Ethical decision-making to determine the proper course of action.

 

 

 

For this assignment, you will examine a scenario and apply sound ethical decision-making to determine the proper course of action.

Scenario:

Cindy Lou Kodingwho is a new coder at Southern Columbia Surgical Center. She works under the Office Manager, Martha May, but also closely works with the physicians directly when she needs documentation clarification.

Dr. Whobris is a physician at Southern Columbia Surgical Center. He sees a 12-year-old patient who has been previously seen for a right tibia fracture and casting at the Southern Columbia Surgical Center and is being seen again today for a new cast. Dr. Whobris indicates this cast should be billed separately from the previous visit.

Cindy Lou questions Dr. Whobris regarding the new cast and tells Dr. Whobris that she believes it should be bundled under the same surgical visit from the prior visit. Dr. Whobris insists this be coded as a new cast and separately from any prior service.

What is the potential ethical dilemma CindyLou is facing?
What are the facts of the situation?
What may be CindyLou’s assumptions, biases, emotions, and values attached to this dilemma?
Who are the stakeholders that are affected by this dilemma? What may be these stakeholder’s assumptions, biases, emotions and values attached to this dilemma?
What are CindyLou’s options?
What is the option(s) CindyLou should select? Justify the decision.
How can this dilemma be prevented in the future?
Why is it imperative that CindyLou follow all steps in this process? What benefit does it provide her professional growth and personal ethical decision-making skills?
What is the final code(s) that CindyLou will apply?

 

Sample Solution

The potential ethical dilemma that Cindy Lou Koding is facing is whether or not to go against the instructions of a physician in order to abide by coding regulations. This situation puts her in a difficult position between following the orders of her superior and adhering to the rules set forth by billing and coding guidelines. In this case, Cindy Lou may be tempted to follow Dr. Whobris’ instructions due to loyalty towards him as her superior even though she has doubts as to its accuracy.

The facts of this situation are that Dr. Whoobris instructed Cindy Lou Koding to code a new cast separately from any prior service for an 12-year-old patient who was seen for a right tibia fracture at the Southern Columbia Surgical Center previously and is being seen again today for a new cast. Despite this, Cindy believes it should be bundled under the same surgical visit from prior visit as per coding regulations.

Cindy Lou’s assumptions, biases, emotions, and values attached here likely include feelings of loyalty towards Dr. Whoobris since he is her supervisor despite feeling unsure about his decision which goes against medical billing guidelines; she may also feel anxious about making the wrong decision regarding how to bill this procedure correctly (Mintzer & O\’Connell, 2018). She may also question her own judgement due because she does not have sufficient knowledge on billing procedures nor experience with such situations (Maas & Pracilio 2016). Her values could include abiding by laws but also respecting authority figures such as Dr. Whobris while trying not make mistakes in order fulfill job duties according qualifications outlined within hospital policies (Hagerty et al., 2017)

 

My Earliest Memory

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First recollections of oneself can be effortlessly mistaken for manufactured recollections made by seeing old pictures, films, and hearing stories identified with one’s very own history. This is the situation for me: I have seen such a significant number of home films, heard such huge numbers of tales about myself, and seen such a significant number of pictures about my youth, I don’t know for certain what my first memory is in reality. Since I can’t pinpoint my first memory precisely, I will unfurl a progression of recollections that were the most punctual in my adolescence.

trees in windI recollect around evening time glancing through the huge glass windows of our front room at the tremendous pine trees and douglas fir trees, which brushed against our white fence. The trees would influence once in a while fiercely in the breeze, as it was basic in Seattle around evening time. I would watch the trees move, accepting to see many alarming and unusual shapes framing in obscurity, as though the trees were alive in a cognizant manner. The trees would move into the kinds of beasts my creative mind conjured up. I would inform my mom concerning the shapes and structures, yet as a typical mother would do, she attempted to quiet me down rather than cooperate with my ghostly obsession.

Another sharp early memory of mine was the point at which I analyzed my body. I was interested, as most kids may be, about the surface and type of the body we are given during childbirth. Since the beginning, I had four activities: two open heart medical procedures, and two hernia medical procedures. I would feel my scars, which scale up my chest and travel close to my crotch as though they were scenes, consumed into my skin until age would blur them away. Other than scars, I would savor over the littlest of points of interest about my eyes, which have hazel lines dashing away from the understudies. I would look at my life state through my eyes: I could perceive how I was all in all through them. My hands were likewise a state of interest for me: my left hand is altogether littler than my correct hand in light of medical procedures. Looking at them was and still is somewhat of a fixation of mine.

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I figured out how to ride a bike very early, however I don’t recollect the specific age. My dad was an expert cyclist at a certain point, and he needed his child to be sharp in the game too. Be that as it may, I recollect my first endeavor to ride a bike without preparing wheels finishing shockingly and entertainingly. Out on the central avenue alongside our home, where there were basically no vehicles driving around in those days because of less populace, I began OK on a little kid bicycle. My equalization was fine from the beginning, however then I got overexcited and lost my parity, in the long run crushing into our post box. In spite of the fact that my father was worried about my wellbeing from the start, after he saw that nothing genuine had transpired, he chuckled decisively and was making jokes about me. I didn’t feel disheartened—actually, I was snickering along following a couple of moments.

I have a lot progressively dispersed recollections that could consider first recollections, despite the fact that they are blended in with my impressions from watching home films, seeing pictures, and hearing anecdotes about my adolescence. We may not know our first memory for certain, yet once we attempt to uncover it, the world we lived in as a youngster pours through the perspective of visual idea, bringing back the air of this time into the present minute, similar to an incense smoke that delicately twists around our present detects.

exposition about existence, article design, chronicled essa

 

 

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