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Essay / Research Paper Abstract
This 3 page paper responds to two diverse topics. The first one discusses the question: Is medical coding the process of operationalizing the construct of "severity" -- or the construct itself? The writer determines the illness and severity is the construct. The second question is about medical consent forms and provides a real court case as an example. Bibliography lists 5 sources.
Page Count:
3 pages (~225 words per page)
File: MM12_PGmdcnt.rtf
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Unformatted sample text from the term paper:
procedure and a process. It is not a construct. As a noun, construct is defined thusly: "something that has been systematically put together, usually in the mind, especially a complex
theory or concept" (Encarta(r) World English Dictionary, 1999). Diagnosis is a concept and a complex theory, thus, diagnosing is a construct. The severity of the illness is also a complex
theory, thus, a construct. The practice of medical coding, however, is not a construct, it is an act, a system. If a diagnosis or the severity of the illness
are not coded correctly, the physician and/or hospital will not be paid by third-party payers (Friedman and Gatehouse, 2007). These authors warn that medical coders must be well-trained and efficient
and they must be rewarded for their work in order to be highly productive (Friedman and Gatehouse, 2007). Staff members must keep on the latest information about coding because it
changes along with the healthcare environment itself (Friedman and Gatehouse, 2007). The final alert from these authors is for institutions to use Web-based coding systems because technology can help coders
be more efficient and more accurate (Friedman and Gatehouse, 2007). A good example of what happens when coding is not performed correctly is offered by Robbins and Webb (2006). The
researchers found that persons who had diabetes were often readmitted to the hospital within 30 days of discharge (Robbins and Webb, 2006). The patients record had not been coded with
the diagnosis of diabetes (Robbins and Webb, 2006). The investigators stated that after adjusting the data for age, insurance, etc, "the absence of a diabetes diagnosis was a highly significant
predictor of rehospitalization" (p. 292). These authors concluded that because diabetes was not included in the medical coding for the patient, there was a failure to provide education, etc., instead,
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