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Classification Systems

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Submitted By idolized
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Classifications Systems
Coding is the same as any other process, there are obligations and rules that must be upheld. You have to complete all the steps in that process to code correctly and produce accurate results. You should not skip steps, every step is there for a reason. As a coder, it is your job to provide correct codes that are not close to the actual code, but codes that are the actual code.
I feel that this coder’s approach is unconventional and unethical. Each step included in the process is very important to the outcome of the codes; skipping steps can affect the final results. Coding is a process that takes time and care. This is why the specialist must pay careful attention to each step, if the specialist is not willing to put in that time, then the outcome will most likely contain errors. Leaving out steps can cause many problems. It could result in problems for the coders, the medical facility, and even the patient. If the coder skips a step, he/she might produce the wrong code, which could result in other errors possibly dealing with billing or even prescriptions. The patient could receive the wrong type of treatment if their diagnosis was coded wrong; this could lead to lawsuits and even job loss.
I would talk to the specialist about how they code and see if I can deter them from that path with facts. I would explain about the damage that may happen resulting from their negligence. If all of my attempts fail, I will have to report them to my supervisor because of their actions. They could seriously hurt someone or even the facility financially.
The medical record is important. It pertains to a patient’s care, insurance, and history. There are four important purposes that it serves:
• To document the services and care of patient history for personal, billing and insurances
 It helps track services you received when it is time for insurances to be billed.
• To track medical history which can be used in times of emergency
 health facilities can pull up your medical record to gain information on you that could be helpful when it comes to your health.
• To be used in research and statistics whether state or national
 Your healthcare information can be included to aid in research for cures with diseases
• To be used demographically for family
 You medical history also can be very helpful to your family members.

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