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Ethics in health and social care
Essays about ethics in healthcare
Principles of healthcare ethics
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Introduction of Coding Coding is best described as a process of using alphabetical and numerical values that are connected to clinical documentation that can identify a patients’ diagnosis and what procedures that were used during an encounter. Coding serves as a communication log to providers so that they can keep up with the payments that are received for each patient. There are several different types of coding in the health care industry. Such as, inpatient coding which is conducted while the patient is still in the hospital and concurrent coding which takes place while the patient is still in the hospital for an extended amount of time (Davis & LaCour, 2014). Standards of Ethical Coding Standards of Ethical Coding was issued by the …show more content…
As a member of this organization we had to conduct ourselves as a professional and we were expected to follow the ethical principles of professional conduct. To follow these guidelines, we were trained to recognize potentially unethical situations and to report them if necessary. When coding professionals participate in unethical coding it can affect the coding professional career, the health care organization that they are employed with, and the patient. In other words, coding violations that are considered unethical affects everyone at some point. It can delay reimbursements from insurance companies and in some cases, interfere with some patient receiving future treatment from their provider due to the fact the insurance company has denied the claim that was submitted due to the submission of incorrect codes for an encounter. Managers and supervisors should be aware of coders who have gotten comfortable in their position and prefer to use out of date guidelines and codes. Coding imperfection not only affect patient care but it hurts the organization the most by halting their reimbursements on those claims (Chapman, 2014). Personally, I believe that improperly coding will impact the health care organization, the integrity of their billing department and the creditability of their coders and their contracts with third party payers in the long run if the issues are not corrected in a timely
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
The American Health Information Management Association provides guidelines of elements to be included in a health care organization’s policies of a coding compliance plan. (“Coding Compliance: Practical Strategies for Success,” ahima.org, 1998).
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
My job is to also ensure that the patient is aware of our HIPAA policies and that we are dedicated to protecting their records from any hackers or someone calling on the phone hoping to get any information. Looking at it from a mom and a patient’s point of view, it makes me feel a little easier about entrusting mine and my child’s information with them. We must as people in the health care field respect our patients and their privacy, and the code of ethics holds us accountable for these things. Being a billing and coding specialist, we have to be sure to code exactly what the doctor did during the visit to the best of my ability. The code of ethics mean I am responsible for educating myself on new changes that may be coming with future coding manuals, because they do change often. Overall the code of ethics ensure that as long as the guidelines are followed we can do our jobs accurately and with the proper
Why is it so important that healthcare executives adhere to a professional code of ethics?
As a certified medical coder (CCA 11/2012), I have contributed to the HIMS department by helping code inpatient encounters from patients in the Residential Rehab Unit as well as outpatient encounters from the other clinics at this VA applying the official coding conventions outlined in the International Classification of Diseases 9th revision handbook as well as in the VHA’s Official Coding Guidelines, V11.0 dated August 10, 2011. Having coded many encounters over the past 3 years, I can easily determine the main condition after study that is chiefly responsible for a patient’s admission to the hospital. ICD-9-CM defines this as the primary diagnosis code and I find that it is most important to list this code first in your documentation
These types of external influences keep the healthcare organization afloat and maintained for patient care. The staff such as assistants, nurses, physicians, specialists, clinicians, and managers, states their opinions for improvement and make proper judgement for patient care. Lastly, patients are a prime influence and critic of healthcare of negative aspects or positive aspects of doctor care and treatment. Conflicts of staff shortages, incorrect coding/ billing, incompetent staff, and lack of knowledge of ethics are always an issue to improve. As long ethical procedures are in effect at all times with OSHA, ACA, HIPAA, JCAHO, etc., then the healthcare facility is in good order. The Affordable Care Act is a law for all staff and managers to stay informed and know how the changes apply to patients. For future healthcare administrators and staff, it’s critical to recognize the external influences in healthcare administration and maintain ethical technology standards, code standards, hiring standards, staff capability, and law
ICD-10 CM is developed by Centers for Medicare and Medicaid Services (CMS) involved with the Department of health and human Services (HHS) known as inpatient procedural coding system.includes several new features and offers a greater specificity.Is classified by 5 to 7 characters.Carries laterality,and allows an additional code when there is a x which symbolizes an expansion to allow the code add a seventh character as many times, this includes injuries,external causes and obstetrics.
Medical Coding and Billing can help doctors by handling all the paperwork that has to be submitted to the insurance companies. They can also help by sending medical bills out to all the patients that have been seen by the doctor.
Businesses across the world, including the United States, have a code of ethics statement within their business to stay professional, attract consumers, and stay away from the legal department. A code of ethics is a statement that explains the values and mission statement that goes along with their career. For instance, medical, business, social workers, and etc. have different mission statements and values for their consumers. During this essay, I’ll explain the medical code of ethics, how has the ethical code impacted myself, positively impacted my future company, job or society, lack of morals, my own professional code of ethics and life examples within the American Medical Associations Code of Ethics.
The word ethics is derived from the Greek word ‘ethos’ meaning character or conduct. It is typically used interchangeably with word moral which is derived from the Latin word ‘moves’ which means customs or habits. Ethics refers to conduct, character and motivations involved in moral acts. Ethics are not imposed by a profession, by law but by moral obligation. It is unwritten code of conduct that encompasses both professional conduct and judgement. Ethics helps support autonomy and self-determination, protect the vulnerable and promotes the welfare and equality of human beings. An ethical dentist- patient relationship is based on trust, honesty, confidentiality, privacy and the quality of care.1
Ethics or rather morals entail mechanisms that defend, systematize as well as recommend conceptions of right or wrong. Many organizations develop ethical codes to ensure employees and employers understand the difference in doing good or bad. In that respect, ethics are an essential aspect of successfully running of any organization or government. Ethics ensure employee’s productivity levels are up to the required standards. It also assists them to know their rights and responsibilities. Additionally, employers, as well as any persons in management, are guided by them to ensure they provide transparent leadership. Ethics also defines how customers should be handled. Ethical codes govern the relationship between customers and an
Understanding the American Counseling Association (ACA) and the American Mental Health Counselors Association (AMHCA) ethical codes is an important aspect of developing one’s professional identity as a mental health counselor. More specifically, in order for a counselor to be professionally competent and ensure he/she is able to uphold ethical boundaries, it is essential that one becomes familiar with the codes. Furthermore, both ethical codes share a multitude of similarities as well as differences, including that the AMHCA code of ethics profoundly draws from the ACA code of ethics. However, it is important to note that the AMHCA code presents ethical criteria geared specifically towards mental health counselors whereas the ACA code
There are weaknesses in professional guidelines and rules because they are unable to provide the directives for moral reasoning and action is health care situations. Many people state that biomedical ethics provides a framework and emphasis on the person rather than the professional code and legal policy (Beauchamp and Childress, 2001). On the other hand they serve a purpose to provide some direction for professionals however codes of practise do not dismiss.
The codes of ethics are established to help, protect, and provide guidance to each individual professional on how to act in their respective profession and create an environment where ethical behavior is practiced and observed by everyone in the profession. By observing the code of ethics every member ensures that they are held to a higher standard when it comes to quality patient care and at the same time help eliminate bad actors in the profession. For example, every physician is held to a code of “do no harm” when it comes to patient care and every physician or medical student are required to follow this