HIM Ethics Scenarios
- HIM receives a call from a friend who asks whether or not she should consult with Dr. Doe who is on the staff of the hospital. HIM replies, “Heavens no, he doesn’t have many cases at the hospital, and his patients have a lot of complications after their surgery. You’d better go to Dr. Roe, he’s wonderful.
- At her exercise class, one of the members of the class expresses sympathy for an absent member who, she reports, has recently been hospitalized because of acute appendicitis. HIM remarks, “It wasn’t appendicitis at all, but of course, I can’t tell you what it was because that wouldn’t be ethical.”
- An inexperienced person has been employed to manage the health information department at a small neighboring clinic. This person asks HIM for advice. HIM, believing that he has more than enough to do taking care of his own work, tells this person that he cannot help her.
- A bill is returned from the fiscal intermediary with a letter requesting copies of records to justify the diagnosis and treatment. The code numbers that appear on the bill are different from those on the patient’s record. Upon checking, HIM finds that the codes on the bill put the case into a higher paying DRG and the documentation in the patient record does not justify the new codes. HIM decides to send portions of the record and not change the codes to see if the FI catches the discrepancy
For each of the three situations above answer the questions below based on the AHIMA Code of Ethics: - Determine if the health information management (HIM) professional acted ethically or unethically.
- If unethically, describe why the action was unethical.
- Describe how the situation should have been handled in an ethical manner
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Appendix C AHIMA Code of Ethics American Health Information Management Association Code of Ethics Preamble The ethical obligations of the health information management (HIM) professional include the safeguarding of privacy and security of health information; disclosure of health information; development, use, and maintenance of health information systems and health information; and ensuring the accessibility and integrity of health information. Healthcare consumers are increasingly concerned about security and the potential loss of privacy and the inability to control how their personal health information is used and disclosed. Core health information issues include what information should be collected; how the information should be handled, who should have access to the information, under what conditions the information should be disclosed, how the information is retained and when it is no longer needed, and how is it disposed of in a confidential manner. All of the core health information issues are performed in compliance with state and federal regulations, and employer policies and procedures. Ethical obligations are central to the professional’s responsibility, regardless of the employment site or the method of collection, storage, and security of health information. In addition, sensitive information (that is, genetic, adoption, drug, alcohol, sexual, health, and behavioral information) requires special attention to prevent misuse. In the world of business and interactions with consumers, expertise in the protection of the information is required. Purpose of the American Health Information Management Association Code of Ethics The HIM professional has an obligation to demonstrate actions that reflect values, ethical principles, and ethical guidelines. The American Health Information Management Association (AHIMA) Code of Ethics sets forth these values and principles to guide conduct. The code is relevant to all AHIMA members and CCHIIM…
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