Question

Lesson 2 Discussion Question -- Legal and Ethical Considerations by Course Creator Do Not Contact - Friday, January 31, 2020, 4:39 PM cuss the legal and ethical considerations with coding. Internet resources identity what constitutes fraud and abuse and what the possib nsequences are. How does this knowledge pertain to your career field?

Answer 1

Legal and ethical considerations include accurate, consistent and complete coding practice for quality data. confidentiality, accuracy as a common law duty it shows the public interest. Follow coding rules and guidelines with important standard code sets. provide clear and consist of health record documents for code sets. Consult with providers for any clarification and additional documentation. honesty ensure the patient-provider relationship and avoid fraud and abuse. patient rights with disclosure of medical information and accurate, complete, consistent coding practice provide high-quality health care data. external reporting purposed should be reported, follow regulatory standards for coding conventions.
Refuse to change reported codes and support coding that inappropriately increases payment and make an interdisciplinary collaboration for coding practice. continue training and education for increasing coding knowledge and practice.
Fraud and abuse in coding focus on higher reimbursement for actual service, incorrect coding and poor history collection form patients that cause fraud and abuse.
Medical coding knowledge is useful in diagnosis, procedure, medical service and equipment into alphanumeric codes. it is important in health care to ensure accurate payment and provide valid patient data.