Posted: May 1st, 2025

Ethical Coding Scenario Part 2

Rubric Detail
A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item
and made it available to you. Select Grid View or List View to change the rubric’s layout.
Name: Week 1-5: Ethical Coding Scenario Rubric
Description: Paper requirements: 1. Demonstrates understanding of Scenario 2. The
student is able to identify appropriate elements of scenario. 3. The student is able to draw
appropriate conclusions from scenario.
Exit
Grid View
Reference
Review of
Scenario
Report
Requirements
Writing
List View
Poor
Basic
Competent
Distinguished
0 (0.00%) – 3
4 (5.33333%) – 7
(4.00%)
(9.33333%)
8 (10.66666%) 12 (16.00%)
13 (17.33333%)
– 15 (20.00%)
Does not
follow APA
style.
Major edits
needed. Learn
the details.
Minor edits
needed. Follow
the details.
APA style is
Perfect.
Appropriate
article
selection.
0 (0.00%) – 3
4 (5.33333%) – 7
(4.00%)
(9.33333%)
8 (10.66666%) 12 (16.00%)
13 (17.33333%)
– 15 (20.00%)
Does not show
understanding
of the
scenario.
Does not focus
on major
issues of
scenario.
Same as 5, but
selects couple
minor issues
or no
supporting
example
explained.
Major points
of each
scenario
identified and
discussed.
0 (0.00%) – 3
4 (5.33333%) – 7
(4.00%)
(9.33333%)
8 (10.66666%) 12 (16.00%)
13 (17.33333%)
– 15 (20.00%)
Paper is
missing 3 of
the
requirements
listed above.
Paper is
missing 2 of
the
requirements
listed above.
Paper is
missing 1 of
the
requirements
listed above.
Paper meets
all the
requirements
listed above.
Organization
of Writing
Poor
Basic
Competent
Distinguished
0 (0.00%) – 3
4 (5.33333%) – 7
(4.00%)
(9.33333%)
8 (10.66666%) 12 (16.00%)
13 (17.33333%)
– 15 (20.00%)
Turns in
something. not
college level
work at all. Get
help at the
writing center.
Major edits
needed. Get
help so you
learn the
process. You
will write a lot
as a teacher need to be a
competent
articulate
professional.
Minor edits
needed. Proofreading will
help you. Read
aloud to
yourself and or
ask others to
read it out
loud to you.
Clear articulate
writing used.
One or three
minor edits
needed to be a
perfect paper!
0 (0.00%) – 3
4 (5.33333%) – 7
(4.00%)
(9.33333%)
8 (10.66666%) 12 (16.00%)
13 (17.33333%)
– 15 (20.00%)
No
organizational
thought
demonstrated
in writing of
review, major
points
discussed in
the article, or
your thoughts
and ideas.
Major jumping
around on
points made in
review. Major
organizational
edits needed
to articulate
clearly.
Minor jumping
around on
points. Could
be better with
a few minor
moves.
Well organized
thinking that
reviews the
research,
discusses the
major points in
an order that
makes sense,
and closes
with your
thoughts.
Name:Week 1-5: Ethical Coding Scenario Rubric
Description:Paper requirements: 1. Demonstrates understanding of Scenario 2. The
student is able to identify appropriate elements of scenario. 3. The student is able to draw
appropriate conclusions from scenario.
Exit
HINT294 Ethical Coding Scenario
Background
Davenport Hospital is a rural, non-profit, acute care facility with approximately 80 beds. The primary payer for the hospital
is Medicare, as the majority of its patients are elderly. Common diagnoses for inpatient admissions primarily consist of
Congestive Heart Failure, Pneumonia and complications of Diabetes due to the aging demographic.
Davenport Hospital has just on-boarded a new Chief Financial Officer after having been without a person in the position
for almost one year. One of the first areas of business focused on by the CFO was the days in Accounts Receivable (A/R)
for all inpatient admissions as there was a noticeable difference in the Case Mix Index from the year before. Upon initial
observation, the CFO noted that there had been a dramatic increase in revenue for a particular DRG, which warranted an
outside audit.
Scenario
Dr. Black is a primary care physician with admitting privileges to Davenport Hospital. The patient demographic of Dr.
Blacks practice consists primarily of the elderly generation due to the popularity of his bedside manner and his willingness
to see patients on the same day they request an appointment due to illness. Dr. Black has a reputation on the inpatient
floors of the hospital for directly admitting his patients to the floor from his office on a regular basis and for his extensive
diagnosis and treatment regimens.
Elsie Davis is a 64-year-old patient of Dr. Blacks who was directly admitted to Davenport Hospital with an initial diagnosis
of difficulty breathing, rule out pneumonia. Dr. Black immediately ordered a chest x-ray on Elsie which showed lung
inflammation indicating the presence of pneumonia. In addition to the chest x-ray, Dr. Black also ordered a blood culture
on Elsie to aid in determining the type of pneumonia present.
On the second day of Elsie’s admission, after being on IV antibiotics for almost 24 hours and breathing treatments
regularly, Elsie was still having difficulty breathing and catching her breath. On the Progress Note for Day 2, Dr. Black had
added the diagnosis of Rule out Acute Respiratory Failure, which was a common practice for him.
On day 3 of the admission, the blood culture came back positive for Streptococcus Pneumoniae. Elsie continued to
improve with the administration of IV antibiotics and was discharged at the end of Day 3 after being advised to quit
smoking cigarettes and to follow up with Dr. Black in one week.
Dr. Black documented in his Discharge Summary that the final diagnosis was Pneumonia due to Streptococcus
pneumoniae and Tobacco use.
Coding Synopsis
Below is a screenshot of the coding that was completed by Mary Smith, RHIT, Inpatient Coder for Davenport Hospital
using the 3M Encoder.