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American Health Information Management Association Standards of Ethical Coding [2016 version]

Author: AHIMA House of Delegates

Source: AHIMA

Publication Date: December 2016

The AHIMA Standards of Ethical Coding are intended to assist and guide coding professionals whether credentialed or not; including but not limited to coding staff, coding auditors, coding educators, clinical documentation improvement (CDI) professionals, and managers responsible for decision-making processes and operations as well as HIM/coding students. The standards 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.

Ethical Standards for Clinical Documentation Improvement (CDI) Professionals (2016)

Author: AHIMA

Source: AHIMA

Publication Date: June 2016

The AHIMA Ethical Standards for Clinical Documentation Improvement Professionals are intended to assist in decision making processes and actions, outline expectations for making ethical decisions in the workplace, and demonstrate the professionals' commitment to integrity. They are relevant to all clinical documentation improvement professionals and to those who manage the clinical documentation improvement (CDI) function, regardless of the healthcare setting in which they work.

Spoliation of Medical Evidence

Author: Tomes, Jonathan P.

Source: Journal of AHIMA

Publication Date: October 2005


To avoid the improper destruction or alteration of records, HIM departments must follow a retention schedule, train personnel, and ensure that corrections leave original entries intact.
Although the legal concept known as spoliation of evidence has been a part of the American legal syste....

Coding Ethically

Author: Bronnert, June

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2005


With the many reimbursement issues and regulatory requirements surrounding coding, it is sometimes necessary for coders to refamiliarize themselves with what it means to code ethically. AHIMA’s Coding Policy and Strategy Committee developed the Standards of Ethical Coding, which were app....

Are Ethics Guiding Your Workplace?

Author: Yokubaitis, Pamela R.

Source: Journal of AHIMA

Publication Date: September 2003



Sanctions under the HIPAA regulations mean serious financial consequences for healthcare professionals who release protected health information to others without following proper disclosure protocols. But HIM professionals should not be motivated by fear of financial consequences alone. Ou....

HIM & Ethical Decision Making: Complex Challenges

Author: Harman, Laurinda B.

Source: AHIMA Convention

Publication Date: October 10, 2001




The successful health information management (HIM) professional (RHIT and RHIA) must be simultaneously passionate about two things: (1) information management expertise and (2) ethical principles and professional values. Technical expertise without ethical principles and professional....

Blue-ribbon Approach to Compliance

Author: Meaney, Mark E.

Source: Journal of AHIMA

Publication Date: September 2001

The seeds of today’s compliance movement were first sown 60 years ago in a one-car shed in Palo Alto, CA. With a mere $538 in start-up capital, Bill Hewlett and David Packard launched a high-tech revolution and created a bellwether of the modern economy when they founded Hewlett-Packard (HP).
....

On The Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: July 2001


Q: It's difficult to research and write organizational policies because of the myriad external forces governing the same healthcare issues. Do you have guidelines to help ensure we don't miss any mandates?

Q: How does a healthcare organization deal with conflicting directives betwee....

Drafting Policy on Business Ethics

Author: Dingman, Barbara

Source: Journal of AHIMA

Publication Date: April 2001




The Office of Inspector General’s (OIG) attention to fraud and abuse has certainly changed the way hospitals and their vendors conduct business. For many years, it has been common practice for vendors to court their clients with gifts and outings to get their product purchased, and....

Conduct is Their Business

Author: Byrd, Katherine

Source: Journal of AHIMA

Publication Date: March 2001




Suppose you were asked to do something unethical on the job. What if you were asked by your supervisor to hide delinquent charts just prior to a Joint Commission survey? What would you do?

As a profession, HIM professionals understand our moral obligation to the patient to p....

Ethics in Practice: Asking the Right Questions

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2001


When was the last time you had to decide the right thing to do? Recall a time when an employee asked your advice about what action would be right or wrong. What words would you would use to describe how you made the decisions? Words like "judgement," "intuition," a....

Groups Offer E-health Ethics Smorgasboard

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: July 2000


E-health experts nationally are hard at work developing guidelines for this rapidly growing industry. Recently, three sets of guidelines were issued—by an advisory committee to the Federal Trade Commission, by the Internet Healthcare Coalition (IHC), and by a group of information....

IHC Eyes E-health Code of Ethics

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: June 2000


The privacy of personal information on the Internet is a hot topic nationwide. Is an e-health code of ethics in order? AHIMA and several other organizations are offering guidance this spring to the industry's first attempt at one.

Together with the American Medical Informa....

E-health Code of Ethics Under Way

Author:

Source: Journal of AHIMA

Publication Date: May 2000


The Internet Healthcare Coalition (IHC) held a working summit from January 31 through February 2 to begin the development of an international "e-health Code of Ethics." The summit produced a set of guiding principles to govern the behavior of all health sites on the Internet. T....

Common (and Uncommon) Ground

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: June 1999


On a trip to Dublin this spring, I met with several officers of the Healthcare Informatics Society of Ireland. During this visit, we talked about health information management, finding common ground on topics like:
Year 2000 compliance
the need for clinical vocabulary....

Journal Q&A (4/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 1998


Q: I have a deposition scheduled for next week. The issue at hand is whether a preprinted manufacturer's instruction sheet on how to use a piece of medical equipment should be a part of the medical record. Our position is that it should not be included because it does not reflect ....

Journal Q&A (1/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 1998


Q: I am a coder in a hospital HIM department. I am being pressured to code in a manner I believe to be fraudulent in order to maximize reimbursement and improve the hospital's case mix. What should I do?

A: Always remember to exhaust all avenues for resolving the matter....

Standards and Guidelines for Occupational Health Recordkeeping

Author: Lynch, John J

Source: Journal of AMRA

Publication Date: February 1986

The occupational health record guidelines and standards of the American Industrial Hygiene Association, the American Occupational Medical Association, the American Medical Association, and the American Association of Occupational Health Nurses are reviewed. These guidelines and standards are, for the most part, consistent with health record content and format in other health care settings.

Components of Occupational Health Information Systems

Author: Lynch, John J

Source: Journal of AMRA

Publication Date: January 1986

Four databases are essential to the effectiveness of an occupational health information system. These are: job history, work site exposure, environmental agents and health and safety information. The most frequently cited elements of each data base are presented, as are the factors common to successful occupational health information systems.