The Use Of Unspecified Codes Essay

Questions:

1.The use of ‘Unspecified’ codes by HIMs and CCs, when they are coding Injuries and Nosocomial Complications, is often a result of inadequate documentation by clinicians.Do you agree with this statement or not?

2.The quality of Coded Data is compromised by the HIMs’ / CCs’ inexperience in coding or lack of clinical knowledge.Do you agree with this statement, or not?

3.The classification used for assigning diagnosis and procedure codes for injuries and nosocomial Complications in Australia needs improvement.Do you agree with this statement, or not?

Answers:

1.The use of ‘unspecified’ codes by HIMs and CCs, when they are coding injuries and nosocomial complications, is often a result of inadequate documentation by clinicians.
I agree with the statement that the use of unspecified codes by the HIMs is due to poor documentation by the clinicians. It is because most of the researchers that have been published do not show the reluctance of the patient in giving out information. As such, the lack of enough data is attributed to the clinicians who may insufficiently record the patient information or question him. The clinicians need to update the documentation of nosocomial complications for efficient coding frequently. Documentation plays a significant role in coding, as the periods are vital while coding. It also inhibits the wrong reflection of the illness. Sometimes the herbal medicines, which sometimes have severe effects on the patients, are not recorded. It leads to grave consequences to the patient as well as the HIMs since the patient may deteriorate in health when given the wrong medication. It also affects the HIMs diagnoses as they follow the misleading documentation making them follow the wrong procedures. The patient also does not get the health care resources needed for him because of poor coding emanating from false documentation

2.The quality of coded data is compromised by the HIMs / CCs’ inexperience in coding or lack of clinical knowledge.

I highly rank this statement as the statistics that various researchers have made show that about 50%of cases in Australia have been correctly documented. (Cunningham, et al. 2013). However, though the cases are accurately recorded there is an inadequacy in coding which brings adverse effects. To rectify the situation one should carefully examine the information; it involves paying attention to the definitions, as each of them is crucial in identifying the complications such as allergies. The improvement in coding might be made by conducting training. Training should frequently be conducted about the complications to add to the expertise knowledge as well as the proper definition of the complications.


3.The classification used for assigning diagnosis and procedure codes for injuries and nosocomial complications in Australia needs improvement.

I agree with the statement that the classification that is currently used in assigning the diagnosis, as well as procedure codes for injuries, needs to be improved.one of the aspects that need to be examined is the language that is used in coding. The language that is currently used is so complex hence; there is a need to improve on it. The classification is also so sophisticated hence; there is a need to make it bit simple. Improvement also needs to be done on the entry system since with the current regime at times some information misses out. However the current classification is better than the paper work that led to legibility problems, it just needs few improvement. (Paul& Robinson, 2012

References

Cunningham, J., Williamson, D., Robinson, K.M. and Paul, L. 2013. A comparison of state and national Australian data on external cause of injury due to falls. Health Information Management Journal 42(3): 4-11.

Paul, L. and Robinson, K. 2012. Capture and documentation of coded data on Adverse Drug Reactions: an overview. Health Information Management Journal 41(3): 27-36.

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