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Monday, July 7, 2014
  Clinical Accuracy Spoken Here  

Ethics in CM:
Look Out for EHR Bad Habits

Ethical and quality problems which may occur and which CMs should be aware of include some EHR features that inadvertently enable careless and harmful shortcuts, such as:

  • Copying and pasting data from other clinicians
  • Authorship ambiguities
  • Misleading history and physical examinations
  • Failure to review pre-populated data
  • Inadequate discharge summaries
  • Impairments to patient-physician communication
CMs and other transdisciplinary team members such as health information management (HIM) professionals should be on the look out for EHR documentation bad habits.

[Reference: Ethics in CM, Module B, CM Ethics and EHRs]
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  Excellence in Case Mgmt  

Ethics in CM:
Fraud - Intentional, Unethical

Fraud and abuse are unethical behaviors and are also crimes which must be reported if a person knows they are being committed. Providers and in some cases beneficiaries commit fraud.

Up-coding refers to the practice of assigning a code that commands more money than the correct code would pay. Up-coding is fraudulent and illegal medical billing which ultimately costs the health care system including individual patients, providers and payers money. Any provider who knowingly up-codes is breaking the law.

Unlike fraud, abuse is an unintentional practice that directly or indirectly results in an overpayment to the healthcare provider.

[Reference: Ethics in CM: Module B, CM Ethics and EHRs]
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  Improving Patient Care...  

Ethics in CM:
Ethical Use of Technology

Technology is inherently neither ethical nor unethical. It is the intent and means by which the technology is implemented and utilized that impact the question of appropriate use.

Issues of concern regarding the legal and ethical aspects of telemedicine include the:

  • Responsibilities and potential liabilities of the health professional
  • Duty to maintain the confidentiality and privacy of patient records
  • Jurisdictional problems associated with cross-border consultations
  • Reimbursement for care provided using a telemedicine service
Telehealth technology must be developed and deployed through the use of strict standards.

[Reference: Ethics in CM: Module C, Ethics in Telecare]
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Tom RasmussenTom Rasmussen
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