6 6 Ethical decision making Competency VI 7 An inpatient coder has come to you, the director of HIM, with concerns that she has been instructed by the coding supervisor to code all bedside debridements as excisional When you discuss this with the coding supervisor, she explains that surgical trays are ordered for the bedside and that physicians have been ignoring the queries requesting clarification Instead, they orally state that the debridements are always excisional Therefore, she issued the directive to the staff Use the ethical decision making process to determine if this is an unethical situation and, if so, what principle of the AHIMA Code of Ethics or AHIMA's Standards of Ethical Coding it violates If it is a violation, give your opinion of what the implications might be to the coder, coding supervisor, yourself, and the organization Resources AHIMA 2019 AHIMA Code of Ethics http bok ahima org doc oid 105098 XR TMOtKi71 AHIMA 2016 AHIMA Standards of Ethical Coding http bok ahima org CodingStandards XFn1 KFVKi70 Hamilton, M 2020 Ethical Issues in Health Information Management Chapter 21 in Health Information Management Technology An Applied Approach, 6th ed N B Sayles and L Gordon, eds Chicago AHIMA Swirsky, E 2020 Ethical Issues in Health Information Management Chapter X in Health Information Management Concepts, Principles, and Practice, 6th ed P Oachs and A Watters, eds Chicago AHIMA

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Question: 6.6 Ethical decision-making Competency VI.7 An inpatient coder has come to you, the director of HIM, with concerns that she has been instructed by the

6.6 Ethical decision-making

Competency VI.7

An inpatient coder has come to you, the director of HIM, with concerns that she has been instructed by the coding supervisor to code all bedside debridements as excisional. When you discuss this with the coding supervisor, she explains that surgical trays are ordered for the bedside and that physicians have been ignoring the queries requesting clarification. Instead, they orally state that the debridements are always excisional. Therefore, she issued the directive to the staff.

Use the ethical decision-making process to determine if this is an unethical situation and, if so, what principle of the AHIMA Code of Ethics or AHIMA's Standards of Ethical Coding it violates.

If it is a violation, give your opinion of what the implications might be to the coder, coding supervisor, yourself, and the organization.

Resources

AHIMA. 2019. AHIMA Code of Ethics. http://bok.ahima.org/doc?oid=105098#.XR-TMOtKi71.

AHIMA. 2016. AHIMA Standards of Ethical Coding. http://bok.ahima.org/CodingStandards#.XFn1 KFVKi70.

Hamilton, M. 2020. Ethical Issues in Health Information Management. Chapter 21 in Health Information Management Technology: An Applied Approach, 6th ed. N. B. Sayles and L. Gordon, eds. Chicago: AHIMA.

Swirsky, E. 2020. Ethical Issues in Health Information Management. Chapter X in Health Information

Management: Concepts, Principles, and Practice, 6th ed. P. Oachs and A. Watters, eds. Chicago: AHIMA.

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