Coder Small Community Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to coder small community and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves coder small community. A strong answer should include explanation, application, and examples.

Original Question

You are a coder in a small community hospital. You sent a query to Dr. Smith because you are coding one of her patients who was admitted with bacterial pneumonia for the second time in the last two months. He also has a secondary diagnosis of oral thrush. Because you also code outpatient clinic records, you recognize that he is also a patient in the infectious disease clinic and was diagnosed HIV positive there last year. You are aware that, per CDC guidelines, multiple admissions for bacterial pneumonia and a diagnosis of oral thrush in an HIV patient are both indicators for Acquired Immune Deficiency Syndrome (AIDS); however, Dr. Smith has not made any reference in the record to HIV or AIDS. Dr. Smith has now come to see you in person and is telling you in no uncertain terms that it’s not your business to tell her how to diagnose a patient and to just leave it off. Because Dr. Smith didn’t document the diagnosis you comply and do not assign any code for HIV or AIDS to the record. Ethical, or no?

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