Kelly was a new coder who had never held an HIM job before.
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case study
Kelly was a new coder who had never
held an HIM job before. She had just graduated
from college and passed her RHIT when she was
hired by a local clinic and she was excited to start
working. A few weeks later, her manager asked to
meet with her. The manager closed the door and
told Kelly that she wanted her to code the health
record for a particular procedure using two codes
instead of one so the reimbursement would be
higher. The manager then proceeded to divulge
information that the clinic was struggling financially
so anything extra would help. Kelly got the
impression that if she did not comply, they would
let her go. She really needed the job and since it
was her boss asking, she felt obligated to get it done as she
was told.
Questions:
Read “Real-World Case 21.1” on page 675 of your textbook. Using Figure 21.2 (page 668 of your textbook) on the seven considerations that should be asked by HIM professionals faced with an ethical decision; answer the following questions about this “Real-World” case.
Identify the ethical question in this case?
What are the facts in the case?
Who are the stakeholders?
What options does Kelly have?
What is the decision (what HIM values are at stake)?
What justifies the choice?
What preventive measures may be taken so that this issue is not repeated?
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