What options does the coder have

Reference no: EM133323832

Case Scenario:

In a large, for-profit, multi-specialty clinic, strong emphasis is placed on optimizing revenue opportunities for private-payer patients. The coding supervisor, who holds RHIT and CCS credentials, has informed the coding staff they must consistently assign E&M codes at a higher level than documentation supports.

One of the coders, also CCS-credentialed, has expressed her concerns about the appropriateness of this direction. The supervisor has indicated these comments are unwelcome and implied the coder should perhaps seek employment elsewhere if she has concerns. However, this is the only healthcare facility within the community, and the coder is a single parent with financial responsibilities for her family.

After reading the scenario in the above resources section, answer the following questions:

What Standards of Ethical Coding does this scenario potentially violate?

What is the ethical concern presented in this scenario?

What are the risks to the clinic if the supervisor's instructions are carried out?

What options does the coder have?

What would you do if you were the coder?

Reference no: EM133323832

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