You have to be an incredible criminally influenced thinker to believe that the extra 30K is an incentive for a large hospital. The caseload and stuff that you report out from the EMR are weaponized for profit generation on an ongoing basis. A hospital can easily make a few hundred million by pushing more elected surgeries, getting a new CT or MR, or offering new procedures and there is not a single thing illegal about any of that. I do not get the thinking of the uninformed, they think a medical enterprise can get extra income using fraud, it is hard to document fraud when you use an EMR, it has safeguards, monitors every decision, and reports up the ying-yang.
A 400-bed hospital's insurance bill is a large fortune, they screw up and it escalates. The insurance rating of a hospital is dependent on the QA processes they follow.
An administrator cannot just check a box and alter what a provider decided. The funny thing about this whole discussion is that a hospital will not bill anything that an MD specialist will not sign.
then the two got combined and ever since I have been dealing with hospital information systems, which is basically automating medical processes including image management and telemedicine. Damn you ! 1990 was just yesterday in my memory well before that, I was working for a medical imaging company then worked for a networking/telephony equipment maker.
