Review Test Guide: AHIMA Code of Ethics.
Review Test Guide: AHIMA Code of Ethics. Ethical obligations are part of all professional's responsibility, regardless of employment site or method of collection, storage, and security of health information. All HIM professionals shall safeguard all confidential patient information. Coding an inappropriate level of service is an ethical violation. HIM professionals shall _____ Which of the following ethical principles pertains the most to coding professionals? IV V VI VII Which of the following is not an ethical violation? An example of dishonest, fraudulent, or deceptive practice is coding when documentation does not justify the _____ or procedures that have been billed. The minimum _____ standard is essential when releasing health information for disclosure activities. Apply accurate, complete, and consistent coding practices Delete codes that might indicate poor quality in the hospital Ignore audit results because we have always done it this way Use the list of MCC and CC in the MS-DRGs and add one of those to each claim Assign only codes that are clearly and consistently supported by documentation Change a code because the business office states it is covered Query provider when conflicting, incomplete, or ambiguous information is present Code when documentation does not justify the diagnoses and procedures Coding an inappropriate level of service Miscode to avoid conflict with the supervisor Refuse to participate in activities to increase payment when going against guidelines Refuse to change codes so that meanings are misrepresented Allow inappropriate patterns of retrospective documentation to avoid suspension or increase reimbursement Perform physician query according to policies and standards Refuse to query the physician for complete documentation because it slows billing Use queries as a communication tool Query on every pneumonia case to increase revenue Use leading physician queries Monitor codes coming from the encoder to make sure the description has not changed Allow any codes assigned by the encoder or computer-assisted coding product to enter the bill - Delete a procedure code because it decreases payment Add a diagnosis code (not documented) because it increases payment Copying and pasting another clinician's documentation without identification of the original author and date Advance coding knowledge through continuing education Refuse to participate in or conceal unethical coding or abstraction practices Change the assigned code because the patient calls and says it was coded wrong Develop a list of diagnoses that are paid for certain tests, and only use those codes Protect the confidentiality of health records at all times Code from codebooks that are three years old Researching a clinical condition to find the best code when there is not a choice available in the Index Forget to read the updated coding guidelines Follow coding guidelines when assigning codes Scheduling encoder updates yearly Omit a code for a surgical complication Report quality outcome measures inaccurately to improve the quality profile for the physician - Assign codes without provider documentation Take measures to discourage, prevent, expose, and correct unethical conduct of others Adding, deleting, or altering health record documentation Facilitate interdisciplinary collaboration to support proper coding Reporting incorrect POA indicators Reporting incorrect patient discharge status codes Guess the code assignment because on doesn't understand the coding guideline Report all healthcare data elements The scenario presented would cause financial gain for the clinic to which it was not entitled. More than one ethical principle was violated. Where is the harm in the case study presented? How many standards did the case study possibly violate? A coding supervisor in a hospital has instructed the coders to use higher weighted MS-DRGs than what the documentation indicates. A coder expressed concerns about this and was told that comments were not welcome, and that other employment might be the answer. What is the best action by the coder?
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