2:00:46 And so wherever you want to start, it's what you witnessed, what you saw. Because again, nurses, doctors, they're all compartmentalized, as you know better than anybody. But for folks that don't know, you're the coder. You're seeing the documents. You're seeing what's going into the computer. You're seeing what the files on what's actually coming in and going out. You're like the gatekeeper. So just talk about yourself, what you witnessed, and thank you for joining us. Well, first of all, it's an honor to be here. Thank you for having me on. Thank you. So yeah, I was a medical coder. I was not a nurse, but yeah, I do describe it like the CIA of the hospital and I like how you put it, the air traffic controller. That's a good way of putting it. So my job was to look at all of the records, usually after the patient is discharged. So everything has happened to the patient by the time I get it. The purpose of
2:01:34 a medical coder is twofold. First of all, internationally, the codes are used, the WHO, the WHO is the host of the codes. And so they dictate that all the member states have to use it for reporting for any sort of government sort of healthcare usage. And that's huge under UNESCO. That's a whole story right there that the UN is in charge of our medical records. Of the statistical reporting and the tracking, yes. And that's the purpose of the codes is statistical reporting and tracking internationally. And yes, the who is at the top. They have been entrusted with the ICD 10 system since 1948.
2:02:16 So as a medical coder in the United States, the job is to look at all of the records. It could be an op report, it could be the nursing notes, it could be what the patient comes in complaining about, it could be vitals, it could be the x-ray reports, any MRIs, CT scans that are done, any diagnostics, any therapies that are done. everything all of that record goes into basically a central repository and everything gets put into it gets coded into procedures and diagnoses that get sent to insurance and then insure and Medicare and they dictate you know how they're going to pay based on these codes and that is how hospitals and physicians make their money. An example of that all over the world we wonder why it was Australia or Germany or the US or Canada
2:03:04 they got all this money and they said it was COVID, all this money, they put them on a ventilator. What was it because it was globally coded by the UN? Ultimately, that's what I found out. In the US, April 1st, 2020, we got an update from CDC and the AMA and Medicare that said there's going to be a new code coming out. We have to track COVID. And that's really when the COVID incentive money came out. So the CARES Act was passed. And when we have the diagnosis code U071 for COVID-19 to track it, then we got a 20% bonus for every patient that came in admitted with COVID-19.
2:03:48 So that's really where the financial tie came in. That came from the CARES Act and then Medicare also had another program where they were able to fund hospitals through, it was also through the CARES Act, but it was a system called HHS Protect and hospitals had to send like how many ventilators we had patients on and certain kind of data had to be sent to HHS in order for us to get Medicare money. I just verified that information. information yesterday that hospitals wouldn't get a percentage of their Medicare money if they didn't report this information. But the incentive that you had been talking about with the vents and the round does appear that all came with the cares act. It's written into the cares act that they appropriated certain amounts of money to bail out hospitals.
2:04:37 because we were told that we needed to empty our hospitals, that we needed to shut down the ER, that we needed to shut down ICU so that we could make room for all these COVID patients coming in. And then they rolled out the money to fund for the testing because the testing was costing us money until we got the bonus to run the PCR all the time. And then that changed it from patients had, we had like almost no COVID patients before we started running PCR and everything to now 80% of our patient population has COVID because they have all been screened now with this false positive PCR test. And then we had this massive amount of asymptomatic patients that as soon as they get the COVID diagnosis, then we put them on the vent, we start the remdesivir, they die of kidney failure and pulmonary edema.
2:05:29 And we get the 20% bonus for the COVID diagnosis. We got the 20% bonus for putting them on a ventilator. And then we got the 20% bonus for the new tech, which was remdesivir. Gilead had applied for the new tech bonus. So not every new drug or procedure gets a new tech bonus. But there is, when new procedures come out, Sometimes they do have a special application process where you can get a bonus for it. So we actually had edits set up in our system to where if you forgot to put the remdesivir procedure on a chart, then it would come back to you because we really needed to get that bonus. And again, all the studies showed remdesivir was what was killing people. Right.
2:06:21 And the ultimate thing was, so they were telling us, you can even look up the National Kidney Foundation, and they say right up front that COVID-19 causes kidney failure. So this is where the doctors were confused. So we actually had a protocol in the hospital for when patients were going to go on remdesivir because it was a new drug. And so they had to get a renal consult, and then they had to get a I think it was internal disease consult. So two different kinds of consults. So they have a little bioethic meeting and then have them sign off on the murder. Right, right. So the patient had to sign like informed consent. Like we know that this could cause kidney failure. And then we've screened you to make sure that you're a candidate for this, that your kidneys can withstand this drug. Um, cause we were being told, you know, COVID-19 causes kidney failure, but then we were also told that remdesivir causes kidney failure, but then we put patients on the remdesivir and they all get kidney failure within three days. Or if they have any, any kind of kidney thing going on, it gets worse.