Question 1

Using the AHIMA Code of Ethics as a framework, you will make decisions on the best solutions

Review the following resources

• AHIMA Code of Ethics(Links to an external site.)
• UC San Diego Ethics Awareness(Links to an external site.)

Part 1

Read the AHIMA Code of Ethics document.

Read the UC San Diego Ethics Awareness(Links to an external site.) page (read each section from Overview through Ethical Decisions - Things to Ask

During the workshop, you will be provided with work scenarios. Be prepared to participate in the workshop by sharing your findings and decisions from content presented in Part 1 and during the workshop. Submit a minimum of a one-page summary of the information you learned in the AHIMA Code of Ethics and the UC San Diego Ethics Awareness information. Be sure to include references to support your analysis.

Question 2

Physician Query Process

Objectives: At the conclusion of this assignment, the student should be able to design2 different physician queries, yes/no, open-ended, or multiple choice to request clarification about documentation. After reviewing all of the resources provided you will design 2 physician queries to address the conditions identified CT impressions. We will reflect the answers to the queries in our feedback. You will submit a word document with both queries included and submit it here.

Utilizing the medical record for patientFrank Stauffer

Actions

, you will take the next steps in capturing all pertinent information from a medical record. It is common to encounter information within a document that requires clarification. This is where a physician query comes in. The example below was pulled from the document we will use this week as well.

Example:

The patient, Frank Stauffer, is diagnosed with possible sepsis and CAP, Alcoholic dependence in remission, and a smoker. The vitals note that the patient has a blood pressure of 180/110.

Can the blood pressure be further specified as:

• Attributed to Sepsis__________________
• Elevated Blood Pressure reading without a diagnosis of Hypertension____________________
• Hypertension___________________
• Undetermined________________________________

Please amend the patient record as needed.

Question 3

This assignment is designed to expand your understanding of sequencing diagnoses codes and how the Official Coding Guidelines and the Chapter-Specific Coding Guidelines direct code application and sequence.

Review the following resources to expand your knowledge regarding the understanding of the selection of First-Listed or Principal Diagnosis as they pertain to outpatient or inpatient settings:

• Sequence ICD-10-CM Codes for Proper Payment(Links to an external site.)
• Diagnosis Codes and Sequencing(Links to an external site.)
• When You Can and Cannot Code a Diagnosis(Links to an external site.)
• Principal Diagnosis - ICD-10-CM Guidelines for Inpatient Coding(Links to an external site.)

Only one group member should upload the discussion submission. Once the discussion is graded, all participating group members will receive a grade in Canvas. Once all discussions have been graded, you will be able to review all group submissions.