What might an him professional do to maintain ethical

Assignment Help HR Management

Reference no: EM133335752

What is the 2020 code for disease/disorder/diagnosis in ICD-10_CM for Thoracoscopic lung biopsy for lung cancer ( The codes require a 5th digit to identify laterality. )

what is the code for the procedure in ICD-10-PCS lung biopsy (there isn't a table 0HV in the PCS manual)

PCS coding for an inpatient procedure. The procedure is for lung biopsy for lung cancer

Scenario:

The HIM medical record analyst is assessing the medical record of patient Susan Smith. This patient was discharged yesterday. The analyst notes that the record does not have a history and physical document. The analyst recalls that every medical record needs a history and physical per the Joint Commission standards. In an effort to do her job, the analyst flags the record for the doctor to do a history and physical. At this hospital, if physicians do not complete their medical records, and they subsequently become delinquent, the physicians admitting privileges are suspended.

The next day, Dr. Tired logs into his computer and sees the incomplete flag for Susan Smith's record and that the history and physical document is missing. He knows that Susan Smith was worked up by the consulting physician after admission and he does not have notes from his own exam of the patient. Dr. Tired does not want to debate the situation, so he simply reviews the notes from the consultant and fills out the history and physical form using the information from the consulting physician's exam. Then he uploads the history and physical to Susan Smith's record so that he will not be suspended.

Question 1) Identify and describe as many issues as you can think of with Dr. Tired's history and physical exam and the reasons of why this retrospective recording of a history and physical should not have occurred

Question 2) If this case goes to court, will it represent care as it was truly delivered to the patient? Or, does the history and physical make a difference? Explain in detial

Question 3) What might an HIM professional do to maintain ethical standards of compliance and mitigate/prevent this kind of problem from occurring?

Reference no: EM133335752

Questions Cloud

Develop and sustain a competitive advantage : MGT 7750 Wilmington University discuss what you believe is the best way to develop and sustain a competitive advantage. Does this have an application

Develop a detailed asset management strategy to ensure : For this assessment, you are to assume you will be opening a small cafe. In doing so, you are to develop a detailed asset management strategy to ensure

Assess the corporate social responsibility issues : Assess the ethical issues in this case. Assess the corporate social responsibility issues in this case. Suggest the best action plan to be in-line

What type of would include in project management plan : What type of information would you include in the project management plan (for that knowledge area), and why; and to what level of detail and formality?

What might an him professional do to maintain ethical : HIT 225 Tacoma Community College What might an HIM professional do to maintain ethical standards of compliance and mitigate/prevent this kind of problem from

Describe the anadarko petroleum corporation : How attractive is the industry described in the Anadarko Petroleum Corporation: Leading Transformational Change?

How should gaines apply the guidance in the staff q&a : Are any or all of the rent concessions eligible for the relief provided in the Staff Q&A? If eligible, how should Gaines apply the guidance in the Staff Q&A

How this task could be made more motivating : CMHR 405 Ryerson University Briefly describe the task or assignment. Using motivation theories that you have learned in this class, explain why the task

What are the key stages or steps in the buying process : What are the key stages or steps in the buying process for Quantumscape and what happens in each stage?

User Account

All Pages