AHIMA Standards of Ethical Coding Exam Questions With Complete Solutions (Verified And Updated)

AHIMA Standards of Ethical Coding Exam Questions With Complete Solutions (Verified And Updated) Coding is recognized as one of the core health information management (HIM) functions within __________ - answerhealthcare. A Code of Ethics sets forth professional values and _______________ - answerethical principles. 1. Apply accurate coding practices that yield quality data. - answer*Coding professionals shall:* 1.1. Support selection of appropriate health service related codes 1.2. Develop and comply with comprehensive internal coding practices that are consistent with requirements 1.3. Foster an environment that supports honest and ethical coding practices Coding professionals SHALL NOT: - answer1.4. Distort or participate in improper preparation, alteration, or suppression of coded information. Example: Assigning diagnosis and/or procedure codes based on clinical documentation not recognized in requirements (as defined above in the definitions). 1.5. Misrepresent the patient's medical conditions and/or treatment provided, are not supported by the health record documentation. Example: Permitting coding practices that misrepresent the provider documentation for a given date of service or encounter such as using codes from a previous encounter on the current encounter (except with bundled payment models or other methodologies). 2. Gather and report all data required for internal and external reporting, in accordance with applicable requirements and data set definitions. - answer*Coding professionals shall:* 2.1. Adhere to the ICD coding conventions, and any other official coding rules and guidelines established for use with mandated standard code sets. *Example: Using current and/or appropriate resource tools that assist with proper sequencing and reporting to stay in compliance with existing reporting requirements.* 2.2. Select and sequence diagnosis and procedure codes, present on admission, discharge status in accordance with the definitions of required data sets in all healthcare setting The AHIMA Standards of Ethical Coding are intended to assist and guide coding professionals whether credentialed or not. - answerTrue 3. Assign and report in any fromat only the codes and data that are clearly and consistently supported by health record documentation in accordance with applicable code sets, etc - answer*Coding professionals shall:* 3.1. Apply skills, knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, etc). *Example: Researching and/or confirming the appropriate code for a clinical condition when not indexed in the classification* 4. Query as needed with the provider for clarification and additional documentation prior to final code assignment - answer*Coding professionals shall:* 4.1. Participate in the development of query policies that support documentation improvement and meet ethical standards for coding and reporting. *Example: Guidelines for Achieving a Compliant Query Practice (2016 Update)*