Be a mentor for students, peers, and new health information management professionals to develop and strengthen skills. If someone engages in the stated activities, ethical behavior is the standard. Alleged violations of the code are subject to a peer review process. As of 2013, the association has more than 71,000 members in four membership classifications. Highlights of some changes in the healthcare delivery system are identified as a general context for the codes of ethics. A Code of Ethics sets forth professional values and ethical principles and offers ethical guidelines to which professionals aspire and by which their actions can be judged. For example, an individual might demonstrate behaviors that are based on the values of honesty, providing service to others, or demonstrating loyalty. Ethical Judgment Not all issues will require an in-depth consideration of all elements in a specific model, and the goal is to reach a prudent choice, not certainty. Safeguard all confidential consumer information to include, but not limited to, personal, health, financial, genetic, and outcome information. 10.4. 1. These purposes strengthen the HIM professional's efforts to improve overall quality of healthcare. Use healthcare employer technology resources within the confines of organizational policies. Abstract . Work hard. There is no compliance concern related to this practice. The. The Standards document is in two parts; the first part includes the standards and the second contains the guidelines and examples. Establishes a set of ethical principles to be used to guide decision-making and actions. AHIMA stands for American Health Information Management Association, while AAPC is also known as the American Academy of Professional Coders. Virtue ethics asks of any action, "What kind of person will I become if I do this?" The association says it revised the standards because of the increasingly important role quality coding plays in complying with regulations governing payment for health care services and in curbing fraud and abuse. What ethical practices must the medical biller follow in order to maintain a patient's privacy? The code does not provide a set of rules that prescribe how to act in all situations. Click to see full answer. 13.1. As a medical billing specialist, you have access to very private patient information. Disclose any real or perceived conflicts of interest. A non-inclusive list of examples includes: Refer to the AHIMA Standards of Ethical Coding for additional guidance. 1.5. There are two organizations which provide certification for would-be medical coders: the AHIMA and the AAPC. 7.5. 2.3. 1.2. Establishes a set of ethical principles to be used to guide decision-making and actions. Be an advocate for the profession in all settings and participate in activities that promote and explain the mission, values, and principles of the profession to the public. HIM & Ethical Decision Making: Complex Challenges. 10.5. 13.3. Safeguard the privacy and security of written and electronic health information and other sensitive information. allowing patterns of optimizing or minimizing documentation and/or coding to impact payment assigning codes with physician documentation miscoding to avoid conflict with administration practicing negligent coding. In addition, sensitive information (e.g., genetic, adoption, substance use, sexual health, and behavioral information) requires special attention to prevent misuse. Respond promptly and appropriately to consumer requests to exercise their privacy rights (e.g., access, amendments, restriction, confidential communication, etc.). Develop and enhance continually professional expertise, knowledge, and skills (including appropriate education, research, training, consultation, and supervision). Clifton Park, NY: Cengage Learning; 2014. Take responsibility and credit, including authorship credit, only for work one actually performs, or to which one contributed. AHIMA’s Revised Standards of Ethical Coding Available. Obey the law. This started from the premise that the “Health Information Management” has the commitment and responsibility of displaying acts which mirror “values, ethical principles, as well as, ethical guidelines” (American.., 2004). 9.1. Intetionally action that cause harm. Inform recipients of the limitations and risks associated with providing services via electronic or social media (e.g., computer, telephone, fax, radio, and television). What are cultural artifacts in an organization? 9.3. The ethical obligations of the health information management (HIM) professional include the safeguarding of privacy and security of health information; appropriate disclosure of health information; development, use, and maintenance of health information systems and health information; and ensuring the accessibility and integrity of health information. The AHIMA Code of Ethics serves six purposes: The code includes principles that are enforceable and aspirational. The Standards ofEthical Coding are important established guidelines for any coding professional and are based on theAmerican Health Information Management Association's (AHIMA's) Code of Ethics. Healthcare consumers are increasingly concerned about security and the potential loss of privacy and the inability to control how their personal health information is used and disclosed. Processwork re… In addition, professional values may require promoting confidentiality, facilitating interdisciplinary collaboration, and refusing to participate or conceal unethical practices. 4.6. What is internal and external criticism of historical sources? (See also AHIMA Mission, Vision, Values) The code is relevant to all AHIMA members, non-members with the Commission on Certification for Health Informatics and Information Management (CCHIIM) certifications, and students enrolled in a formal certificate or degree granting program directly relevant to AHIMA’s Purpose regardless of their professional functions, the settings in which they work, or the populations they serve. Answer truthfully all consumers’ questions concerning their rights to review and annotate their personal biomedical data and seek to facilitate consumers’ legitimate right to exercise those rights. Design or conduct evaluation or research that is in conformance with applicable federal or state laws. Moreover, a code of ethics cannot resolve all ethical issues or disputes or capture the richness and complexity involved in striving to make responsible choices within a moral community. It is closely associated with the maxim primum non nocere (first do no harm). autonomy and confidentiality. National Association of Social Workers. The AHIMA Code of Ethics serves seven purposes: Promotes high standards of HIM practice. Autonomy(freedon to decide right to refuse)confidentiality(private information) social justice. Advocate for changes in policy and legislation to ensure protection of privacy and confidentiality, compliance, and other issues that surface as advocacy issues and facilitate informed participation by the public on these issues. ;; Establishes a framework for professional behavior and responsibilities when professional obligations conflict or ethical uncertainties arise. AHIMA formed a task force back in April 2016 to work on the review of and revisions to the Standards of Ethical Coding. Honesty. 9.5. The American Health Information Management Association (AHIMA) is the leading voice and authority in health information, wherever it is found.Our people work at the intersection of healthcare, technology, and business. Appreciate the people who help and support you. Value all kinds and classes of people equitably, deal effectively with all races, cultures, disabilities, ages and genders. Upcoding Researching a condition Querying a provider Consistent coding Question 2 0 / 4 pts These Standards of Ethical Coding have been revised in order to reflect the current healthcare environment and _____ coding practices. What organizations offer a code of ethics for coders? Uphold the decisions made by the association. Examples of clinical indicators include: provider observations (physical exam and assessment), diagnostic findings, treatments, etc. Contribute to the knowledge base of health information management and share one’s knowledge related to practice, research, and ethics. Coding is recognized as one of the core health information management (HIM) functions within healthcare.Due to the complex regulatory requirements affecting the health information coding process, codingprofessionals are frequently faced with ethical coding and coding-related challenges. 11.4. The American Health Information Management Association (AHIMA) Code of Ethics sets forth these principles. The AHIMA Standards of Ethical Coding are intended to assist coding professionals and managers in decision-making processes and actions, outline expectations for making ethical decisions in the workplace, and demonstrate coding professionals’ commitment to integrity during the coding process, regardless of the purpose for which the codes are being reported. committees, substantiated the content regarding the principles, processes, standards and tracking of ethical review, specified the basic scope of informed consent, and defined the responsibilities and tasks of medical ethics committees at medical institutions, as well as those at the national and provincial levels. Summarizes broad ethical principles that reflect the profession's core values. As noted above, ethical standards ensure that coders are vigilant about confidentiality so patients’ medical information is not wrongly shared with third parties. 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