SOLVED3529

A patient came in for surgery and developed a post-operative infection. The patient had multiple comorbid conditions, which provided several CC and MCC conditions that were captured in coding. However, the coder left off the post-op infection code knowing it would impact the physician’s quality of care score. Is this acceptable, ethical practice? Why or why not? 31Answer a. Yes; coders have discretion in which codes to assign on every case. b. No; coders cannot intentionally omit codes in order to affect quality scores. c. Yes; since it will not impact reimbursement, there is no issue. d. No; the coding of the post-op infection would have impacted reimbursement.
SCIENCE
HEALTH SCIENCE
NURSING

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