients legible to government.

The capitation system that Tim just outlined is a flat fee per patient, and that means that the sickest patients are going to be denied care that they absolutely need because they're treated or paid for the same as if they're just an average patient. So that system... What we want is a way to make sick patients legible to government.

It sounds like this is an absolutely perfect system, like it would make all the sense in the world. Now, this is what I want to do now. It's going to be a little bit nerdy and hopefully not a total failure, but I really do want an unimpeachable understanding of how diagnostic coding works so we can understand how it goes wrong.

It sounds like this is an absolutely perfect system, like it would make all the sense in the world. Now, this is what I want to do now. It's going to be a little bit nerdy and hopefully not a total failure, but I really do want an unimpeachable understanding of how diagnostic coding works so we can understand how it goes wrong.

It sounds like this is an absolutely perfect system, like it would make all the sense in the world. Now, this is what I want to do now. It's going to be a little bit nerdy and hopefully not a total failure, but I really do want an unimpeachable understanding of how diagnostic coding works so we can understand how it goes wrong.

And since there's three of us here and we're talking about what is sort of a three-party coordination, there's a patient, there's a doctor, there's an insurer, I thought we could role play this. So Tim, you're gonna be my doctor. Mike, you're Medicare. And I'm Derek. I'm Derek, a pre-diabetic, 80-year-old with very mild memory loss. And I've just moved to the area, Tim.

And since there's three of us here and we're talking about what is sort of a three-party coordination, there's a patient, there's a doctor, there's an insurer, I thought we could role play this. So Tim, you're gonna be my doctor. Mike, you're Medicare. And I'm Derek. I'm Derek, a pre-diabetic, 80-year-old with very mild memory loss. And I've just moved to the area, Tim.

And since there's three of us here and we're talking about what is sort of a three-party coordination, there's a patient, there's a doctor, there's an insurer, I thought we could role play this. So Tim, you're gonna be my doctor. Mike, you're Medicare. And I'm Derek. I'm Derek, a pre-diabetic, 80-year-old with very mild memory loss. And I've just moved to the area, Tim.

So this is my very first visit to the doctor's office. It's very nice, by the way. You know, your Sarasota office is lovely. You should know, by the way, there's a sports illustrator from 2007 in the waiting room, and you might need to replenish your magazine selection, but we can talk about that later. Tim, you call me into the doctor's office. What happens now?

So this is my very first visit to the doctor's office. It's very nice, by the way. You know, your Sarasota office is lovely. You should know, by the way, there's a sports illustrator from 2007 in the waiting room, and you might need to replenish your magazine selection, but we can talk about that later. Tim, you call me into the doctor's office. What happens now?

So this is my very first visit to the doctor's office. It's very nice, by the way. You know, your Sarasota office is lovely. You should know, by the way, there's a sports illustrator from 2007 in the waiting room, and you might need to replenish your magazine selection, but we can talk about that later. Tim, you call me into the doctor's office. What happens now?

So Tim, Mike has just laid out a scenario where the insurance company has coded me as full-blown type 2 diabetic, full-blown dementia, and also as a person suffering from skin cancer. This is a scenario where it's the insurer with their foot on the accelerator for adding diagnostic codes. You're the doctor. Are there also some cases where it's the doctor who's so-called up-coding him or herself?

So Tim, Mike has just laid out a scenario where the insurance company has coded me as full-blown type 2 diabetic, full-blown dementia, and also as a person suffering from skin cancer. This is a scenario where it's the insurer with their foot on the accelerator for adding diagnostic codes. You're the doctor. Are there also some cases where it's the doctor who's so-called up-coding him or herself?