Coding Done Right: Ethics of Coding

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Waste, Abuse, and Fraud

Ethical Coding: Definitions of Waste, Abuse, and Fraud

Ethical Coding: Fraud and Abuse Laws

Review

Summary

Section 3: Ethical Coding General Principles 

Ethical Coding: Coded Data

Ethical Coding: The Coding Professional

Ethical Coding: Hospital Specific Coding Guidelines

Ethical Coding: Provider Querying

Review

Summary

Section 4:Ethical Coding Standards

Ethical Coding: Code of Etthics

Ethical Coding: Unethical Practices

Review 

Summary

Section 5: Medical Record Audits

Ethical Coding: Medical Record Audits

Ethical Coding: Medical Record Audit Contractors

Ethical Coding: Criminal Cases

Review

Summary

Section 6: Conclusion

Course Summary

Jane Conway is a Revenue Cycle, Coding, and CDI subject matter expert, content writer for Relias. She has ten years of experience in writing and maintaining ICD-10-CM/PCS eLearning curricula for inpatient and outpatient hospital settings. She is also an author and peer reviewer for other revenue cycle eLearning products. She has extensive knowledge in risk adjustment for CMS, HHS, and commercial payers. Jane has worked in healthcare for almost 30 years both in Health Information Management and pharmacy. Her pharmacy background adds a depth of knowledge to her courses. Jane is a Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), a Certified Risk Adjustment Coder (CRC), Certified Coding Specialist (CCS), and an AHIMA approved ICD-10-CM and ICD-10-PCS trainer. She is also a Certified Pharmacy Technician (CPhT).  Jane earned a Bachelor's degree in Health Information Management from the State University of New York Polytechnic Institute where she was the recipient of the New York Health Information Management Association (NYHIMA) Academic Achievement Award. 

Jane is active in NYHIMA, where she has served on the program planning committee and the education committee. Jane has also served as a credentials officer for NYHIMA. She recently was a keynote speaker at the NYHIMA annual conference and presented to both AAPC and CNYHIMA local meetings on several pertinent topics. She has also written several articles about new medical treatments for the NYHIMA newsletter.