Monday Memo  

Weekly update from...
Athena Forum logo

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]

  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]

  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]


Tom RasmussenTom Rasmussen
Athena Forum


NEW courses in Development

» Ethics in Case Management
» Breast Cancer Care
» Improving Outcomes in ESRD



Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum




Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Sepsis Care
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» CM Express®
» Discharge Planning
» Hospital Revenue Cycle
» Patient Advocacy
» Population Health
» Principles of Hospital CM
» Professional Identity
» Utilization Management



Athena Forum Help Desk
Mon-Fri 9am-5pm ET

Recommend to a friend
Tom Rasmussen, Publisher

Enrollment & passwords
Janice Graham, Registrar

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com