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Dr. Oubre's Digest

Your source for understanding the U.S. Healthcare System to help advance your career.

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Most clinicians will say someone who falls from standing and breaks a hip has a traumatic fracture. Impact = trauma. Simple. Except that's not really the way to look at it. At least for coding (but even orthopedics agree).

"rec haptoglobin ct abd transfuse stol occ bld op endos per pt request" What? That was the only non-auto populated part of a GI note. And it seemed likely jibberish at first glance. Some physicians try to document with the fewest words possible...

a man in a suit and tie is sitting in front of a window and says `` me '' .

ALT: a man in a suit and tie is sitting in front of a window and says `` me '' .

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Risk-Adjusted Mortality Index (RAMI) explained in <1 minute for CDI professionals👇 youtube.com/shorts/pqDc_...

Risk-Adjusted Mortality Index explained in less than 1 minute

YouTube video by Robert Oubre, MD, CCDS (Doctor of Documentation)

youtube.com

Many think you don't have to know billing anymore because ambient AI scribes are doing it all for you. Recently I had to talk to a surgeon about how his documentation did not satisfy the 99214 he dropped. The problem?

🚨 Academic attendings suck at teaching billing (sorry). So residents graduate not knowing what they're doing. But your real job assumes you do. So you rarely bill a high level to "fly under the radar." Stop✋

Golf cart parades are kind of the best

"Some company came in and told me I was over billing" a surgeon told me. He wasn't. They came to that conclusion based on a small sample of charts. I looked at his overall billing patterns. I looked at this notes. I discussed his cases with him. He wasn't overbilling. He was under documenting.

I’m leaving my 37K followers on Twitter/X after 4 years and coming here. Who should I follow on bluesky? 👉 For those who don’t know me, I’m a hospitalist and a coding / billing / documentation expert that loves dispelling billing and documentation myths for physicians. Ask me anything!

Most physicians “teach" themselves billing and it = lengthy notes, wasted time, and lost RVUs. 👉 You can satisfy MDM requirements in 1 - 2 sentences. See video. Let me teach it to you while you earn 3 CME hours. Use BF2025 at checkout for 30% off. Link in description of video. youtu.be/x_ByXQ0PeeQ