Question

Apply the ethical decision-making to a case where you work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.

Answer 1

Physician payment and facility ownership interest make conflicts for their payment system. physician ownership of health care facility and self-referral practice is a major conflict of interest that challenges the government for their effort, limitation and eliminating benefits. The physician enters the type of code that can make high reimbursement. high level of reimbursement procedure makes major major benefits for them. Health care professionals are important privileges to follow ethical standards for maintaining competence, trustworthy to make benefit patients and society. when a physician enters the wrong code for their reimbursement purpose is unethical that it is against their professionalism. Institutions must enforce employees' adherence to their policies and codes of ethics. professional society and health care providers should adopt supportive policies. It was correct to call the physician directly to follow practice with high standards and ensure professionalism.