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Ask HN: What is your favorite internet rabbit hole?

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Re: Ask HN: What is your favorite internet rabbit hole?

#321

Post by matt4077 »

criley2 wrote: post #213
digikata wrote: post #202

Earlier quoted context omitted.

So initial vs subsequent encounter are completely different codes? Wouldn't this approach double the number of codes? Why wouldn't this be some other field of data associated with the form instead of mixing it up in the diagnostic 'topic'. I know nothing about medical diagnosis codes.

Medical diagnosis codes are all about reimbursement. Doctors do not rely on coding so much as finance dept relies on coding. Proper coding means more $$, so talented dx coders are valuable. Separating the code this way may not make sense medically, but it makes a lot more sense when you realize CMS or Blue Cross wants more coded granularity for automatic transmission of accurate financial information.

What does this have to do with anything? Is it just to inject a bit of cynicism?

Because while there's certainly a lot to be gained by a bit of creativity with the coding, the first/subsequent encounter distinction is ill-suited, considering these are binary categories, and any mistakes/attempts to defraud can detected with an sQL query shorter than this paragraph.

Concerning the original question: it's basically denormalized, with the usual tradeoffs. I'd guess it's easier to double the number of codes than to add a new attribute to legacy systems.

Re: Ask HN: What is your favorite internet rabbit hole?

#322

Post by ada1981 »

bduerst wrote: post #200
furyg3 wrote: post #167

Earlier quoted context omitted.

I don't even... why in the world would it be important for a doctor to differentiate being struck by a dolphin or struck by orca (side note: orcas are dolphins!).

These are diagnosis codes, so it wraps up to national-level reporting - i.e. 35 people were injured by dolphins this year. Also, insurance companies get crazy nit-picky with what types of treatment they'll cover for diagnoses. There is an entire industry around scrubbing claims and making sure treatment meets the diagnosis codes.

Pretty sure my co only covers Dolphin and NOT Orca strikes.

Re: Ask HN: What is your favorite internet rabbit hole?

#323

Post by flukus »

audeyisaacs wrote: post #219
furyg3 wrote: post #167

Earlier quoted context omitted.

I don't even... why in the world would it be important for a doctor to differentiate being struck by a dolphin or struck by orca (side note: orcas are dolphins!).

I believe it's for statistical purposes(if it's anything like death codes here in Aus). If there is an uptick in dolphin strikes, the Government(or some environmental management group) may do something about the dolphin problem.

Wouldn't it also hide increases of "injured by a sea creature" that could be more useful in policy making.

Re: Ask HN: What is your favorite internet rabbit hole?

#324

Post by mkl »

CalChris wrote: post #125
tartuffe78 wrote: post #3

TV Tropes is always good: http://tvtropes.org/

There is nothing in the universe quite like a troll on TV Tropes. Maybe a troll on Wikipedia but they're probably all the same person. Warning: if you say lampshading IRL, no one will understand you. If by strange coincidence you ran into a fellow Troper, you'd have to type it out.

"Lampshading" existed as a term used by writers etc. well before TV Tropes came along. I'm pretty sure I first heard it on Usenet in the 90s in a newsgroup primarily for SF writers, where it was well understood. Many terms on TV Tropes are pretty recent, but a lot were already established elsewhere.

Re: Ask HN: What is your favorite internet rabbit hole?

#325

Post by indiv0 »

arglebarnacle wrote: post #133
r0m4n0 wrote: post #117

Browsing medical diagnosis codes... https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and... Some of the most mildly interesting: V9543XD Spacecraft collision injuring occupant, subsequent encounter W5602XD Struck by dolphin, subsequent encounter X35XXXD Volcanic eruption, subsequent encounter X52XXXD Prolonged stay in weightless environment, subsequent encounter Y0881XD Assault by crashing of aircraft, subseq…

Some more: W2202XA Walked into lamppost, initial encounter W34111A Accidental malfunction of paintball gun, initial encounter W5629XA Other contact with orca, initial encounter Y36511D War operations involving direct blast effect of nuclear weapon, civilian, subsequent encounter V657XXA Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial…

It's pretty funny to think that somewhere in my insurance record is the code W2202XA.

Re: Ask HN: What is your favorite internet rabbit hole?

#326

Post by Analemma_ »

qwertyuiop924 wrote: post #301
labster wrote: post #274

Earlier quoted context omitted.

I'm a cofounder of All The Tropes, a noncommercial advertising-free fork of TV Tropes: https://allthetropes.org/wiki/Main_Page Because we don't have advertising, we can take a low censorship approach while protecting your privacy. We'd love to have you come on board if you have many hours that you're not using.

I've been interested in ATT, but the community is significantly smaller, and the community is a big part of the draw of TVT. What disgusted me was what TVT said in response to ATT. There was a thread essentially claimed it was a weird XXX trope site that was ripping them off: nobody corrected this perception, and nobody even disagreed, despite the fact that looking at the FAQ for five minutes would have made it abund…

I'm not familiar with this situation, but if what you're saying is true, I can see where the perception came from. The unfortunate reality is that the Internet is full of sites which just copy-paste an existing popular site (Stack Overflow, various fandom wikis, etc.) and slap a bunch of ads on it hoping to make some fly-by-night profit. If I had came across ATT, I absolutely would've assumed that's what it was and would not have taken the time to read their FAQ explaining otherwise.

Re: Ask HN: What is your favorite internet rabbit hole?

#327

Post by DashRattlesnake »

arglebarnacle wrote: post #133
r0m4n0 wrote: post #117

Browsing medical diagnosis codes... https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and... Some of the most mildly interesting: V9543XD Spacecraft collision injuring occupant, subsequent encounter W5602XD Struck by dolphin, subsequent encounter X35XXXD Volcanic eruption, subsequent encounter X52XXXD Prolonged stay in weightless environment, subsequent encounter Y0881XD Assault by crashing of aircraft, subseq…

Some more: W2202XA Walked into lamppost, initial encounter W34111A Accidental malfunction of paintball gun, initial encounter W5629XA Other contact with orca, initial encounter Y36511D War operations involving direct blast effect of nuclear weapon, civilian, subsequent encounter V657XXA Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial…

> Y36511D War operations involving direct blast effect of nuclear weapon, civilian, subsequent encounter

If there's a nuclear war, I'm glad we'll still have the healthcare industry around to keep our priorities straight.

Re: Ask HN: What is your favorite internet rabbit hole?

#328

Post by agumonkey »

superkuh wrote: post #284
agumonkey wrote: post #145

Used to be c2.com. Oh it's been back up, a bit different though. http://wiki.c2.com/?LispMacro

The c2 wiki doesn't even have text anymore. It's completely javascript and without JS enabled you can't see anything but a loading spinner. It's sad to see such an accessible website fall so low.

I wished to find the static pages on github, so far no luck.

Re: Ask HN: What is your favorite internet rabbit hole?

#330

Post by [deleted] »

cloudjacker wrote: post #260
brightball wrote: post #159

Earlier quoted context omitted.

I really don't know where to start for a quick HN response. There are just so many things that depends heavily on context around them. The economics, for me, are the most interesting parts but it takes a lot of information to put things together to explain. If I'm going to cite a single thing, it would have to be the Cherokee Declaration of Causes. As a single document providing context around events at the time it's…

I found the economics of the Confederation extremely fascinating. Given the sanctions and unlikely future growth of the slavery sector, there wouldn't have even needed to be a land war and it would have collapsed in a few more years on its own. Basically, the model of the union government's sanctions today. Wish that perspective was in my primary education. I feel like I only learned about generals and battles.

[deleted]
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