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May 21, 2021

Question 1: As an inpatient coder

General Questions

Question 1: As an inpatient coder, you have been instructed by your coding supervisor to code all debridement as excisional. You are not comfortable with this practice and tried to discuss it with her, but she stated that you are to follow her instructions and not issue queries. You went to the HIM director, who only half-listened to your concerns, saying that the coding supervisor must have a good reason for the instruction. The other coders are following her instructions without question. You are reluctant to get into trouble for not following the instructions and equally worried that the coding supervisor will retaliate against you in some manner if you report this practice. Please number your answers. (Competency V.3, level 5)

1. Assess and provide a minimum of three options you have in this situation.

2. Appraise the impact of the False Claim Act as it relates to this situation.

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