Activity: AHIMA Standards of Ethical Coding
1.
2.
3.
4.
5.
6.
7. CODING
8. CONSISTENTLY
15. HONOR
21. QUERY
ADVOCATING
9. CONTINUING
16. INCREASE
22. REPRESENT
BEHAVIOR
10. DESCRIPTION
17. NECESSARY
23. SELECTION
CHANGE
11. DISCOURAGE
18. PARTICIPATE
24. SEQUENCE
COLLABORATION
12. ENHANCE
19. PRACTICES
25. SKILLS
COMMUNICATION
13. ENVIRONMENT
20. PROFESSIONAL
26. UNETHICAL
CONFIDENTIALITY
14. EXTERNAL
EXAMPLE:
0
Participate in the development of institutional__________policies and ensure that coding
policies complement, and do not conflict with, official coding rules and guidelines.
1. __________provider (physician or other qualified healthcare practitioner) for clarification and
additional documentation prior to code assignment when there is conflicting, incomplete, or
ambiguous information in the health record regarding a significant reportable condition or
procedure or other reportable data element dependent on health record documentation (e.g.
present on admission indicator).
2. Access only that information__________to perform their duties.
3. Act in a__________and ethical manner at all times.
4. Act in an honest manner and bring__________to self, peers, and the profession.
5. Advance coding knowledge and practice through__________education.
6. Apply accurate, complete, and consistent coding__________for the production of high-quality
healthcare data.
7. Apply__________, knowledge of currently mandated coding and classification systems, and
official resources to select the appropriate diagnostic and procedural codes (including
applicable modifiers), and other codes representing healthcare services (including substances,
equipment, supplies, or other items used in the provision of healthcare services).
8. Assign and report only the codes that are clearly and__________supported by health record
documentation in accordance with applicable code set conventions, rules, and guidelines.
9. Assist and educate physicians and other clinicians by__________proper documentation
practices, further specificity, and re-sequence or include diagnoses or procedures when
needed to more accurately reflect the acuity, severity, and the occurrence of events.
10. Coding professionals shall not change the__________for a diagnosis or procedure code or
other reported data element so that it does not accurately reflect the official definition of that
code. 1 AHIMA. (2014). Standards of Ethical Coding. Retrieved from
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok2_001166.hcsp?
dDocName=bok2_001166 11. Demonstrate__________that reflects integrity, shows a commitment to ethical and legal
coding practices, and fosters trust in professional activities.
12. Facilitate interdisciplinary__________in situations supporting proper coding practices.
13. Foster an__________that supports honest and ethical coding practices resulting in accurate
and reliable data.
14. Maintain and continually__________coding competency (e.g., through participation in
educational programs, reading official coding publications such as the Coding Clinic, and
maintaining professional certifications) in order to stay abreast of changes in codes, coding
guidelines, and regulatory and other requirements.
15. Protect the__________of the health record at all times and refuse to access protected health
information not required for coding-related activities (examples of coding-related activities
include completion of code assignment, other health record data abstraction, coding audits,
and educational purposes).
16. Refuse to participate in or conceal__________coding practices or procedures.
17. Refuse to__________in or support coding or documentation practices intended to
inappropriately increase payment, qualify for insurance policy coverage, or skew data by
means that do not comply with federal and state statutes, regulations and official rules and
guidelines.
18. Refuse to__________reported codes or the narratives of codes so that meanings are
misrepresented.
19. Report all healthcare data elements (e.g. diagnosis and procedure codes, present on
admission indicator, discharge status) required for__________reporting purposes (e.g.
reimbursement and other administrative uses, population health, public data reporting,
quality and patient safety measurement, research) completely and accurately, in accordance
with regulatory and documentation standards and requirements and applicable official coding
conventions, rules, and guidelines.
20. Select and sequence the codes such that the organization receives the optimal payment to
which the facility is legally entitled, remembering that it is unethical and illegal
to__________payment by means that contradict regulatory guidelines.
21. Select and__________diagnosis and procedure codes in accordance with the definitions of
required data sets for applicable healthcare settings.
22. Support__________of appropriate diagnostic, procedure and other types of health service
related codes (e.g. present on admission indicator, discharge status).
23. Take adequate measures to__________, prevent, expose, and correct the unethical conduct
of colleagues.
24. Truthfully and accurately__________their credentials, professional education, and
experience. 2 AHIMA. (2014). Standards of Ethical Coding. Retrieved from
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok2_001166.hcsp?
dDocName=bok2_001166 25. Use queries as a__________tool to improve the accuracy of code assignment and the quality
of health record documentation, not to inappropriately increase reimbursement or
misrepresent quality of care. 3 AHIMA. (2014). Standards of Ethical Coding. Retrieved from
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok2_001166.hcsp?
dDocName=bok2_001166

 

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