Background: The proportion of high-level bills submitted by our hospital medicine group was lower than national averages as reported by the Clinical Practice Solutions Center (CPSC). This did not seem to align with the complexity of patients at our level 1, safety net hospital in a busy urban location. The purpose of our project was [...]

Case Presentation: A 83-year-old female with PMH of hypertension, type II diabetes mellitus, and prior tobacco use initially presented to the ED for generalized weakness. Initial exam was notable for hypertension and slowly healing wound on her right leg s/p mechanical fall several weeks prior. Her labs revealed hyperglycemia with serum glucose > 500 in [...]