From ICD-10 Monitor:
Emergency department physicians and their allied clinical staff must balance the competing demands of treatment and documentation. Documentation has long been a challenge for all physicians, and a recent study I discussed during a Sept. 30 ICD-10monitor webinar is a cautionary tale. This retrospective study of four million patients conducted by Humedica concluded that as many of 40 percent had significant comorbidities that were uncoded. These uncoded patients were chronic users of emergency department resources. Once these patients were appropriately identified and documented, their consumption of emergency department resources began to shift as they gravitated toward the more appropriate ambulatory setting, where, with proper focus and treatment, their chronic conditions such as hypertension and diabetes showed steady and sustained improvement. And this is in an ICD-9 world!