Chapter 21

When more information is needed, or the information needs to be clarified, in regards to coding

query the physician

To refuse to participate in or conceal unethical practices or procedures and report such practices is a principle and guidelines to what?

AHIMA Code of Ethics

Appreciation of the value of differing perspective, enjoyable experiences, courteous interaction, and celebration of achievements that advance a common cause

respect

The individual's right to determine what does or does not happen to him or her in terms of healthcare

Autonomy

The participant in a research group has been given full disclosure on what the study and entails and the choice to opt out of the study. This falls under what ethical principle?

Autonomy

21.2

Check your understanding

Healthcare providers add documentation after care has been given

retrospective

The report that provides the foundation for ethical research

Belmont report

Promoting good for others or providing a service that benefits others

Beneficence

Which of the following is the authorization that allows the release of information the time of signing forward to include future information?

Blanket authorization

The means to control and protect access of health information and records

security

If a patient notices an unknown item in the explanation of benefits they receive from an insurance company and they do not recognize the service being paid for, the patient should_____.

Contact the insurer and the provider who billed for the services to correct the information

What is the ability to accept and understand the beliefs and values of other people and groups?

Cultural competence

The social economy or religious difference in people

Cultural diversity

_____ is the perceived or actual difference among people.

Cultural diversity

Duty or responsibility guiding the decisions based on action and not the end result

Deontology

Healthcare professionals are trained in the ethical issues related to what system because staff may have access to more information than what is needed to do their job

EHR

Only considering oneself instead of taking others into consideration

Egoism

What organization was established to help provide equality for minority groups, women, people with disabilities, and veterans?

Equal Employment Opportunity Commission (EEOC)

Field of study dealing with moral principles, Theory's, and values

Ethics

What is the committee of the organization tasked with reviewing ethics violations and determining the course of action required to remedy the violations.

Ethics Committee

The classification of people based on national origin or culture is called what?

Ethnicity

Beneficence is an ethical principle meaning a patient has the right to choose their course of treatment.

False

Ethical Principles and values have been important to the HIM profession since 1942.

False

HIM professionals are not ethically obliged to give back to the HIM community by providing practice opportunities for students.

False

It is not the responsibility of an HIM professional to ensure patient documentation is accurate, timely, and created by authorized parties.

False

The HIM department is involved in the ____ process by making the health records of patients enrolled in a research study available to external monitors and auditors.

IRB

Which of the following considered risk-vs. Benefit in regards to ethical principles?

Justice

The minimumization variation in a clinical practice is used in what settings?

Managed Care

_____ is the fraudulent use of an individual's identifying information in a healthcare setting.

Medical identity the

System of principles by which an individual guides his or her life, usually with regards to right and wrong

Moral value

The legal term for "First do no harm" is which of the following?

Nonmaleficence

To not cause harm

Nonmalificence

What is one assessing when addressing how one views language, communication style, belief systems, customs, attitudes, perception, and values?

Personal cultural competence

Pre-judging a person based on something such as age, education, or religion without reviewing all the information

Prejudice

If a patient receives a _____________ from a healthcare organization it indicated that the patient's protected health information was involved in a data breach.

Protected Health Breach Notice

Which of the following types of information includes areas like genetics, adoption, and drugs use that require special attention?

Sensitive information

The assumption that everyone within a certain group are the same

Stereotyping

A cultural audit is a strategy to define an organizations values, symbols, and routines and identify areas for improvement.

True

A professional code of ethics is adopted by an organization to guide the members in determining right and wrong conduct when performing the duties of their job.

True

According to the Standards of Ethical Coding, Coders apply accurate, complete and consistent coding practices for the production of high-quality healthcare data

True

An ethical Dilemma occurs when one is faced with a choice between 2 or more situations.

True

Breach of healthcare ethics is the situation in which ethics are violated, whether it is intentional or accidental.

True

HIM professionals are able to assist patients with the process of finding out what happened in case of medical identity theft and help guide the patient in fixing the errors in the record.

True

Healthcare consumers are increasingly concerned about security and the potential loss of privacy.

True

With an increase in medical identify theft, it is important for HIM professionals to help find and correct fraudulent information within a health record.

True

What is the practice of using multiple codes to bill for a various individual steps in a single procedure, rather than using a single code that includes all of the steps of the comprehensive procedure?

Unbundling

What is the practice of assigning diagnostic or procedure codes that represent higher payment rates?

Upcoding

Electronic health record

Which of the following has created ethical issues based on security, interoperability, and record integrity?

The right to determine what does or does not happen to him or her, this includes the informed consent process for human research subjects

autonomy

A researcher determines what the maximum potential is for society compared to the minimum risk of harm done

beneficence

Prevents a person from having an impartial judgment

bias

Legal and ethical concept that requires healthcare providers to protect health records and other personal and private information from unauthorized use or disclosure

confidentiality

The right of a patient to control the disclosure of protected health information

privacy

Ethical obligation to the _______ include advocating change when patterns or system problems are not in the best interest of the patients and reporting violation of practice standards to the proper authorities.

public

An abiding commitment to innovation, relevance, and continuous improvement in programs, products, and services

quality

Report all healthcare _________ required for external reporting purposes completely and accurately, in accordance with regulatory and documentation standards, and requirement and applicable official coding conventions, rules, and guidelines

data element

Two providers bill for one service provided to one patient

double billing

Codes are associated with reimbursement rates and therefore, there are inherent incentives to code so the healthcare facilities will receive the lowest reimbursement dollar amount possible.

false

Openness in decision making, honesty in communication and activity and ethical practices that command trust and support collaboration

integritary

The committee that oversees the clinical research that is conducted for healthcare, and has the responsibility over the ethical application of research

international review board for the protection of human subjects IRB

Visionary thinking, decisions responsive to membership and mission, and accountability for actions and outcomes

leadership

Helps control the cost of healthcare by providing services at a fixed cost

managed care

The minimum necessary standard for ROI

need to know principle

Patients trust that the information they share with their healthcare provider will be protected

true

The practice of using multiple codes to bill for the various individual steps in a single procedure rather than using a single code that includes all of the steps

unbundling

The practice of assigning diagnostic or procedural codes that represent higher payment rates than the codes that reflect the documentation

upcoding