Question

Given the OIG fraud and abuse campaign, it is essential that HIM professionals do all of the following EXCEPT:

a. Manage information in a timely and responsible manner.

b. Clarify documentation and assertions of the providers if there appear to be inconsistencies.

c. Refuse to code inaccurately unless pressures to capture more money for the facility take priority.

d. Maintain awareness of requirements for coding and documentation as set forth by governmental, regulatory, and professional groups.

e. Ensure that documentation processes capture accurate and timely information.

Answer 1

Answer: (c) Refuse to code inaccurately unless pressures to capture more money for the facility take priority.

Explanation : the right corrected option for (c) is Refuse to code inaccurately unless pressures to capture more money for the facility.

Given the OIG fraud and abuse campaign, it is essential that HIM professionals do the following :

• Code all diagnosis and services accurately.

• (a.) Manage information in a timely and responsible manner.  

• (b) Clarify documentation and assertions of the providers if there appear to be inconsistencies.

• (c) Refuse to code inaccurately unless pressures to capture more money for the facility.

• (d) Maintain awareness of requirements for coding and documentation as set forth by governmental, regulatory, and professional groups.

• (e). Ensure that documentation processes capture accurate and timely information.