Care plans and diagnosis codes are very different things. Just because a coder massages the specific codes in use doesn't mean the clinicians are altering care

Care plans and diagnosis codes are very different things. Just because a coder massages the specific codes in use doesn't mean the clinicians are altering care. Honestly, there's a lot of new incentive structures on care givers and their institutions focused on so many things, like reducing readmissions (thereby reducing all forms of medical error in the process), or forming provider cohorts and using comprehensive comparison metrics between similar hospitals in similar areas and situations, to incentivize and reward those facilities which achieve the best care. And, on the subject of the MR/EHR itself, of course most of it is unbiased! Do you think your lab results, prescriptions, vital signs, demographics are subject to bias? Your medical record isn't where a doctor leaves a long note about their opinion of you. It's where all that stuff above, and allergies, and outpatient care history, and inpatient history, and all kinds of factual unbiased things go.